29-4125a Claim for Monthly Payments National Life Insurance

Claim for One Sum Payment (Government Life Ins), Claim for Monthly Payments (National Service Life Ins), and Claim for One Sum Payment (Government Life Ins) VA Forms 29-4125, 4125A, 4125e-Electronic

VA Form 29-4125a (508 Conformant 3-21-19)

OMB: 2900-0060

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0060 can be found here:

2024-11-15 - Revision of a currently approved collection

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File Type	application/pdf
File Title	29-4125a
Subject	CLAIM FOR MONTHLY PAYMENTS NATIONAL SERVICE LIFE INSURANCE
File Modified	2019-09-27
File Created	2019-03-21