OMB control number

Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847)

OMB 2900-0740 · VA.

OMB 2900-0740

VA Form 21P-0847 is used to allow claimants to request substitution for a claimant, who passed away, prior to VA processing a claim to completion. This is only allowed when a claimant dies while a claim or appeal for any benefit under a law administered by the VA is pending. The substitute claimant would be eligible to receive accrued benefits due a deceased claimant under Section 5121(a).

The latest form for Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847) expires 2027-11-30 and can be found here.