Application for Burial Benefits
The veteran died and you paid for funeral and burial expenses. You are seeking partial VA reimbursement.
Gather before you start
Attach with the form
Section I - Claimant Identification
Blocks 1-6Your name, SSN, address, relationship to veteranPII
Your information as the person who paid the funeral expenses. Relationship: surviving spouse, child, parent, executor of estate, funeral home (if they paid and are claiming). If a funeral home is claiming on behalf of an estate, they should have their own VA account.
(your legal name, SSN, relationship to veteran)
- Filing under the veteran's identity instead of your own - you are the claimant, not the veteran.
Section II - Veteran Information
Blocks 7-12Veteran name, SSN, VA File Number, date and cause of deathPII
The veteran's identifying information. Include VA File Number from prior VA correspondence. Cause of death is critical - if the veteran died from a service-connected condition, the reimbursement rate is significantly higher.
(veteran's name, VA file number, date of death, cause of death)
- Not providing cause of death - VA needs this to determine which burial rate applies (service-connected vs non-service-connected).
- Not including VA File Number - claim cannot be matched to veteran's existing file.
Section III - Burial and Funeral Expenses
Blocks 13-22Itemized funeral and burial expenses paidRepeatable
List all expenses you paid: funeral home services (preparation, casket, transport to funeral home), cemetery plot or interment fee, headstone or marker (if not getting VA-furnished marker), grave opening and closing, transportation of remains. Keep itemized receipts from the funeral home. The VA burial allowance covers a portion of these costs, not necessarily all of them.
e.g., Funeral home services: $4,200; Casket: $1,800; Cemetery plot: $2,500; Grave opening: $500; Total paid: $9,000
- Including expenses not paid by you (e.g., expenses paid by a life insurance payout) - only expenses you actually paid out-of-pocket qualify.
- Not keeping itemized receipts from the funeral home - a general receipt is insufficient; VA needs line-item detail.
- Not claiming transportation reimbursement if the veteran died in a VA facility - VA pays transportation from a VA facility to the burial site.
Section IV - Place of Burial
Blocks 23-26Cemetery name, address, grave location
Name and address of the cemetery where the veteran is buried (or will be buried). If buried in a national cemetery, VA provides the headstone/marker separately. If buried in a private cemetery, you can claim the plot allowance AND separately request a government-furnished headstone (VA Form 40-1330).
e.g., Evergreen Memorial Park, 123 Cemetery Rd, Tucson AZ 85701; Section 4, Lot 22, Grave 3
- Not noting burial in a national cemetery - national cemetery burial changes some cost calculations.
- Not knowing you can get a government-furnished marker for private cemetery burial - file 40-1330 separately.
Section V - Certification
Blocks 27-28Claimant signature and datePII
Sign and date under penalty of perjury. Attach all receipts before submitting.
(your signature/date)
- Missing the 2-year filing deadline - burial benefits are permanently forfeited after 2 years from burial date.
- Not attaching receipts - claim cannot be processed without proof of payment.