Application for Reinstatement and or Total Disability Income Provision

Application for Reinstatement (Lapsed More than 6 Months) and Application for Reinstate of Veterans Affairs Life Insurance (VALife) (Insurance Lapsed More Than 6 Months)

OMB: 2900-0011

IC ID: 28089

Documents and Forms

Document Name Document Type
Form 29-352 Application for Reinstatement and or Total Disability Income Provision Form
29-352 Application for Reinstatement and or Total Disability Income Provision VA Form 29-352 (508 Conformant 7-07-23).pdf www.va.gov/vaforms Form
29-352R Application for Reinstatement of Veterans Affairs Life Insurance (VALife) (Insurance Lapsed More Than 6 Months) VA Form 29-352 - Reinstatement Form (8-29-23).pdf www.va.gov/vaforms Form