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.
Link to form
http://www.vba.va.gov/pubs/forms/VBA-21P-534EZ-ARE.pdf
Form number
21P-534EZ
Row ID
5242
Form title
Application for DIC, Survivors Pension, and/or Accrued Benefits (Fillable)
Issue date
Revision date
Form administration
VBA
Number of pages
20
Deleted
False
Form name
Application for DIC, Survivors Pension, and/or Accrued Benefits
Form Language
English
Alert
Alert Type
Information
Alert title
DIC eligibility for survivors of Blue Water Navy Vietnam Veterans
Alert body

If we denied your Blue Water Navy Veteran’s service-connected disability claim in the past, you may be eligible for DIC benefits based on the Blue Water Navy Vietnam Veterans Act of 2019.

Learn more about DIC eligibility information 

Find out how to apply for benefits

Veterans who served on a Blue Water Navy vessel offshore of the Republic of Vietnam, or on another U.S. Navy or Coast Guard ship operating in the coastal waterways of Vietnam between November 1, 1955, and May 7, 1975, are now entitled to a presumption of service connection for illnesses related to Agent Orange exposure. This is a result of Public Law 116-23, also known as the Blue Water Navy Vietnam Veterans Act of 2019.

Learn  more about service connection for illnesses related to Agent Orange exposure

Section
Burials and memorials benefits hub
Related to
VA disability compensation
VA benefits for spouses, dependents, survivors, and family caregivers
VA pension benefits
When to use

Use VA Form 21P-534EZ if you want to submit evidence along with your claim, using the Fully Developed Claim (FDC) program to get a decision on your claim faster. You can use this form if you’re:

  • A surviving spouse or child of a Veteran who has died
  • Applying for VA benefits and/or the money that we owe the Veteran but didn’t pay prior to their death (accrued benefits)
  • Using the Fully Developed Claim (FDC) program to get a decision on your claim faster by submitting evidence along with your claim
Related forms
About VA Form 21P-534
About VA Form 21P-0969
Helpful links
About VA DIC for spouses, dependents, and parents
As the surviving spouse, child, or parent of a service member who died in the line of duty, or the survivor of a Veteran who died from a service-related injury or illness, you may be eligible for VA DIC payments.
Fully developed claim for a VA pension
The Fully Developed Claim (FDC) program is the fastest way to get your VA pension claim processed. Learn more about the FDC program.