VA Form 20-572 at a glance
What it is: The Request for Change of Address/Cancellation of Direct Deposit is the form to notify the Department of Veterans Affairs of a change in address, cancellation of direct deposit, or both.
Where and when to file: Complete this form and mail it to the VA office having your records.
A filled-in VA Form 20-572 example: a veteran changes a home address
How to fill out VA Form 20-572, box by box
I am requesting and I am receiving benefits as the
In Box 1, check the appropriate box: a change of my residence address, a cancellation of my direct deposit account, or both.
In Box 2, I Am Receiving Benefits As The, check the appropriate box: Veteran, Wife/Husband, Surviving Spouse, Father, Child, Other (Specify), Mother or Fiduciary.
VA file no., Social Security no. and payee no.
In Box 3, enter the VA File No. (include letter prefix, if any); in Box 4, the Veteran's Social Security No.; in Box 5, the Payee No. Type or print.
Benefit type, insurance numbers and type of address change
In Box 6, check the benefit or benefits affected: Compensation or Pension, Education, Chapter 32 (VEAP), Chapter 35 (DEA), Chapter 30 (Montgomery G.I. Bill-Active), Chapter 1606 (Montgomery G.I. Bill-Reserve), Chapter 31 (Voc. Rehab.) or Other (Specify).
In Box 7, give Insurance No(s) only if you are receiving payments on the insurance policy of a deceased veteran.
In Box 8, Type of Address Change, complete it if applicable: Temporary or Permanent.
Name of payee and name of veteran
In Box 9, type or print the Name of Payee as shown on check; in Box 10, the First Name-Middle Initial-Last Name of Veteran.
New address
In Box 11, New Address, check only if applicable: enter the Number and Street or Rural Route (include Apartment Number if appropriate), City, State, Zip Code, and Telephone Number (include Area Code) for Daytime and Evening.
To be completed by direct deposit participants only
Box 12 is to be completed by direct deposit participants only. If your benefit payment is currently being sent to a financial organization, but you want it cancelled and sent to your home address, check this box. Your payments will continue to be sent to the financial organization until the cancellation is processed. DO NOT close your bank account until your first payment is received at your home address.
Signature of veteran or payee and date
Sign in Box 13, Signature of Veteran or Payee (do not print), and enter the date in Box 14.
More rules for VA Form 20-572
The information requested will help insure that VA correspondence and any VA benefit checks to which you may be entitled are sent to your correct address. Disclosure is voluntary. However, if the information is not furnished, your mail may be lost or delayed and benefit payments, if any, may be suspended.
Common questions about VA Form 20-572
Where do I file it?
Complete this form and mail it to the VA office having your records.
Sources
[1] VA Form 20-572 (MAR 1996), Request for Change of Address/Cancellation of Direct Deposit, Department of Veterans Affairs (the Official source link on this page).