U.S. DOD Form dod-va-29-538
ASSIGNMENT - GOVERNMENT LIFE INSURANCE BENEFITS
NATIONAL SERVICE LIFE INSURANCE - An assignment may be made
only in favor of the insured's widow, widower, child, father, mother,
grandfather, grandmother, brother or sister.
1 . N A M E O F INSURED (DECEASED VETERAN)
UNITED STATES GOVERNMENT LIFE INSURANCE - An assignment may be
made only in favor of the insured's widow, widower, child, grandchild, parent,
brother, sister, uncle, aunt, nephew, niece, brother-in-law, or sister-in-law.
2A. INSURANCE FILE NO.
3. I (WE) HEREBY ASSIGN all rights, title and interest to the extent of $
to me (us) under policy number
to
deceased insured is that of
2B. VETERAN'S SOCIAL SECURITY NO.
payable
(assignee), whose relationship to the
(widow, child, etc.)
4. SIGNATURE
5. ADDRESS
6. DATE
7. SIGNATURE
8. ADDRESS
9. DATE
NOTE: If the insurance is not payable in one sum, contingent beneficiaries (if any) are required to join in the assignment.
10. SIGNATURE
11. ADDRESS
12. DATE
13. SIGNATURE
14. ADDRESS
15. DATE
VA FORM
FEB 1990
29-538
EXISTING STOCK OF VA FORM 29-538, SEP 1970,
WILL BE USED.