Fiduciary Agreement (VA Form 21P-4703)

OMB 2900-0319

OMB 2900-0319

VA Form 21P-4703 is used as an agreement between the Department of Veterans Affairs and a federally-appointed fiduciary for a beneficiary's VA benefits. It outlines the fiduciary's responsibilities with respect to the use of funds derived from VA benefits.

The latest form for Fiduciary Agreement (VA Form 21P-4703) expires 2020-11-30 and can be found here.

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