Fill out VA 29-8636 (Application for Service-Disabled Veterans Insurance) online
VA Form 29-8636 is the application for Service-Disabled Veterans Insurance (S-DVI), also known as RH insurance. S-DVI provides life insurance coverage to veterans who have a service-connected disability rated by the VA. This program was established to provide insurance to veterans whose service-connected disabilities might otherwise make them uninsurable at standard commercial rates.
How to fill out VA 29-8636 (Application for Service-Disabled Veterans Insurance)
Enter veteran information
Provide your full name, Social Security number, VA file number, date of birth, address, phone number, and email address.
Provide military service details
Enter your branch of service, dates of active duty, and discharge status. List the service-connected disability or disabilities that qualify you for S-DVI, including the VA rating percentage and the date the rating was granted.
Select your coverage amount
Choose the amount of basic S-DVI coverage you want (up to $10,000). If you are totally disabled and your premiums are being waived, you may also apply for Supplemental S-DVI coverage up to an additional $30,000.
Sign and submit
Sign and date the application. Include payment for the first premium if applicable, or apply for a premium waiver if you are totally disabled. Mail the completed form to the VA Regional Office and Insurance Center in Philadelphia.
About VA 29-8636 (Application for Service-Disabled Veterans Insurance)
Who needs this form
Veterans who have received a new service-connected disability rating from the VA and were separated from service under other than dishonorable conditions. You must apply within two years from the date the VA grants your new service-connected disability. Veterans who are totally disabled may also apply for a premium waiver.
Where to submit
Mail the completed application to the Department of Veterans Affairs, VA Regional Office and Insurance Center (VAROIC), PO Box 7208, Philadelphia, PA 19101. You may also apply online through va.gov or call 1-800-669-8477 for assistance.
Source and content freshness
- Reviewed: 2026-02-24
- Filing deadlines may shift for weekends and holidays. Verify due dates with official instructions.
Common mistakes to avoid
- Applying more than two years after the VA grants the service-connected disability rating
- Not including the VA file number or claim number
- Failing to indicate whether you want basic S-DVI coverage or supplemental coverage
- Not applying for the premium waiver if you are totally disabled (waiver must be requested separately)
Frequently asked questions
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What is the deadline to apply for S-DVI?
You must apply within two years from the date the VA grants a new service-connected disability rating. If you are totally disabled, you may be eligible for a premium waiver, but you must apply for the waiver within one year of being notified of the total disability rating. Missing these deadlines means you cannot obtain S-DVI coverage. Consider filing your VA 21-526EZ (disability compensation) first to establish your rating.
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