VA Form 29-4364
Application for Service-Disabled Veterans Insurance (S-DVI) - Legacy
Who fills it
veteran
Journey phase
Specialty Benefits
Estimated time
20-30 minutes.
When to file
Only for existing S-DVI policy actions. New insurance: file 29-0188 (VALife).
You hold an existing S-DVI policy and need to perform a policy action (loan, surrender, beneficiary change). If applying for NEW insurance, use VALife (29-0188) instead.
Gather before you start
—Existing S-DVI policy number
—Type of action needed (loan, surrender, beneficiary change)
Section I - Existing S-DVI Policy Action
Block 1Policy number and action requestedPII
For existing S-DVI policyholders: identify your policy number and the action you need. IMPORTANT: New S-DVI applications are no longer accepted (closed January 1, 2023). For new coverage, apply for VALife (VA Form 29-0188) which replaced S-DVI.
Example
(S-DVI policy number; action: loan/surrender/beneficiary change)
Common mistakes
- Not knowing S-DVI is closed to new applicants - if you do not have an S-DVI policy already, apply for VALife instead.
- Surrendering S-DVI without considering VALife - if your S-DVI is in force, consider keeping it while also applying for VALife.
Authority
38 USC 1922 - S-DVI authority (replaced by VALife under 38 USC 1922B for new applicants).
Section II - Certification
Block 2Policyholder signature and datePII
Sign and date. By signing you certify the information is accurate under penalty of perjury.
Example
(signature/date)
Common mistakes
- New applicants using this legacy form instead of 29-0188 (VALife).
Statutory & regulatory authority
38 USC 1922 - S-DVI authority (replaced by VALife under 38 USC 1922B for new applicants).