Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847)

OMB 2900-0740

VA Form 21P-0847, Request for Substitution of Claimant upon Death of Claimant, will be used to allow claimants to request substitution for an claimant, who passed away, prior to VA processing a claim to completion.

The latest form for Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847) expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21P-0847 Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847) Form
30-Day FRN - 2900-0740 (2021) 10-29-21.pdf Supplementary Document
2021-17622, 60-Day FRN (VA Form 21P-0847).pdf Supplementary Document
2900-0740, Supporting Statement (VA Form 21P-0847)..docx Supporting Statement A
Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847) Form

All Historical Document Collections

202108-2900-010 Approved without change	Extension without change of a currently approved collection	2021-10-29
201806-2900-004 Approved without change	Extension without change of a currently approved collection	2018-10-10
201502-2900-001 Approved with change	Revision of a currently approved collection	2015-11-13
201206-2900-004 Approved without change	Extension without change of a currently approved collection	2012-09-27
200906-2900-003 Approved without change	New collection (Request for a new OMB Control Number)	2009-09-08