Form Sddva B 1 PDF Details

The SDDVA B-1 form represents a crucial aspect of honoring the service and memory of veterans in South Dakota. Issued by the South Dakota Department of Veterans Affairs, this document streamlines the application process for the veterans' headstone setting fee, underscoring the state's commitment to recognizing the valor and sacrifice of its servicemen and servicewomen. Central to the form is the verification of the deceased veteran's eligibility, which hinges on honorable discharge, U.S. citizenship, and residency in South Dakota. The form meticulously details necessary information such as the veteran's name, social security number, service dates, and the permanent setting of a government headstone or marker. It also outlines the financial transaction involved in setting the headstone, specifying documentation and certification requirements for both the applicant and the payee to deter fraudulent claims. Furthermore, the form serves as a reminder of the importance of accuracy and timeliness, with stipulations for the submission process and penalties for false statements. Through these elements, the SDDVA B-1 form fulfills a dual role: facilitating a tangible tribute to the deceased veterans' memory while ensuring integrity and compliance in the administration of veterans' benefits in South Dakota.

QuestionAnswer
Form NameForm Sddva B 1
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesSDDVA B 1_Headstone application headstone blank form

Form Preview Example

SD DEPARTMENT OF VETERANS AFFAIRS

425 E. CAPITOL AVENUE

PIERRE, SD 57501

APPLICATION FOR VETERANS

HEADSTONE SETTING FEE

SDCL § 33A-5

SDDVA B-1 Rev. 07/2011

NOTE: See reverse side for instructions.

Name of Deceased Veteran ___________________________

_______

_________________________

(FIRST)

(MI)

(LAST)

Veteran's Social Security Number ________________________________________________________

Veteran's Dates of Service: From ___________________________ To _________________________

(Beginning Date)(End Date)

Was the Decedent an Honorably Discharged Veteran as defined in SDCL § 33A-2-1 and § 33A-2-2, a citizen of the United States and a resident of South Dakota for one year immediately preceding entry into military

service or preceding death? (Please check one) Yes

No

A US Government headstone/marker was permanently set on the grave site of the above Decedent by

____________________________________ in the _________________________________Cemetery

(Individual or Business Name)

which is located in, or near, the city of ____________________________,South Dakota, on the ______ of

(Day)

___________, __________.

(Month) (Year)

I approve payment in the amount of $100 to _____________________________________________________

(Person receiving Payment)

_________________________________ ,

___________________________, _____________ ____________.

 

(State)

(Zip Code)

(Street or PO Box Number)

(City)

 

I certify that the above information is true and correct to the best of my knowledge and belief.

_________________________________________________________

_____________________________

(Signature of C/TVSO or SDDVA Employee)

(Date)

TO BE COMPLETED BY THE PAYEE

I certify that the foregoing statements are true and correct to the best of my knowledge and belief. I understand that intentionally making a false statement herein is a violation of SDCL §4-9-5and § 22-30A-17.

_______________________________________________

_____________________________

(Signature of Payee)

(Date)

__________________________________________________________

 

(Social Security or Tax ID of Payee)

 

Note: All claims must be presented to the Pierre office of the South Dakota Department of Veterans Affairs within one year from the date the headstone was set.

It is the responsibility of the county/tribal veterans service officer or SDDVA employee to ensure that the information contained on this application is true and correct.

1.To qualify, the deceased veteran must have been a citizen of the United States, a resident of the State of South Dakota for one year immediately preceding entry into the Armed Forces or for the year immediately preceding death, and must meet the definition of a veteran as defined in SDCL § 33A-2-1 and § 33A-2-2.

2.The lower portion of the form must be signed, dated by, and contain the Social Security or Tax ID number of the person to whom payment is being made.

3.Any application form which is not completely or legibly filled out will be returned to the C/TVSO or SDDVA employee for correction.

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When it comes to fields of this particular document, here's what you should know:

1. The Form Sddva B 1 will require specific information to be entered. Be sure that the next blanks are complete:

Best ways to fill in Form Sddva B 1 portion 1

2. Once your current task is complete, take the next step – fill out all of these fields - which is located in or near the, Street or PO Box Number, City, State, Zip Code, Signature of CTVSO or SDDVA, TO BE COMPLETED BY THE PAYEE, and I certify that the foregoing with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

A way to prepare Form Sddva B 1 step 2

3. This next step is going to be simple - fill out all the form fields in I certify that the foregoing, and Social Security or Tax ID of Payee in order to finish the current step.

How one can prepare Form Sddva B 1 step 3

It is easy to get it wrong when filling out your Social Security or Tax ID of Payee, hence make sure you reread it prior to when you submit it.

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