Official VA Form

VA Form 21P-1775

Statement of Disappearance

VA Form 21P-1775 — Statement of Disappearance is an official U.S. Department of Veterans Affairs form used for family member benefits, pension. The current version was last revised 2022-08-28. It is 6 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) →

Last revised: 2022-08-28
First issued: 2022-10-28
Pages: 6
Administered by: VBA

Family member benefitsPension

Frequently asked questions

What is VA Form 21P-1775 used for?

Statement of Disappearance. It is an official VA form in the Family member benefits, Pension categories, administered by VBA.

Where can I download the current VA Form 21P-1775?

Download the official PDF from VA.gov here: https://www.vba.va.gov/pubs/forms/VBA-21P-1775-ARE.pdf (last revised 2022-08-28).

How long is VA Form 21P-1775?

VA Form 21P-1775 is 6 pages long, last revised 2022-08-28.

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

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More Family member benefits forms

VA Form 10-3542 — Veteran/Beneficiary Claim for Reimbursement of Travel Expenses
VA Form 10-7959C — CHAMPVA—Other Health Insurance (OHI) Certification
VA Form 21P-8768 — Disability Pension Award Attachment
VA Form 21P-10197 — Legal Summary—Dependency and Indemnity Compensation
VA Form 21P-0969 — Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (DIC)
VA Form 21P-10195 — Legal Summary—Accrued Benefits
VA Form 21P-10198 — Legal Summary—Survivors Pension
VA Form 22-1990e — Application for Family Member to Use Transferred Benefits

Nearby form numbers

VA Form 21P-10198 — Legal Summary—Survivors Pension
VA Form 21P-10199 — Legal Summary—Survivors Pension, Dependency and Indemnity Compensation, and Accrued Benefits
VA Form 21P-10202 — Legal Summary—Parent's Dependency and Indemnity Compensation
VA Form 21P-4165 — Pension Claim Questionnaire for Farm Income
VA Form 21P-4171 — Supporting Statement Regarding Marriage
VA Form 21P-4185 — Report of Income from Property or Business