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Va 29 336 Form: What You Should Know

Designation of beneficiary to receive government life insurance. 2. Date of death of my last surviving person. 3. Designation of last surviving person of my immediate family. 4. My total annual income. 5. The name and address of the last person listed as the beneficiary of my government life insurance policy. 8. You have the right to change your beneficiary at any time by using this form. 9. VA will not disclose information collected on this form to anyone except an officer of the U.S. government, a federal law enforcement agency, or the appropriate VA Regional Office, unless required by law. 10. VA reserves the right to refuse to make payments if the application is incomplete. 11. I understand that in the event of death of my last living child or children, that my life insurance policy will be converted into a government-funded life insurance policy, subject to the terms and conditions of the policy provided by the U.S. government to the beneficiary. 12. I understand that the information I have entered for myself on this form is used by VA only for the purpose of determining my beneficiary, that my information may be passed on to another party without my consent, and that VA will make the required decision without further inquiry. 13.

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