The following information about this VA form comes from the VA forms database, and any changes are updated here nightly. Contact the form administration for further information.
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
Related to
Benefits
VA disability compensation
VA benefits for spouses, dependents, survivors, and family caregivers
VA pension benefits
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. 

Online tool
You can submit your request online instead of filling out and sending us the paper form.