A VA Form 29-4125 is known as a Claim for One Sum Payment Government Life Insurance. This claim form is used by the United States Department of Veterans Affairs and the Veterans Benefits Administration. This form will be used by someone who needs to claim the life insurance held by a deceased veteran.
This form will require information about the veteran and their beneficiary. This will include their names, insurance policy number, insurance file number, date of death, and the amount the beneficiary is eligible for. The beneficiary will also need to include legal documentation, such as a death certificate, with this form. This will allow the VA to verify the date of death and distribute the life insurance benefits.
The VA Form 29-4125 is commonly used by a beneficiary to claim the life insurance benefits that are owed to a deceased veteran.
A VA Form 29-4125 contains the following sections:
To complete a VA Form 29-4125, you will need to provide the following information:
You will also need to provide a photocopy of the veteran's death certificate or a statement from the attending physician that shows the date and cause of death.
You should complete this form and mail it or fax it to:
VA Insurance Center, P.O. Box 7208, Philadelphia, PA 19101
If you have questions about the form, you can call the toll free number 1-800-669-8477. OMB Approved No. 2900-0060. Collection of information asked on this form is in order to verify eligibility for VA benefits and under the authority of 38 U.S.C. 5902.
The VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 36VA00, Veterans and Armed Forces Personnel U.S. Government Life Insurance Records-VA, and published in the Federal Register.