Form VA Form 29-888 VA Form 29-888 INSURANCE DEDUCTION AUTHORIZATION (FOR DEDUCTION FROM BE

OMB Control No. 2900-0024
Respondent Burden: 10 Minutes
Expiration Date: XX/XX/XXXX

INSURANCE DEDUCTION AUTHORIZATION
(FOR DEDUCTION FROM BENEFIT PAYMENTS)

PRIVACY ACT INFORMATION: No insurance deduction may be made unless a completed authorization has been received (38 CFR 8.8). The information requested
is required to obtain or retain benefits and will be used by VA employees and your authorized representatives in the maintenance of Government insurance programs.
Responses may be disclosed outside VA only if the disclosure is authorized under the Privacy Act, including the routine uses identified in the VA system of records,
36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance - VA, published in the Federal Register.
RESPONDENT BURDEN: We need this information to authorize VA to deduct money from the insured's VA compensation check to pay premiums, loans and/or liens
on his/her insurance contract. We estimate that you will need an average of 10 minutes to review the instructions, find the information, and complete this form. VA
cannot conduct or sponsor a collection of information unless a valid OMB number is displayed. Valid OMB control numbers can be located on the OMB Internet Page at
www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
1. FIRST, MIDDLE, LAST NAME OF INSURED (Type or print)

2. INSURANCE FILE NO. (Include letter prefix)

3. NUMBER AND STREET OR RURAL ROUTE (Type or print)

4. VA CLAIM FILE NUMBER

5. CITY OR P.O., STATE AND ZIP CODE (Type or print)

6. TOTAL MONTHLY BENEFITS AWARDED (Before deductions)

7. ACTION REQUESTED

8. PURPOSE AND AMOUNT OF DEDUCTIONS TO BE MADE

Value cannot exceed 99,999,999.99.
START

DECREASE

PREMIUM

INCREASE

DISCONTINUE

LOAN
LIEN

$
$
$

AUTHORIZATION: The Department of Veterans Affairs is authorized: (1) to deduct each month from benefits payable to me the sum indicated in Item 6 to be used in
payment of premiums, repayment of Loans and/or Liens as shown above, and (2) TO ADJUST THE AMOUNT REQUIRED within the limits of benefits payable, to
pay premiums on my Government Life Insurance.
9. SIGNATURE OF INSURED (Sign in ink)

VA FORM
XXXX

29-888

10. DATE

SUPERSEDES VA FORM 29-888, MAR 2014,
WHICH WILL NOT BE USED.

IMPORTANT INFORMATION AND INSTRUCTIONS
Deductions from benefit payments are established to pay premiums on a one month in advance basis; i.e., a premium
deduction made from a January benefit payment will pay a premium due in February, a February deduction will pay a
March premium, and so forth. THEREFORE:
TO PREVENT LAPSE OF YOUR INSURANCE, CONTINUE TO PAY PREMIUMS UNTIL,
YOU HAVE BEEN NOTIFIED THAT THE AUTHORIZATION HAS BEEN ACCEPTED AND
THAT THE DEDUCTIONS FROM BENEFIT PAYMENTS ARE BEING MADE. ANY
OVERPAYMENT OF PREMIUMS WILL BE REFUNDED TO YOU.
Your authorization will remain in effect as long as your monthly benefit payment is enough to pay the monthly
premium, and/or loan, and/or lien payment. If you become entitled to a waiver of premiums under the disability
provisions of your policy, VA will stop the deductions for premium payments. They will be resumed after the waiver
ends unless you have canceled the authorization.
Monthly loan and/or lien payments should be authorized for $5.00 or more. Such payments will continue to be deducted
until your loan and/or lien is paid in full or you ask us to stop the deduction.
When completed and signed by you, submit this authorization to the office where your insurance records are
maintained. The fastest and most secure way to send your application to VA Insurance is to use the document upload
service at https://insurance.va.gov/home/IDU. To submit by mail, the address of the Department of Veterans Affairs
office that maintain these records is:
Department of Veterans Affairs
Regional Office and Insurance Center
P. O. Box 42954
Philadelphia, PA 19101
VA FORM 29-888, MAR 2014