Supplemental Designation of Beneficiary
You have more beneficiaries to designate than the primary VA Form 29-336 can accommodate.
Gather before you start
Section I - Policy Reference
Block 1Policy number and reference to primary 29-336PII
Reference the primary VA Form 29-336 with which this supplement is being filed. Include the policy number.
(VA insurance policy number; filed with primary 29-336)
- Not referencing the primary form - the supplement cannot stand alone without the primary 29-336.
Section II - Additional Beneficiaries
Blocks 2-8Additional beneficiaries with full identification and percentagesPII
Same information as on 29-336: legal name, SSN, DOB, relationship, and percentage share. All percentages across 29-336 and 29-336a must total 100% for primary beneficiaries.
(additional beneficiaries with full information)
- Percentages across both forms not totaling 100%.
Section III - Insured Signature
Blocks 9-10Insured signature and datePII
Sign and date. By signing you certify the information is accurate under penalty of perjury.
(signature/date)
- Submitting only the supplement without the primary 29-336.