Forms DB Data
Link to form
Form number
21-686c
Row ID
4156
Form title
Application Request To Add And/Or Remove Dependents (Fillable)
Issue date
Revision date
Form administration
Number of pages
15
Deleted
False
Form name
Application Request to Add and/or Remove Dependents
Form Language
English
When to use
Use VA Form 21-686c to submit a claim for additional benefits for a dependent, or to request to remove a dependent from your benefits.