VA Form 29-352 is the application for reinstatement that the U.S. Department of Veterans Affairs (VA), Veterans Benefits Administration, uses when Government Life Insurance or the Total Disability Income Provision has been lapsed for more than 6 months. It combines policy and premium details with a health statement, and it goes to the VA Insurance Center with the payment needed. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF is published by VA at vba.va.gov.
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What is 29-352?
VA Form 29-352, Application for Reinstatement (Insurance Lapsed More Than 6 Months), is the Department of Veterans Affairs form used to ask for reinstatement of Government Life Insurance and/or the Total Disability Income Provision when the application is made more than 6 months after the date of lapse.
The form has two sections. Section I collects the insured person's identifying details and, on line 7, the policy data: amount of insurance to be reinstated, plan, date of lapse, monthly premium and the amount sent with the application, with parallel lines for the Total Disability Income Provision (TDIP). Section II is the Statement of Applicant, a health questionnaire (lines 9 to 17) ending in a consent and signature. VA states that it relies on these answers in granting insurance, and that deception or a knowingly false statement, by inference, omission or otherwise, may result in cancellation of the insurance or refusal to pay a claim.
The form says VA will, if necessary, ask for a physical examination report in connection with the application. It is issued under OMB Control No. 2900-0011 and is marked as superseding the earlier edition of VA Form 29-352, which will not be used. VA's forms page lists it as related to life insurance.
Who needs to file 29-352?
The main group is policyholders whose Government Life Insurance and/or Total Disability Income Provision has lapsed and who are applying more than 6 months after the date of lapse. The form states this applies regardless of age.
Conditions printed on the form:
- Use a separate form for each policy number if you have more than one policy.
- The form covers insurance and the Total Disability Income Provision; line 7 has one set of boxes for each.
- It is not the form for an application made within 6 months of the date of lapse, because it is titled and described for lapses of more than 6 months.
The form is completed and signed by the insured person. It does not describe a representative signing on the applicant's behalf, so contact the VA Insurance Center at 1-800-669-8477 if someone else must act for you.
When to file 29-352
Use VA Form 29-352 when your application is made more than 6 months after the date of lapse of your Government Life Insurance and/or Total Disability Income Provision. The form sets no calendar deadline of its own.
The amount of payment needed must be sent before or with the application. For term policies this is two premiums: one for the premium month of lapse and one for the premium month in which the application is sent to VA. For life and endowment policies it is all unpaid premiums with interest on the amount of insurance to be reinstated; call 1-800-669-8477 for instructions to calculate the amount.
You must also tell VA of any change in your health that arises after you sign and before the form is delivered to VA.
Documents you need
- Payment for the amount needed to reinstate, sent before or with the application: by check or money order payable to the Department of Veterans Affairs, or through online bill pay. The amount depends on your policy type.
- A separate sheet of paper, only if line 17 (Remarks) needs more space for details of YES answers.
- A physical examination report, only if VA asks for one in connection with the application.
- A separate completed Form 29-352 for each additional policy number, if you have more than one policy.
How to fill out 29-352
Enter the insured's name and policy number
On line 1A write the first, middle and last name of the insured. On line 1B enter the insurance policy number; if you have more than one policy, complete a separate form for each.
Add your mailing address
Line 2: the mailing address for insurance purposes, with number and street or rural route, city or P.O., state and ZIP Code.
Provide identification and contact details
Enter your Social Security number on line 3, your VA claim number on line 4 if you have one, and a daytime telephone number with area code on line 5.
List policies to be reinstated
Line 6: enter the policy number(s) to be reinstated.
Complete the insurance premium line
On lines 7A to 7E enter the amount of insurance to be reinstated, the plan, the date of lapse in MM/DD/YYYY format, the monthly premium and the amount sent with the application.
Complete the disability income lines
If you are reinstating the Total Disability Income Provision, use lines 7F to 7I for the amount, date of lapse (MM/DD/YYYY), monthly premium and amount sent. Then enter the total amount sent on line 8.
Answer the work questions
Check YES or NO for lines 9A (working now) and 9B (full-time). If you are not working or work part-time, explain why on line 9C.
Answer the health history questions
On line 10, check YES or NO for each condition A to N. Then answer lines 11 to 15 on physician treatment in the past 5 years, hospitalization, disabilities, compensation or pension claims, and refused or changed insurance applications.
Enter height and weight
Line 16A: your height in feet and inches. Line 16B: your weight in pounds.
Explain YES answers in remarks
On line 17 give complete details for every YES answer, including dates, diagnosis, physicians or hospitals, and names and addresses. Mark each disability service-connected or non service-connected, and attach a separate sheet if you need more space.
Sign, date, and download the PDF
Sign on line 18A and enter the date in MM/DD/YYYY format on line 18B. Check every entry, then download or print the completed PDF from FillingPDF and send it with your payment as described under How to submit.
How to submit 29-352
You can send VA Form 29-352 by mail, or send additional correspondence through Document Upload; payment can also be made through your bank's online bill pay.
- By mail: send the completed, signed application with the payment needed to Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209. Checks and money orders are made payable to the Department of Veterans Affairs.
- Document Upload: additional correspondence may be submitted through VA's secure website at www.insurance.va.gov.
- Online bill pay: log on to your bank's bill payment service. Payee: VA Life Insurance. Account Number: your insurance policy number. If the bank asks for more, use Payee Address P.O. Box 4019, Portland, OR 97208-4019, and Phone Number 800-669-8477.
Questions about your insurance can go to the toll-free number 1-800-669-8477. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Using one form for several policies; the form asks for a separate form for each policy number.
- Sending the application without the payment needed; the amount must be sent before or with the application.
- Making a check or money order payable to someone other than the Department of Veterans Affairs.
- Leaving a Section II question unanswered; the statement says to answer every question, date and sign it.
- Answering YES on lines 10 to 15 without giving dates, diagnosis, physicians or hospitals and addresses in line 17, or without marking each disability service-connected or non service-connected.
- Giving an incomplete or false health statement; deception or omission may lead to cancellation of the insurance or refusal to pay a claim.
- Not telling VA about a change in health after signing and before the form reaches VA.
- Using this form for a lapse of 6 months or less, since it is for applications made more than 6 months after the date of lapse.
- Entering something other than your insurance policy number as the account number when setting up online bill pay.
Frequently asked questions
What is the application for reinstatement, VA Form 29-352?
VA Form 29-352 is the Department of Veterans Affairs application for reinstatement of Government Life Insurance and/or the Total Disability Income Provision. It applies when the application is made more than 6 months after the date of lapse, regardless of age.
What do I have to pay to reinstate my VA insurance?
For term policies, two premiums: one for the premium month of lapse and one for the month the application is sent to VA. For life and endowment policies, all unpaid premiums with interest. Call 1-800-669-8477 for the exact calculation.
Where do I mail VA Form 29-352?
Send the completed, signed form with payment to Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209. Additional correspondence may also be submitted through Document Upload at www.insurance.va.gov.
Can I pay for reinstatement through online bill pay?
Yes. Through your bank's bill payment service, use Payee: VA Life Insurance, with your insurance policy number as the account number. If required, the payee address is P.O. Box 4019, Portland, OR 97208-4019, and the phone number is 800-669-8477.
Do I need a physical exam to reinstate?
Only if VA asks. The form states that VA will, if necessary, ask for a physical examination report in connection with the application. Answer the health questions in Section II completely, since VA relies on them.
What if I have more than one policy?
Complete a separate form for each policy number. Line 1B of the form states this, so each policy gets its own application and its own payment details on line 7.
Can I fill out VA Form 29-352 online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the form or payment to VA; you send them through the VA channels described above.
What happens if I give false health information?
VA states that any deception or knowingly false statement, by inference, omission or otherwise, may result in cancellation of the insurance or refusal to pay a claim. Describe every disease, injury or infirmity fully in line 17.
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