Please read the enclosed EVR Instructions (VA Form 21P-0510) prior to completing this form.
Nursing home (Item 4A): if "Yes," complete Items 4B thru 4D. If "No," go to Item 5.
Hardship expenses: complete ONLY IF VA is currently excluding children's income on the grounds of hardship.
Medical expenses: if you are using this form as a supplement to a pending claim, you do not need to report medical expenses.
Income change: answer "NO" if there were no income changes or if the only change was a Social Security/VA cost-of-living adjustment.
| Question | Answer |
|---|---|
| Form Name | VA Form 21P-0517-1 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 163 |
| Avg. time to fill out | 28 min |
| Edition | JUN 2024 |
| Supersedes | VA FORM 21P-0517-1, JUL 2021, WHICH WILL NOT BE USED |
| Matches the agency's file | Yes, checked October 9, 2026 |
| Other names | VA Form 21P-0517-1, 21P-0517-1, VA 21P-0517-1, VA Form 21-0517-1, 21-0517-1, Improved Pension Eligibility Verification Report |
| Official source | VA Form 21P-0517-1 (Rev JUN 2024), |
Va Form 21 0517 1 isn’t the one you’re looking for?