Official VA Form

VA Form 21-4170

Statement of Marital Relationship

VA Form 21-4170 — Statement of Marital Relationship is an official U.S. Department of Veterans Affairs form. The current version was last revised 2021-07-06. It is 5 pages long. Download the up-to-date PDF below — BaseNeed syncs form data directly from VA.gov so you always get the current edition.

Download the official PDF (VA.gov) →

Frequently asked questions

What is VA Form 21-4170 used for?

Statement of Marital Relationship. It is an official VA form, administered by VBA.

Where can I download the current VA Form 21-4170?

Download the official PDF from VA.gov here: https://www.vba.va.gov/pubs/forms/VBA-21-4170-ARE.pdf (last revised 2021-07-06).

How long is VA Form 21-4170?

VA Form 21-4170 is 5 pages long, last revised 2021-07-06.

Always the current version — synced from VA.gov. BaseNeed is not affiliated with the U.S. Department of Veterans Affairs.

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