Official VA Form

VA Form 21P-4165

Pension Claim Questionnaire for Farm Income

VA Form 21P-4165 — Pension Claim Questionnaire for Farm Income is an official U.S. Department of Veterans Affairs form used for family member benefits, pension. The current version was last revised 2022-08-27. It is 3 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: 2022-08-27
First issued: 2022-10-27
Pages: 3
Administered by: VBA

Family member benefitsPension

Frequently asked questions

What is VA Form 21P-4165 used for?

Pension Claim Questionnaire for Farm Income. 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-4165?

Download the official PDF from VA.gov here: https://www.vba.va.gov/pubs/forms/VBA-21P-4165-ARE.pdf (last revised 2022-08-27).

How long is VA Form 21P-4165?

VA Form 21P-4165 is 3 pages long, last revised 2022-08-27.

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

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Nearby form numbers

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-1775 — Statement of Disappearance
VA Form 21P-4171 — Supporting Statement Regarding Marriage
VA Form 21P-4185 — Report of Income from Property or Business
VA Form 21P-4706b — VA Fiduciary's Account (Fillable)