Application Request to Add and/or Remove Dependents (VA Form 21-686c)

VA Form 21-686c is used to obtain current information about marital status and dependent child(ren). The information is needed to determine the correct rate of payment for veterans and beneficiaries who may be entitled to an additional allowance for dependents or to remove dependents. Substantive and non-substantive changes have been added to VA Form 21-686c. They include the following: • A new title • Non-substantive changes, to include: o New standardization data points; to include optical character recognition and section headings o A notice that provides information about evidence that is needed to support a claim for additional benefits for a dependent or to remove a dependent • An ‘Addendum’ that allows additional space to add more children • Substantive changes were added to clarify a more defined space to remove a spouse or child(ren) due to divorce, death, marriage of a dependent child, or a schoolchild no longer attending school, and • Due to the addition of removals to this application, VA has determined that the burden estimate has been increased from 15 to 30 minutes.

The latest form for Application Request to Add and/or Remove Dependents (VA Form 21-686c) expires 2021-09-30 and can be found here.