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Application by Insured Terminally Ill Person for Accelerated Benefit (Forms SGLV 8284 & SGLV 8284a)

OMB 2900-0618 ยท VA.

OMB 2900-0618

The SGLV 8284 and SGLV 8284a forms are used by an insured who is terminally ill to request payment of a portion of the face value of the Servicemembers' Group Life Insurance (SGLI) or Veterans Group Life Insurance (VGLI) as an Accelerated Benefit.

The latest form for Application by Insured Terminally Ill Person for Accelerated Benefit (Forms SGLV 8284 & SGLV 8284a) expires 2027-11-30 and is listed under ICR 202407-2900-004.

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