Fillable Form VA 20-572

What is Form VA 20-572?

Form VA 20-572, Request for Change of Address/Cancellation of Direct Deposit, is used by veterans and payees in the United States to request a change of address or cancellation of direct deposit from the United States Department of Veteran Affairs (US DVA). By using this form, veterans and payees can ensure that all Veteran Affairs (VA) benefits will be sent to the correct home or residential address.

A veteran or a payee in the United States may be able to update his or her residential or home address or direct deposit information through the official website of the U.S. Department of Veteran Affairs (US DVA) if he or she has experienced a certain disaster or if he or she has been receiving medical treatment or a benefit payment from the U.S. Department of Veterans Affairs (US DVA). They must also be currently enrolled in the U.S. Department of Veteran Affairs (US DVA) medical system and get VA medical treatment or assistance.

Once the contact information and residential or home address of the payee or the veteran has been updated in his or her VA.gov profile, it also updates across the following VA benefits and services:

A complete Form VA 20 572 must contain the following information:

— A change of the individual’s residence or home address

— Cancellation of the individual’s direct deposit account

— Both

— Veteran

— Father

— Mother

— Wife or husband

— Child

— Fiduciary

— Surviving spouse

— Other - The individual must specify how he or she is receiving the benefits.

— Compensation or pension

— Education

— Chapter 30 from the Montgomery GI Bill Active

— Chapter 31 from the Vocational Rehabilitation

— Chapter 32 from the Veterans Education Assistance Program (VEAP)

— Chapter 35 from the Dependents' Educational Assistance (DEA)

— Chapter 1606 from the Montgomery GI Bill Reserve

— Other - the individual must specify the type of benefit he or she would like to claim.

— Permanent

— Temporary

— Number and street or rural route including the individual’s apartment number

— City

— State

— ZIP Code

— Telephone numbers

— Daytime telephone number

— Evening telephone number

— Cancellation of financial organizations receiving the individual’s benefit payment 

— Signature of the veteran or the payee

— The current date of signing

How to fill out Form VA 20-572?

Taxpayers can download and print a PDF copy of VA Form 20 572 Form from the United States Department of Veteran Affairs (US DVA) website that they can manually complete. They can also fill out VA Form 20 572 Form electronically on PDFQuick.

To fill out the VA 20-572 Form, you must provide the following information:

Box 1. I am requesting

Mark the appropriate box which corresponds to the type of request you would like to apply for. You may select:

Box 2. I am receiving benefits as the

Mark the appropriate box which corresponds to how you are receiving the benefits. You may select:

Box 3. Veteran Affairs (VA) File Number

Enter your file number from the Department of Veterans Affairs (DVA) and include any letter prefix if it is applicable.

Box 4. Veteran’s Social Security Number (SSN)

Enter your social security number (SSN).

Box 5. Payee Number

Enter your payee number.

Box 6. Benefit Type

Mark the appropriate box which corresponds to the type of benefit you would like to claim. You may select:

— Chapter 30 from the Montgomery GI Bill Active

— Chapter 31 from the Vocational Rehabilitation

— Chapter 32 from the Veterans Education Assistance Program (VEAP)

— Chapter 35 from the Dependents' Educational Assistance (DEA)

— Chapter 1606 from the Montgomery GI Bill Reserve

— Other - You must specify the type of benefit you would like to claim.

Box 7. Insurance Numbers

Enter all of your applicable insurance numbers. You must only provide these insurance numbers if you are currently receiving payments on the insurance policy of a certain deceased veteran.

Box 8. Type of Address Change

Mark the appropriate box which corresponds to the type of address change you would like to apply for. You may select:

Box 9. Name of Payee as Shown on Check

Enter the full legal name of your payee as shown on his or her check.

Box 10. First Name, Middle Initial, Last Name of Veteran

Enter your full legal name by using the format: First name, middle initial, last name.

Box 11. Address

Enter your residence or home address.

Number and Street or Rural Route

Enter your number, street, or rural route, and include your apartment number if it is applicable.

City

Enter your city.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Telephone Number

Enter your telephone numbers including their corresponding area codes.

Daytime 

Enter your daytime telephone number.

Evening

Enter your evening telephone number.

Box 12. To be Completed by Direct Deposit Participants 

Mark the box if your benefit payment is currently being sent to a financial organization but you would like to have it canceled and sent to your home or residential address instead. 

If you have marked the box, your payments will continue to be sent to the financial organization until the cancellation process is completed. You must not close your bank account until your first payment has been received at your home or residential address.

Box 13. Signature of Veteran or Payee

Have the payee affix his or her signature.

Box 14. Date

Enter the current date of signing.