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

OMB 2900-0060

OMB 2900-0060

The VA Forms 29-4125 and 29-4125A are used by beneficiaries to request the proceeds from Government Life Insurance policies. The information is required by law, 38 U.S.C. 1917 and 1952.

The latest form for 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 expires 2022-10-31 and can be found here.

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