OMB control number

Application by Insured Terminally Ill Person for Accelerated Benefit (Forms SGLV 8284 & SGLV 8284a)

OMB 2900-0618 · VA.

OMB 2900-0618

The SGLV 8284 and SGLV 8284a forms are used by an insured who is terminally ill to request payment of a portion of the face value of the Servicemembers' Group Life Insurance (SGLI) or Veterans Group Life Insurance (VGLI) as an Accelerated Benefit.

The latest form for Application by Insured Terminally Ill Person for Accelerated Benefit (Forms SGLV 8284 & SGLV 8284a) expires 2027-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SGLV 8284A Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284) Form
Supporting Statement(2900-0618) (1).docx Supporting Statement A
2024-23059.pdf Supplementary Document
2024-17063.pdf Supplementary Document
Application by Insured Terminally Ill Person for Accelerated Benefit (SGLV 8284) Form

All Historical Document Collections

202407-2900-004	Extension without change of a currently approved collection	2024-10-07
202108-2900-015 Approved without change	Reinstatement with change of a previously approved collection	2021-12-02
201802-2900-003 Approved with change	Reinstatement without change of a previously approved collection	2018-06-22
201403-2900-005 Approved without change	Revision of a currently approved collection	2014-10-29
201106-2900-003 Approved without change	Extension without change of a currently approved collection	2011-10-06
200805-2900-010 Approved without change	Extension without change of a currently approved collection	2008-09-03
200508-2900-004 Approved without change	Extension without change of a currently approved collection	2005-08-09
200207-2900-006 Approved without change	New collection (Request for a new OMB Control Number)	2002-07-12