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Use VA Form 21P-534EZ if you want to submit evidence along with your claim, using the Fully Developed Claim (FDC) program to get a decision on your claim faster. You can use this form if
you’re:
If we denied your Blue Water Navy Veteran’s service-connected disability claim in the past, you may be eligible for DIC benefits based on the Blue Water Navy Vietnam Veterans Act of 2019.
Veterans who served on a Blue Water Navy vessel offshore of the Republic of Vietnam, or on another U.S. Navy or Coast Guard ship operating in the coastal waterways of Vietnam between
November 1, 1955, and May 7, 1975, are now entitled to a presumption of service connection for illnesses related to Agent Orange exposure. This is a result of Public Law 116-23, also known
as the Blue Water Navy Vietnam Veterans Act of 2019.
Learn more about service connection for illnesses related to Agent Orange exposure
Use VA Form 21P-534 if you prefer to provide evidence at a later time to support your claim. You can use this form if you’re a surviving spouse or child of a Veteran who has died and want to
begin the process of applying for VA benefits or money that we owe the Veteran but did not pay prior to his or her death.
VA Form 21P-0969 is an attachment to other forms, and is used to provide supporting financial evidence. Use VA Form 21P-0969 only if you’re instructed to, when you’re completing VA form
21P-527, 21P-527EZ, 21P-534, or 21P-534EZ.
