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Life Insurance

Forms and Downloads

Download all VA life insurance program forms on this page:

For other (non-Insurance) Veterans Benefits forms, please use the VA Forms Page.

Note: Servicemembers' and Veterans' Group Life Insurance forms are created by the Office of Servicemembers' Group Life Insurance, which administers these programs for the Department of Veterans Affairs, and are made available on this web site as a courtesy to Servicemembers and Veterans. The forms provided on this page, although reviewed by VA, are not VA forms.

Downloading, Viewing, Filling Out and Printing Forms

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Left-click on the form title to view the form in your browser.

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Right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu.

Filling Out a Form

Many of our forms can be filled out using the Adobe Acrobat Reader. You may fill out the form online or download the form to your hard drive and fill it out from there.

Printing a Form

The form can then be printed out with your entries already completed.

Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window.

Servicemembers' Group Life Insurance (SGLI) Forms

Form Description
SGLV 8286
Servicemembers' Group Life Insurance Election & Certificate
 
Use this form to:
  • reduce or decline SGLI coverage
  • designate or update the beneficiary on a SGLI policy
  • restore or increase SGLI coverage when it has previously been reduced or declined
SGLV 8286S
Servicemembers' Group Life Insurance
Supplemental SGLI Beneficiary Form
Use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries.
SGLV 8285
Request for Insurance
 
This form has been replaced by SGLV 8286 and should no longer be used.
SGLV 8283
Claim for Death Benefits (SGLI/VGLI)
Use this form to claim SGLI or VGLI proceeds for a deceased policyholder.
SGLV 8284
Servicemember/Veteran Accelerated Benefits Option Form
Use this form to request an advance insurance payment for a Servicemember or Veteran that is terminally ill.
SGLV 8715
Application for SGLI Disability Extension
Use this form to apply for a free extension (up to two years) of SGLI coverage if you are a totally disabled at time of discharge.

Servicemembers' Group Life Insurance Family Coverage (FSGLI) Forms

Form Description
SGLV 8286A
Family Coverage Election (SGLI)
Use this form to:
  • reduce or decline Family SGLI coverage
  • restore or increase Family SGLI coverage when it has previously been reduced or declined
SGLV 8285A
Request to Restore Family SGLI
 
This form has been replaced by SGLV 8286a and should no longer be used.
SGLV 8284A
Family Coverage Accelerated Benefits Option Form
Use this form to request an advance insurance payment for a spouse that is terminally ill.
SGLV 8700
Report of Death of a Family Member
 
This form is used by military casualty and personnel offices only.
SGLV 8283A
Claim for Family Coverage Death Benefits (SGLI)
Use this form to claim FSGLI proceeds for a deceased spouse or dependent.

Veterans' Group Life Insurance (VGLI) Forms

Form Description
SGLV 8714
Application for Veterans' Group Life Insurance
Use this form to apply for VGLI insurance.
SGLV 8721
Beneficiary Designation Form (VGLI)
Use this form to designate or change the beneficiary for your VGLI policy.
SGL 180
Application for Reinstatement of Coverage (VGLI)
 
Use this form to reinstate a lapsed VGLI policy.
SGLV 8284
Servicemember/Veteran Accelerated Benefits Option Form
 
Use this form to request an advance insurance payment for a Servicemember or veteran that is terminally ill.
SGLV 8283
Claim for Death Benefits (SGLI/VGLI)
Use this form to claim SGLI or VGLI proceeds for a deceased policyholder.
GL.2010.247 Ed 11/2010
Frequently Asked Questions about
increasing your Veterans' Group Life Insurance
Information about increasing VGLI Coverage

TSGLI and Conversion

Form Description
SGLV 8600
Application for TSGLI Benefits
Use this form to apply for a TSGLI benefit.
Participating Companies Brochure This pamphlet gives a list of commercial insurance companies that will accept a SGLI, FSGLI or VGLI conversion.

Life Insurance Forms for Service-Disabled Veterans

Form Description
29-4364
Application for Service-Disabled Insurance(S-DVI)
 
Use this form to apply for Service-Disabled Veteran's Insurance. You must apply for this insurance within two years from the date VA notifies you of your new service connected disability. OR

Follow this link to apply for S-DVI online!
29-9
Service-Disabled Veterans Insurance RH Information and Premium Rates
 
This pamphlet gives Service-Disabled Veterans Insurance premium and plan information. Use this pamphlet when applying for S-DVI.
29-8636
Application for Veterans Mortgage Life Insurance (VMLI)
 
Use this form to apply for Veterans Mortgage Life Insurance. You may only apply for VMLI if you have been approved for a Specially Adapted Housing Grant. (fillable)
A tool is available to calculate the premiums which would be paid under VMLI.
VMLI Brochure General information about the Veterans Mortgage Life Insurance Program

All Other VA Life Insurance Forms

These forms are to be used for National Service Life Insurance only. They cannot be used for VA Compensation, VA Disability, Servicemembers' or Veterans' Group Life Insurance.

Form Description
29-0152
Application for Conversion
Use this form to convert all or part of your term insurance to a permanent plan of insurance.
29-0165
VA MATIC Change (Changes to Bank/Checking Account)
Use this form to request an automatic monthly premium deduction from your checking account. OR Use this form to update your bank account information when you are having premiums deducted from your checking account.
29-0188
Application for Supplemental Service-Disabled Veterans (RH) Life Insurance
Use this form to apply for Supplemental Service-Disabled Veterans Insurance. You must have been approved for waiver of premiums on Service-Disabled Veterans Insurance to be eligible for Supplemental Insurance
(fillable)
29-0309
Direct Deposit Enrollment or Change
This form is for National Service Life Insurance only. Do not use this form for VA compensation, VA disability, SGLI or VGLI
Use this form to enroll in direct deposit or change your direct deposit information.
29-336
Designation of Beneficiary
Use this form to designate or change the beneficiary for your government life insurance policy. (fillable)
29-352
Application for Reinstatement
Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. (fillable)
29-353
Application for Reinstatement
(Non-medical, Comparative Health)
Use this form to reinstate your insurance policy if it has lapsed for less than 6 months.
29-357
Claim for Disability Insurance Benefits
Use this form to apply for waiver of policy premiums if you become totally disabled before your 65th birthday. (fillable)
29-541
Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary
Use this form to give us information concerning the heirs of a deceased veteran or beneficiary. (fillable)
29-888
Insurance Deduction Authorization (For Deduction-From-Benefit Payments)
Use this form to request an automatic monthly premium deduction from your VA compensation check. (fillable)
29-0309
Direct Deposit Enrollment/Change
Use this form to apply for direct deposit or change your direct deposit information.(fillable)
29-1546, page 1
Application for Cash Surrender Value
Use this application to surrender your policy for its cash value.(fillable)
29-1546, page 2
Application for Policy Loan
Use this application to request a loan against the cash value of your policy. (fillable)
29-1549
Application for Change of Permanent Plan (Medical)
Use this form to change your plan of insurance. This form should only be used if you are requesting a plan with a lower cash value than your current policy. (fillable)
29-4125
Claim for One-Sum Payment
Use this form to claim the proceeds of a government life insurance policy.
29-4125a
Claim for Monthly Installments
Use this form to request the proceeds of an NSLI policy be paid in monthly installments.
 

FAQs