OMB control number

APPLICATION FOR VETERANS AFFAIRS LIFE INSURANCE (VALife) (VA Form 29-10277)

OMB 2900-0906 · VA.

OMB 2900-0906

The VA Form 29-10277 is used by veterans to apply for Veterans Affairs Life Insurance (VALife), to designate a beneficiary and to select an optional settlement. The information is required by law, 38 USC, Section 1922.

The latest form for APPLICATION FOR VETERANS AFFAIRS LIFE INSURANCE (VALife) (VA Form 29-10277) expires 2028-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 29-10277 Application for Veterans Affairs Life Insurance (VALife) Form
30-DAY (published) 2900-0906.pdf Supplementary Document
Published 60-Day FRN.pdf Supplementary Document
Supporting Statement 8-26-25.docx Supporting Statement A
Application for Veterans Affairs Life Insurance (VALife) Form

All Historical Document Collections

202501-2900-001	Extension without change of a currently approved collection	2025-08-26
202112-2900-001 Approved with change	New collection (Request for a new OMB Control Number)	2022-04-27