Department of Veterans Affairs Eligibility Verification Report Instructions
This file provides detailed instructions and guidelines for completing the Eligibility Verification Report (EVR) form for veterans, their surviving spouses, or their dependents. It includes information on contacting VA, filling out the form, reporting income and dependents, and other related details. Make sure to carefully follow the instructions to ensure accurate and timely processing of your benefits.
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How do I fill this out?
To fill out the Eligibility Verification Report (EVR) form, start by reading the general information and specific instructions listed in the document carefully. Make sure to print all answers clearly, and provide accurate and complete information in response to each question. Follow the submission instructions at the end of the form to ensure your EVR is processed correctly and promptly.

How to fill out the Department of Veterans Affairs Eligibility Verification Report Instructions?
1
Carefully read the instructions in the document.
2
Print all answers clearly and provide accurate information.
3
Answer all questions unless instructed otherwise.
4
Attach any additional materials that support your claim.
5
Sign, date, and submit the completed EVR to the appropriate VA office.
Who needs the Department of Veterans Affairs Eligibility Verification Report Instructions?
1
Veterans who need to verify their eligibility for benefits.
2
Surviving spouses of veterans who need to report changes in dependents or income.
3
Parents of veterans who need to report changes in dependents or income.
4
Veterans in nursing homes seeking higher pension rates.
5
Veterans or survivors applying for aid and attendance or housebound benefits.
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What are the instructions for submitting this form?
After completing the Eligibility Verification Report (EVR) form, ensure it is signed and dated. Submit the form by mailing it to the VA address provided on the front of the form or the nearest VA regional office. For online submissions, visit https://iris.custhelp.va.gov/. If you have any questions, contact VA at 1-800-827-1000. For fax submissions, use the fax number provided by your nearest VA office. Make sure to keep a photocopy of the completed form and supporting materials for your records.
What are the important dates for this form in 2024 and 2025?
Expiration Date: 06/30/27. For any updates or changes, contact your nearest VA office.

What is the purpose of this form?
The purpose of the Eligibility Verification Report (EVR) form is to verify the eligibility for VA benefits for veterans, their surviving spouses, or dependents. This form helps VA ensure that benefit claims are accurate and up-to-date, taking into account any changes in income, dependents, or other relevant factors. Proper completion and submission of the EVR form are essential for timely processing and payment of benefits.

Tell me about this form and its components and fields line-by-line.

- 1. Contact Information: Includes name, address, phone number, and email of the applicant.
- 2. Income Information: Detailed information about all sources of income, including gross amounts before deductions.
- 3. Dependent Information: Details about the applicant's dependents, including name, age, and relationship.
- 4. Medical Expenses: Unreimbursed medical expenses paid by the applicant or household members.
- 5. Net Worth: Market value of all interests and rights in property, minus any claims or mortgages.
- 6. Aid and Attendance Benefits: Information about the need for aid and attendance or housebound benefits.
- 7. Signature and Date: Applicant's signature and date of form completion.
What happens if I fail to submit this form?
Failure to submit the EVR form may result in a delay or interruption of VA benefits. It is crucial to complete and send the form as instructed.
- Delay in Benefits: Submitting the form late or not at all can delay the processing of your benefits.
- Interruption of Benefits: Not submitting the form may lead to a temporary halt in receiving benefits.
- Overpayment Issues: Failure to report changes may result in overpayment, which will need to be repaid.
How do I know when to use this form?

- 1. Annual Verification: Used for the annual verification of eligibility for VA benefits.
- 2. Change in Income: Report significant changes in income as soon as they occur.
- 3. Change in Dependents: Inform VA of any changes in the status of your dependents.
- 4. Applying for Aid and Attendance: Use this form to apply for higher rates of aid and attendance benefits.
- 5. Initial Claim Submission: Submit this form as part of the initial claim for VA benefits.
Frequently Asked Questions
How can I contact VA if I have questions about the EVR form?
You can contact VA at 1-800-827-1000 or via the internet at https://iris.custhelp.va.gov/.
How do I complete the EVR form?
Print all answers clearly, answer all required questions, and attach supporting materials. Make sure to sign and date the form before submission.
What should I do if my income or dependency information changes after submitting the EVR?
Notify VA immediately with a full description of the change, including your name, VA claim number, and Social Security number.
What are aid and attendance and housebound benefits?
These are higher rate benefits for veterans or survivors who are blind, need regular aid and attendance, or are permanently confined to their home due to disability.
How does receiving Medicaid-covered nursing home care affect my pension?
Pension payments may be reduced to $90 per month if you have no dependents and receive Medicaid-covered nursing home care.
What types of income should I report on the EVR form?
Report all income unless specifically indicated otherwise. Include gross amounts before deductions for taxes or insurance.
How do I report family medical expenses on the EVR form?
Report unreimbursed medical expenses, including health insurance premiums, paid for yourself or household members.
What is net worth and how is it reported on the EVR form?
Net worth is the market value of all interests and rights in property, minus mortgages or claims. Report net worth accurately according to the instructions.
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