Official VA Form

VA Form VA40-1330M

Claim for Government Medallion for Placement in a Private Cemetery

VA Form VA40-1330M — Claim for Government Medallion for Placement in a Private Cemetery is an official U.S. Department of Veterans Affairs form used for burials and memorials. The current version was last revised 2022-08-09. 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: 2022-08-09
First issued: 2023-09-26
Pages: 3
Administered by: VACO

Burials and memorials

Frequently asked questions

What is VA Form VA40-1330M used for?

Claim for Government Medallion for Placement in a Private Cemetery. It is an official VA form in the Burials and memorials category, administered by VACO.

Where can I download the current VA Form VA40-1330M?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/va/pdf/VA40-1330M.pdf (last revised 2022-08-09).

How long is VA Form VA40-1330M?

VA Form VA40-1330M is 3 pages long, last revised 2022-08-09.

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 Burials and memorials forms

VA Form 21P-10196 — Legal Summary—Burial Benefits, Plot and Internment Allowances, and Transportation Benefits
VA Form VA40-10088 — Request for Reimbursement of Casket/Urn
VA Form VA40-10190 — Funeral Honors Providers Certification Form
VA Form 21-0845 — Authorization to Disclose Personal Information to a Third Party
VA Form VA40-4970 — Request for Disinterment
VA Form VA40-10007 — Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery
VA Form VA40-1330 — Claim for Standard Government Headstone or Marker
VA Form 21P-530a — State Application for Interment Allowance (Under 38 U.S.C. Chapter 23)

Nearby form numbers

VA Form VA40-10088 — Request for Reimbursement of Casket/Urn
VA Form VA40-10190 — Funeral Honors Providers Certification Form
VA Form VA40-1330 — Claim for Standard Government Headstone or Marker
VA Form VA40-1330UP — Claim for Commemorative Urn or Plaque for Veterans’ Cremains Not Interred
VA Form VA40-4970 — Request for Disinterment
VA Form VA40-4987 — Agreement for Burial of Cremated Remains