Form 21P-534 APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION, S
Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation
2900-0004 21P-534(12-29-14)
APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION, SURVIVORS PENSION AND ACCRUED BENEFITS BY A SURVIVING SPOUSE OR CHILD (Including Death Compensation if Applicable)
OMB: 2900-0004
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0004 can be found here: