Form 21-8951-2 Notice of Waiver of VA Compensation or Pension to Receiv

OMB Approved No. 2900-0463
Respondent Burden: 10 minutes
Expiration Date: XX/XX/20XX

VA DATE STAMP

(DO NOT WRITE IN THIS SPACE)

NOTICE OF WAIVER OF VA COMPENSATION OR PENSION TO
RECEIVE MILITARY PAY AND ALLOWANCES

INSTRUCTIONS: Before completing this form, read the Privacy Act and Respondent Burden on page 2. We need this

information to determine whether you choose to waive your VA compensation or pension, or your military pay and allowances for
the days for which you received inactive duty or annual active duty training pay (10 U.S.C. 12316 and 38 U.S.C.5304(c)). For
more information, you can contact us online through Ask VA: https://ask.va.gov/ or call us toll-free at 1-800-698-2411 (TTY:711).
VA forms are available at www.va.gov/vaforms. After completing the form, mail to: Department of Veterans Affairs, Evidence
Intake Center, P.O. Box 4444.

NAME AND ADDRESS OF VETERAN

TO

FROM

SECTION I - VETERAN'S IDENTIFICATION INFORMATION

NOTE: You may complete the form online or by hand. If completed by hand, print the information requested in ink, neatly and legibly, insert one letter per box, and
completely fill in each applicable circle to help expedite processing of the form.
1. VETERAN'S NAME (First, Middle Initial, Last)

NOTE: Complete one of the following 2A, 2B, or 2C.
2A. SOCIAL SECURITY NUMBER

3. VA FILE NUMBER (If applicable)
6. TELEPHONE NUMBER (Include Area Code)

2B. ELECTRONIC DATE INTERCHANGE
PERSONAL IDENTIFIER (EDIPI)

4. DATE OF BIRTH (MM/DD/YYYY)

2C. INTEGRATION CONTROL NUMBER (ICN)

5. VETERAN'S SERVICE NUMBER (If applicable)

7. EMAIL ADDRESS (Optional)

Enter International Phone Number (If applicable)

SECTION II - INACTIVE DUTY/ANNUAL ACTIVE DUTY TRAINING PAY INFORMATION
Based on your SSN, EDIPI, or ICN, the Defense Manpower Data Center (DMDC) has identified you as having been a reservist or guard member during the fiscal year
(FY) indicated below. By law, inactive duty or annual active duty training pay cannot be paid at the same time you are receiving VA disability compensation or pension
payments. Inactive duty training pay may include, but is not limited to, drills, schooling, conferences, preparation for inspections, additional flight training, muster duty, or
funeral honors duty. Annual active duty training is typically performed 15 days each year by reservists and members of the National Guard. You may decide to keep the
training pay you received from your military branch. However, to keep your training pay, you must waive your VA benefits for the same number of days as the number of
days you received pay for inactive duty or annual active duty training.
The National Guard and Reserves report one full day's duty pay for each 4-hour unit training assembly you attend. That means they may credit you with 4 days' worth of
inactive duty training pay for a 2-day drill weekend. The National Guard and Reserves pay most of their members for about 48 inactive duty training days and 15 annual
active duty training days per FY.
8. NUMBER OF DAYS OF INACTIVE DUTY TRAINING OR ANNUAL ACTIVE DUTY TRAINING PAY RECEIVED
Note: An FY runs from October 1 through September 30. For example, FY 2026 runs from October 1, 2025, through September 30, 2026.
FISCAL YEAR

VA FORM
XXX 20XX

21-8951-2

TRAINING DAYS

SUPERSEDES VA FORM 21-8951-2, XXX 20XX

PAGE 1

SECTION III - ELECTION NOTICE
INSTRUCTIONS: Check the appropriate box(es) below in Items 9 and 10, sign, secure the signature of your unit commander/designee (if required) and return the
completed form within 30 days to the address listed on Page 1.
9. CHECK ONLY ONE OF THE FOLLOWING BOXES (Note: If neither checkbox in Item 9 is selected, then VA will assume that you agree with the
number of inactive duty or annual active duty training pay days shown in Item 8, Section II.)
CORRECT. I agree that the number of training pay days shown in Section II, Item 8.
NOT CORRECT. I disagree with the number of training pay days shown in Section II, Item 8. (Provide the number of days of training pay received,
in item 10.)
10. ENTER THE CORRECTED NUMBER OF TRAINING PAY DAYS HERE

IMPORTANT: If Item 11 is not checked, VA will assume that you wish to waive VA pay for the number of days shown in either
Section II, Item 8 or Section III, Item 10. An election to waive VA pay in item 11 will result in automatic adjustments of any future training pay.
11. ELECT ONLY ONE of the following:
I ELECT TO WAIVE my VA pay for the days indicated in Section II, Item 8.
I ELECT TO WAIVE my VA pay for the days indicated in Section III, Item 10, to retain my training pay. Note: If the number entered in Item 10 is
lower than the number identified in Item 8, your commander/designee's signature is required below; use Section V: Commander/Designee's

Signature.

I ELECT TO WAIVE my military pay and allowances for the days indicated in either Section II, Item 8, or Section III, Item 10, to retain my VA pay.
(Note: This option generally results in less money for most veterans.)

I DID NOT receive any military pay and/or allowances during the FY indicated in Section II, Item 8.

SECTION IV - CERTIFICATION AND SIGNATURE
I CERTIFY THAT I have completed this form and that its information is true and correct to the best of my knowledge and belief.
12A. SIGNATURE OF RESERVIST/GUARDSMAN (REQUIRED)

12B. DATE SIGNED (MM/DD/YYYY)

SECTION V: COMMANDER/DESIGNEE'S SIGNATURE
(Note: This signature is only required if you disagree with the number of days listed in Item 8)
I CERTIFY THAT to the best of my knowledge, the information shown above concerning the member's training days is correct.
12. UNIT COMMANDER/DESIGNEE'S SIGNATURE

13. DATE SIGNED (MM/DD/YYYY)

14. NAME AND MAILING ADDRESS OF RESERVE/GUARD UNIT

15. UNIT TELEPHONE NO. (Include Area Code)
Enter International Phone Number (If applicable)

PENALTY: The law provides severe penalties which include fine or imprisonment, or both, for the willful submission of any statement or evidence
of a material fact, knowing it to be false, or for fraudulent acceptance of any payment to which you are not entitled.
PRIVACY ACT INFORMATION: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38,
Code of Federal Regulations 1.576 for routine uses (i.e., civil or criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money owed to
the United States, litigation in which the United States is a party or has an interest, the administration of VA programs and delivery of VA benefits, verification of identity and status, and
personnel administration) as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Veteran Readiness and Employment Records - VA, published in
the Federal Register. Your obligation to respond is required to obtain or retain benefits. The requested information is considered relevant and necessary to determine maximum benefits under
the law. The responses you submit are considered confidential (38 U.S.C. 5701). Information submitted is subject to verification through computer matching programs with other agencies.
RESPONDENT BURDEN: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control
number. The OMB control number for this project is 2900-0463, and it expires XX/XX/20XX. Public reporting burden for this collection of information is estimated to average 10 minutes per
respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing the burden, to VA Reports Clearance
Officer at [email protected]. Please refer to OMB Control No. 2900-0463 in any correspondence. Do not send your completed VA Form 21-8951-2 to this email address

VA FORM 21-8951-2, XXX 20XX

PAGE 2