VA Form 29-1546 – Fill Out and Use This PDF

Box 1 is the first-middle-last name (type or print). Box 2 is the insurance policy number; if more than one policy, please complete a separate form for each policy number.

Box 3, the mailing address, must be completed. Box 4 is the daytime telephone number (include area code). Box 5 is the social security number.

In box 6, check the appropriate box: basic insurance policy, basic insurance and paid-up additions, paid-up additions only, or use surrender value to buy reduced paid-up insurance.

Box 7 is the future dividend option, only for policies that issue dividends: pay to me in cash, apply to pay premiums in advance, hold in dividends on account, apply to pay indebtedness, or apply to buy paid-up additions.

NET options: Dividend pays annual premium and remainder is used to reduce loan (NET LOAN), buy additional paid-up insurance (NET PUA), or paid out as cash (NET CASH).

Box 8 is the certification and signature: I hereby surrender all my right, title and interest in the basic insurance policy and/or paid-up additions represented by the policy number shown in Item 2 for the purpose of obtaining the cash surrender value minus any indebtednesses.

Box 9 is payment information by direct deposit. Attaching a voided check helps ensure your information is clear. Please ensure you have entered the correct account information, as errors will lead to delays in receipt of the payment. The account must be in the name of the veteran. Direct Deposit will continue with all future payments to this account. You must notify VA of any changes. This will not change the deposit on VA Compensation or Pension payments.

In box 9, enter A. the name of financial institution, B. the transit/routing number and C. the depositor account number; D. is the type of depositor account: checking or savings.

Box 1: first-middle-last name (type or print). Box 2 is the insurance policy number on which loan is requested (if more than one policy, please complete a separate form for each policy number).

Mailing address (must be completed) is box 3. Box 4 is the social security number. Box 5 is the daytime telephone number (include area code).

Box 6 is the amount of loan desired. Check one: maximum loan or the amount in $.

All new policy loans have a variable interest rate with a minimum rate of 5% and a maximum rate of 12%. The interest rate may change October of each year. The rate is based on the interest for long term Treasury bonds. Interest is payable yearly on the anniversary date of the policy.

Box 7: do you wish to use dividends to reduce the loan? It is only for policies that issue dividends. Apply future dividends to pay an annual premium with the remaining balance applied to reduce the loan; apply existing dividends on account to reduce the loan principal; apply part of existing dividends on account to reduce the loan, with the amount in $; or apply future dividends to reduce loan principal.

Box 8: do you wish to use your VA compensation/pension benefits or military retirement as a recurring payment to reduce your principal loan? If so, please indicate the monthly amount: military retirement $ or VA compensation/pension $.

Your VA compensation/pension or military retirement pay may be used to repay your loan. However, if you choose either of these methods (VA Compensation/ Pension or Military Retirement), you must ensure that your loan is paid by the exact same method as your premium or Deductions from checking bank account (PAC) or Direct Pay.

Box 9 is the full signature of insured (do not print - sign in ink). Box 10 is the date (MM/DD/YYYY).

Box 11 is payment information by direct deposit, and the account must be in the name of the veteran. Enter A. the name of financial institution, B. the transit/routing number and C. the depositor account number; D, the type of depositor account, is checking or savings.

Mail the completed form to: Veterans Affairs P.O. Box 7327 Philadelphia, PA 19101. The fastest and most secure way to send your application to VA Insurance is to use the VA Insurance document upload service at https://insurance.va.gov/home/IDU. Please do not return your policy with this application.