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n Appointment of Individual as Claimant’s ask the child’s current doctor to verify the documents.
Representative (VA Form 21-22a) These documents should include all of the following
Get VA Form 21-22a at https://www.va.gov/ information:
find-forms/about-form-21-22a/. n The date of the disability’s onset, and
n A description of the disability, mental or physical,
If you’re applying for an unmarried adult child of a and
Veteran or service member, you’ll also need to provide n A description of how dependent the disabled child is
supporting documents with information about the child’s on the Veteran, and
disability. The Veteran or guardian of the child should also n The marital status of the child
How do I apply?
You can apply online right now. https://www.va.gov/burials-and-memorials/pre-need/form-10007-apply-for-eligibility
You can also apply: n Provide supporting documents that show why the
person applying can’t sign
By mail n Provide supporting documents that show your rela-
Fill out an Application for Pre-need Determination of tionship to the person applying
Eligibility for Burial in a VA National Cemetery (VA
Form 40-10007). Get VA Form 40-10007 to download.
Send your completed application (with copies of your
supporting documents) to:
The person applying for a pre-need determination must NCA FP Evidence Intake Center
sign the form. If that person is under 18 years old, men- PO Box 5237
tally unable to make decisions for themselves (sometimes Janesville, WI 53547
called mentally incompetent), or physically unable to sign
the form, a spouse, parent, or court-appointed representa- Please don’t send the originals of your DD214 and other
tive may sign the form.
supporting documents since they cannot return them.
Send copies only.
If you’re signing the form on behalf of someone else,
you’ll need to: By fax
n Select box 33B on the form and provide your name, You can fax your application to the National Cemetery
address, phone number, and email address in blocks Scheduling Office at 855-840-8299.
34 through 37
What if I need help filling out my application?
Call the toll-free hotline at 800-535-1117 (TTY: 711). Note: These services are free. No one should ever ask you
Monday through Friday, 8:00 a.m. to 7:30 p.m. ET, and to pay them to help you fill out VA Form 40-10007 or file
Saturday, 9:00 a.m. to 5:30 p.m. ET. your request.
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The Naval Enlisted Reserve Association 9
5/18/23 3:14 PM
Mariner Spring 2023 Volume 66 Issue 051823.indd 9
Mariner Spring 2023 Volume 66 Issue 051823.indd 9 5/18/23 3:14 PM

