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VA will furnish a medallion upon receipt of claim for affixing to an existing privately-purchased headstone or marker placed at the gravesite of an eligible deceased Veteran who is buried in a private or local Government cemetery. The medallion is made of bronze and available in three sizes: Large, Medium, Small.
About VA Form VA40-1330M. Form name: Claim for Government Medallion for Placement in a Private Cemetery. Related to: Burials and memorials. Form revision date: September 2024.
For a medallion to be placed on a privately purchased headstone or marker, fill out the Claim for Government Medallion for Placement in a Private Cemetery (VA Form 40-1330M). Get VA Form 40-1330M to download
How to Complete VA Form 40-1330, Claim for Standard Government Headstone or Marker Block 4 is to let us know if the Veteran's grave is unmarked or if it is already marked with a privately purchased headstone or marker.
For a Government-furnished burial or memorial headstone or marker to be placed in a private cemetery, a VA Form 40-1330, Claim for Standard Government Headstone or Marker must be submitted by an individual as defined above.
A VA medallion may be furnished only upon receipt of a fully completed and signed claim with required supporting documentation. SIGNATURES REQUIRED - The applicant must sign in Block 12A.
Furnished upon receipt of claim for affixing to an existing privately-purchased headstone or marker placed at the gravesite of an eligible deceased Veteran who is buried in a private or local Government cemetery. The medallion is made of bronze and available in three sizes: Large, Medium, Small.
VA Form 40-1330. WHO IS ELIGIBLE - Any deceased Veteran discharged under conditions other than dishonorable who died on or after November 1, 1990 and is buried in a private cemetery in a grave marked with a privately-purchased headstone or marker. A copy of the deceased Veteran's discharge certificate (DD Form 214
Downloadable PDF. Download VA Form VA40-1330 (PDF) Helpful links related to VA Form VA40-1330. Veterans, service members, and some family members may be eligible for burial in a VA national cemetery. Find out if you, or a person you’re planning a burial for, can get this benefit.
VA Form 40-1330M is used by the public to apply for Government-provided medallions to be affixed to privately purchased headstones or markers of veterans that died on or after November 1, 1990. It is the source of information used to evaluate the applicant’s claim for the benefit.