Military members who are seeking disability benefits may be wondering what the va form 26 8261a is and how to complete it. This form is for individuals who are applying for a temporary total disability rating. It is important to understand the contents of this form, so that you can accurately complete it and submit it to the VA. The following guide will walk you through each section of the form and provide some tips on how to best fill it out.
You'll find information about the type of form you would like to prepare in the table. It can tell you how much time it will require to fill out va form 26 8261a, what parts you need to fill in and some other specific details.
| Question | Answer |
|---|---|
| Form Name | Va Form 26 8261A |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | whitehouse, va form 26 8261a, SSN, va 26 8261 |
OMB Control No.
REQUEST FOR CERTIFICATE OF VETERAN STATUS
MAIL THIS FORM TO:
Atlanta Regional Loan Center
ATTN: COE (262)
P.O. Box 100034
Decatur, GA 30031
Privacy Act Notice: This form provides information that is used in determining whether VA can issue a Certificate of Veteran Status which may be beneficial when obtaining a FHA insured loan. 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 (i.e. authorize release of information to Congress when requested on behalf of a lender) 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, and published in the Federal Register. Your obligation to respond is required to obtain or retain benefits. Giving us your SSN account information is voluntary. Refusal to provide your SSN by itself will not result in the denial of benefits 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: This information is needed to help determine your qualifications for the desired benefit. Title 38, United States Code, allows us to ask for this information.. We estimate that you will need an average of 10 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at www.reginfo.gov/public/do/PRAMain. If desired, you can call
INSTRUCTIONS: Read carefully before completing form. Use typewriter or print legibly. Complete all applicable items.
A. Mail this completed form, along with proof of service, to the Atlanta Regional Loan Center, ATTN: COE (262) at P.O. Box 100034, Decatur, GA 30031. B. Attach to this request all your discharge or separation papers from the periods of active service in the Armed Forces of the U.S. listed in Item 4.
C. If you lack proper discharge or separation papers, any Veterans Service Representative will assist you in procuring such papers. If you are in doubt regarding the proper documents to be submitted with this request, you should contact the nearest VA Office for that information.
1.NAME (Last, First, Middle) OF VETERAN
2.ADDRESS OF VETERAN (Number, Street, City, State, and ZIP Code)
3. DATE OF BIRTH
MILITARY SERVICE DATA
I request that I be issued a Certificate of Veteran Status which I may furnish to a lender when applying for a
(2)or 220(d)(a) of the National Housing Act, as amended. (Begin on line 4A and enter your latest period of service followed by preceding service, if any, on line 4B, continuing on reverse if necessary.)
4. PERIOD OF ACTIVE SERVICE |
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SOCIAL SECURITY NUMBER |
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discharge papers for each period of service) |
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5. VA CLAIM NUMBER |
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NOTE: If upon your release from the latest period of active military duty, you received DD Form 214, |
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NAVPERS Form 553, or similar form or form letter in lieu of a discharge, complete Items 6A and 6B. |
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6A. ARE YOU NOW ON ACTIVE MILITARY DUTY?
YES NO
6B. WERE YOU ON ACTIVE MILITARY DUTY ON THE DAY FOLLOWING THE DATE OF SEPARATION INDICATED IN THE PAPERS SUBMITTED?
YES NO
FOR VA USE ONLY
DATE CERTIFICATE OF VETERANS STATUS ISSUED
DISCHARGE OR SEPARATION PAPERS RETURNED TO:
I CERTIFY THAT the statements herein are true to the best of my knowledge and belief.
7. SIGNATURE OF VETERAN
8. DATE
IMPORTANT INSTRUCTIONS: If the Certificate is to be sent to the veteran, the complete mailing address should be shown in Item 11. If it is desired that the certificate be sent to other than the veteran, the name and address of such person or firm should be shown in Item 11. Items 9 and 10 need be completed only when the certificate is being sent to other than the veteran.
DO NOT DETACH
TRANSMITTAL OF CERTIFICATE OF VETERAN STATUS
9A. NAME OF VETERAN
10. FILE REFERENCE
9B. SERVICE NUMBER/SOCIAL SECURITY NUMBER OF VETERAN
The discharge or separation papers returned herewith will not be required again unless requested.
11. RETURN TO:
FOR VA USE ONLY
DATE
ENCLOSURES
CERTIFICATE OF VETERAN STATUS DISCHARGE OR SEPARATION PAPERS
OTHER (Specify)
VA FORM |
SUPERSEDES VA FORM |
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DEC 2012 |
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WHICH WILL NOT BE USED. |