Reports of: General Information, First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death (VA Forms 27-0820 series)

OMB 2900-0734

These forms will be used by VA Regional Office and Pension Maintenance Center employees to meet our requirement to document verbal evidence obtained telephonically from our beneficiary or claimant that will be used as part of the evidence for a claim for benefits.

The latest form for Reports of: General Information, First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death (VA Forms 27-0820 series) expires 2021-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 27-0820 Reports of: General Info., First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death Form
2021-20919.pdf Supplementary Document
VA-2021-VACO-0001-0289_60 day.pdf Supplementary Document
2900-0734 Supporting Statement Review 07022021 -updated .docx Supporting Statement A
Reports of: General Info., First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death Form

All Historical Document Collections

202104-2900-018 Approved without change	Reinstatement with change of a previously approved collection	2021-10-27
201712-2900-006 Approved with change	Extension without change of a currently approved collection	2018-06-01
201411-2900-005 Approved without change	Revision of a currently approved collection	2015-08-18
201203-2900-019 Approved without change	Extension without change of a currently approved collection	2012-07-06
200812-2900-006 Approved without change	New collection (Request for a new OMB Control Number)	2009-04-22