Va Form 26 1817 is a crucial document for veterans who are seeking benefits through the Department of Veterans Affairs (VA). This form is used to verify your military service and can help ensure that you receive the benefits you deserve. In this post, we'll take a closer look at Va Form 26 1817 and provide tips on how to complete it accurately. We'll also discuss some of the benefits that may be available to you based on your military service.
You'll discover info about the type of form you need to complete in the table. It can tell you the time it takes to complete va form 26 1817, exactly what parts you will need to fill in and some further specific facts.
Question | Answer |
---|---|
Form Name | Va Form 26 1817 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names |
OMB Approved No.
Respondent Burden: 15 Minutes
Expiration Date: 12/31/2022
REQUEST FOR DETERMINATION OF LOAN GUARANTY
ELIGIBILITY - UNMARRIED SURVIVING SPOUSES
IMPORTANT: Please read the Privacy Act and Respondent Burden information on page 2 before completing the form.
IMPORTANT: Complete this form if applying for home loan benefits as an unmarried surviving spouse of a veteran whose death was
IMPORTANT: If you are certifying that you are married for the purpose of VA benefits, your marriage must be recognized by the place where you and/or your spouse resided at the time of marriage, or where you and/or your spouse resided when you filed your claim (or a later date when you become eligible for benefits) (38 U.S.C. § 103(c)). Additional guidance on when VA recognizes marriages is available at http://www.va.gov/opa/marriage/.
PART I - (To be completed by the applicant)
|
1A. NAME AND ADDRESS OF APPLICANT (Unmarried surviving spouse) |
3A. FIRST, MIDDLE, LAST NAME OF VETERAN |
|
||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3B. VETERAN'S DATE OF BIRTH |
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
1B. APPLICANT'S SOCIAL SECURITY NUMBER |
3C. VETERAN'S SOCIAL SECURITY NUMBER |
|
||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
1C. APPLICANT'S DAYTIME TELEPHONE NO. (Including area code) |
4. VA FILE NO. |
|
5. LOCATION OF VA CLAIMS FILE (If known) |
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
XC- |
|
|
|
|
|
|
|
|
|
|
1D. APPLICANT'S EMAIL ADDRESS (If applicable) |
6. VETERAN'S SERVICE NO. |
|
|
7. VETERAN'S BRANCH OF SERVICE |
||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
1E. APPLICANT'S DATE OF BIRTH |
|
|
8. DATE OF VETERAN'S DEATH |
|
||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
NOTE: If you are a veteran please complete Items 2A, 2B and 2C. |
|
9. PERIODS OF DECEASED VETERAN'S MILITARY DUTY |
||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2A. BRANCH OF SERVICE |
|
2B. SERVICE NUMBER |
|
|
|
A. FROM |
|
|
|
B. TO |
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2C. PERIODS OF SERVICE |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
10A. ARE YOU IN RECEIPT OF VA DEPENDENCY AND INDEMNITY COMPENSATION? |
|
10B. VA CLAIM NUMBER |
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
YES |
|
|
|
NO (If "YES," complete Item 10B) |
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|||||||||||||||||||
|
11. HAVE YOU PREVIOUSLY APPLIED FOR DETERMINATION OF YOUR |
|
|
12. HAVE YOU PREVIOUSLY RECEIVED A CERTIFICATE OF |
|||||||||||||||||||
|
|
|
|
|
ELIGIBILITY FOR LOAN GUARANTY BENEFITS? |
|
|
|
|
ELIGIBILITY FOR SUCH BENEFITS? |
|
||||||||||||
|
|
|
|
|
YES |
|
|
|
NO |
|
|
|
|
|
|
YES |
|
NO |
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
13. HAVE YOU PREVIOUSLY SECURED A VA DIRECT, |
14. ADDRESS OF PROPERTY |
|
|
|
|
|
15. VA LOAN NUMBER |
16. DATE OF LOAN |
||||||||||||||
|
|
|
|
|
GUARANTEED OR INSURED LOAN? |
|
|
|
|
|
|
|
|
(MONTH, YEAR) |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
(If "YES," complete Items 14, 15, |
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
YES |
|
|
NO and 16) |
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
17. INDICATE WHAT YOU ARE SEEKING A
PURCHASE LOAN
CASH OUT REFINANCE LOAN
INTEREST RATE REDUCTION REFINANCE LOAN
CERTIFICATION: I CERTIFY THAT the above information is true and accurate to the best of my knowledge and belief.
18A. SIGNATURE OF APPLICANT (Unmarried surviving spouse) |
18B. DATE SIGNED |
|
|
Federal statutes provide severe penalties for fraud, intentional misrepresentation or criminal connivance or conspiracy to influence the issuance of my guaranty or insurance or the granting of any loan by the Department of Veterans Affairs.
|
|
PART II - FOR VA USE ONLY |
||
|
|
SECTION A |
|
|
|
|
|
|
|
|
Adjudication Officer |
|
RETURN |
Loan Guaranty Officer |
TO |
Department of Veteran Affairs |
|
TO |
Department of Veterans Affairs |
Regional Office/Center |
|
Regional Office/Center |
||
(Complete |
|
(After |
||
|
|
|
||
address) |
|
|
completion of |
|
|
|
|
Section B) |
|
|
|
|
|
|
The foregoing request for determination of eligibility is forwarded to you for appropriate action and completion of Section B.
19A. SIGNATURE OF LOAN GUARANTY OFFICER OR DESIGNEE
19B. DATE SIGNED
SECTION B
20A. CHECK APPROPRIATE BOX
THE ABOVE NAMED DECEASED VETERAN SERVED ON ACTIVE DUTY AS DEFINED IN 38 U.S.C. 101(21) AND SERVED DURING A PERIOD OF SERVICE SPECIFIED IN 38 U.S.
C. 3702 AND MEETS THE DEFINITION OF VETERAN AS SPECIFIED IN TITLE 38 U.S.C. 3701. THE ABOVE NAMED APPLICANT IS RECOGNIZED AS THE UNMARRIED SURVIVING SPOUSE.
APPLICANT IS NOT ELIGIBLE (If checked, complete Item 20B)
20B. REASON APPLICANT NOT ELIGIBLE
21. SIGNATURE
22. TITLE
23. DATE
VA FORM |
SUPERSEDES VA FORM |
PAGE 1 |
|
DEC 2019 |
WHICH WILL NOT BE USED. |
||
|
|
|
If you live in: |
Please send your completed application to: |
|
|
Georgia, North Carolina, South |
Department of Veterans Affairs |
Carolina, Tennessee |
Atlanta Regional Loan Center |
|
P.O. Box 100023 |
|
Decatur, GA |
Connecticut, Delaware, Indiana, |
Department of Veterans Affairs |
Maine, Massachusetts, Michigan, |
Cleveland Regional Loan Center |
New Hampshire, New Jersey, |
1240 East Ninth Street |
New York, Ohio, Pennsylvania, |
Cleveland, OH 44199 |
Rhode Island, Vermont |
|
|
|
Alaska, Colorado, Idaho, |
Department of Veterans Affairs |
Montana, Oregon, Utah, |
Denver Regional Loan Center |
Washington, Wyoming |
P.O. Box 25126 |
|
Denver, CO 80225 |
Hawaii, Guam, American Samoa |
Department of Veterans Affairs |
Commonwealth of the Northern |
VA Regional Office |
Marianas |
Loan Guaranty Division (26) |
|
459 Patterson Road |
|
Honolulu, HI 96819 |
Arkansas, Louisiana, Oklahoma, |
Department of Veterans Affairs |
Texas |
Houston Regional Loan Center |
|
6900 Almeda Road |
|
Houston, TX |
|
|
Arizona, California, New |
Department of Veterans Affairs |
Mexico, Nevada |
Phoenix Regional Loan Center |
|
3333 N. Central Avenue |
|
Phoenix, AZ |
|
|
District of Columbia, Kentucky, |
Department of Veterans Affairs |
Maryland,Virginia, |
Roanoke Regional Loan Center |
West Virginia |
210 Franklin Road, S.W. |
|
Roanoke, VA 24011 |
|
|
Illinois, Iowa, Kansas, |
Department of Veterans Affairs |
Minnesota, Missouri, Nebraska, |
St. Paul Regional Loan Center |
North Dakota, South Dakota, |
1 Federal Drive, Ft. Snelling |
Wisconsin |
St. Paul, MN |
|
|
Alabama, Florida, Mississippi, |
Department of Veterans Affairs |
Puerto Rico, U.S. Virgin Islands |
St. Petersburg Regional Loan Center |
|
9500 Bay Pines Boulevard |
|
St. Petersburg, FL 33744 |
|
|
PRIVACY ACT INFORMATION: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (e.g., to a member of Congress inquiring on behalf of a veteran) as identified in the VA system of records, 55VA26, Loan Guaranty Home, Condominium and manufactured Home Loan Applicant Records, Specially Adapted Housing Applicant Records, and Vendee Loan Applicant Records - VA, published in the Federal Register. Your obligation to respond is required in order to determine the surviving spouse's qualifications for a loan. Giving us your SSN account information is voluntary. VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior to January 1, 1975, and still in effect.
RESPONDENT BURDEN: We need this information to determine a surviving spouse's qualifications for a
VA FORM |
PAGE 2 |