Revised October 7, 2021
XI.i.2.C.1.aGeneral Principles to Consider When Determining Whether a Presumption of Death May Be Established
The table below describes the general principles that must be considered when determining whether a presumption of death may be established under 38 CFR 3.212. Note: The force and applicability of the principles is governed largely by the circumstances of the particular case.
| Principle | Description |
|---|---|
unexplained absence | The evidence of record does not cite a reason for the individual’s absence. |
absence from last known residence | For a period of at least seven years, the individual has been continuously absent, without explanation, from their last known residence, which is the place
Note: A presumption of death on this basis does not apply if it is improbable the individual, if living, would communicate with or return to their last known residence. |
continuous absence | The continuous absence of an individual, rather than their departure alone, must be unexplained. Such a determination requires consideration of the habits and attachments that normally control the conduct of the individual. Generally, a continuous lack of communication is not a basis for presuming death in the following types of cases:
|
search for the missing individual | Evidence of searches conducted by, or on behalf of, the following persons to locate the missing individual is necessary in most cases:
Rationale: Failure to make inquiries of all reasonable sources might indicate the lack of interest of the persons named in the preceding paragraph to the extent that it raises the inference that the missing individual was also disinterested and, in all probability, would not communicate with them. |
court decisions | The laws of the State in which a missing individual resided are not controlling when determining whether a presumption of death may be established. Nevertheless, a declaration of death by a court of competent jurisdiction, as well as the available evidence that was before the court, is relevant if the court’s decision was substantially based on the principles discussed in this table. Important: In all cases in which a declaration of death is made by a court, obtain
|
life expectancy | It is not necessary to show that the missing individual, if alive, would have attained or exceeded the average life expectancy. |
cause of death | Although a finding of the fact of death can be made under 38 CFR 3.211(f) or presumed under 38 CFR 3.212, there is no specific provision for presuming the cause of death. If an established service-connected disability may reasonably be accepted as a principal or contributory cause of death due to its type and severity, refer the case to Director, Compensation Service, for an advisory opinion. Reference: For more information about requesting an advisory opinion, see M21-1, Part X, Subpart v, 1.A.1 and 2. |
date of presumed death | The date of presumed death is the end of the seven-year period following the date a missing individual was last known to be alive. Reference: For information on the effective date for awards of survivors benefits, see M21-1, Part XI, Subpart i, 2.C.3.d. |
2Determining Whether a Presumption of Death May Be Established
This topic contains instructions for determining whether a presumption of death may be established, including the actions to take
- seven years after a Veteran’s disappearance, and
- when the Department of Veterans Affairs (VA) is
- paying benefits to a dependent under 38 CFR 3.656, and
- not paying benefits to a dependent under 38 CFR 3.656.
Revised July 19, 2024
XI.i.2.C.2.aActions to Take Seven Years After a Veteran’s Disappearance
Follow the steps in the table below after the diary referenced in M21-1, Part VI, Subpart iii, 4.3.a, expires (seven years after the date of a Veteran’s disappearance).
| If VA is ... | Then take the actions described in ... |
|---|---|
paying benefits to a dependent under 38 CFR 3.656 | M21-1, Part XI, Subpart i, 2.C.2.b. |
not paying benefits to a dependent under 38 CFR 3.656 | M21-1, Part XI, Subpart i, 2.C.2.c. |
Important: Do not interrupt the payment of insurance premiums (referenced in M21-1, Part VI, Subpart iii, 4.1.b) or benefits under 38 CFR 3.656 unless instructed to do so in the procedure described in M21-1, Part XI, Subpart i, 2.C.2.b or c.
Reference: For more information about the payment of benefits following a Veteran’s disappearance, see M21-1, Part VI, Subpart iii, 4.
XI.i.2.C.2.bActions to Take When VA Is Paying Benefits to a Dependent Under 38 CFR 3.656
Follow the steps in the table below if the Department of Veterans Affairs (VA) is paying benefits to a dependent under 38 CFR 3.656 at least seven years after the Veteran’s disappearance.
| Step | Action |
|---|---|
| 1 | Does an explanation exist for the Veteran’s absence?
Note: Claims processors may conclude an explanation for a Veteran’s absence exists even though there is no evidence the Veteran is still alive. |
| 2 | Determine whether all of the following conditions are evident:
|
| 3 | Are all of the conditions described in Step 2 evident?
|
| 4 |
|
| 5 | Of the conditions described in Step 2, is the second one (the Veteran’s age, were they alive) the only condition that is not evident?
|
| 6 |
|
| 7 | Within the 60-day period referenced in the preceding step, did VA receive VA Form 21P-1775 from each of the three individuals to whom the form was sent for completion?
Important: If VA received VA Form 21P-1775 from a dependent
References: For more information on
|
| 8 | Prepare and send a notice of proposed adverse action that contains the elements set forth in M21-1, Part X, Subpart ii, 3.A. |
| 9 | Did the dependent submit all three of the forms referenced in Step 6 within 65 days of the notice referenced in Step 8?
Note: Follow the instructions in M21-1, Part X, Subpart ii, 3.B, if the dependent requests a hearing. |
| 10 | Discontinue the Veteran’s award (including the payment of insurance premiums and benefits under 38 CFR 3.656) effective the date in the LAST PAID DATE field on the CURRENT AND HISTORICAL AWARD INFORMATION page in the Veterans Benefits Management System (VBMS). |
| 11 |
|
| 12 | Does an explanation for the Veteran’s absence now exist?
Note: Claims processors may conclude an explanation for a Veteran’s absence exists even though there is no evidence the Veteran is still alive. |
| 13 | Are all of the conditions described in Step 2 evident?
|
| 14 |
|
| 15 |
|
| 16 |
|
| 17 |
Note: Follow the instructions in M21-1, Part X, Subpart ii, 3.B, if the dependent requests a hearing. |
| 18 | Discontinue the Veteran’s award (including the payment of insurance premiums and benefits to the dependent) effective the date in the LAST PAID DATE field on the CURRENT AND HISTORICAL AWARD INFORMATION page in VBMS. |
| 19 | Notify the dependent of the action taken. Note: In the decision notice, invite the dependent to submit a claim for survivors benefits by completing and returning VA Form 21P-534EZ, Application for DIC, Survivors Pension, and/or Accrued Benefits , unless the dependent has already submitted the form. |
| 20 | Invite other eligible survivors to submit VA Form 21P-534EZ if their names and addresses are of record. |
| 21 | E-mail a copy of the administrative decision to Director, Compensation Service (214D), for administrative review. |
| 22 | Was VA deducting benefits from the Veteran’s award for the payment of insurance premiums?
|
References: For more information on
-
field examinations, see M21-1, Part X, Subpart v, 1.E
-
Field Examiner responsibilities, see FPM, Part I, 1.B.5, and
-
preparing decision notices, see M21-1, Part VI, Subpart i, 1.B.
XI.i.2.C.2.cActions to Take When VA Is Not Paying Benefits to a Dependent Under 38 CFR 3.656
Follow the instructions in the table below if
- at least seven years have passed since a Veteran’s disappearance,
- VA is still paying the insurance premiums referenced in M21-1, Part VI, Subpart iii, 4, and
- VA is not paying benefits to a dependent under 38 CFR 3.656.
| Step | Action |
|---|---|
| 1 | Does an explanation exist for the Veteran’s absence?
Note: Claims processors may conclude an explanation for a Veteran’s absence exists even though there is no evidence the Veteran is still alive. |
| 2 | Determine whether all of the following conditions are evident:
|
| 3 | Are all of the conditions described in the preceding step evident?
|
| 4 |
|
| 5 | Of the conditions described in Step 2, is the second one (the Veteran’s age, were they alive) the only condition that is not evident?
|
| 6 |
|
| 7 | Within the 60-day period referenced in the preceding step, did VA receive VA Form 21P-1775 from each of the three individuals to whom the form was sent for completion?
Important: If VA received VA Form 21P-1775 from the next of kin or insurance beneficiary
References: For more information on
|
| 8 |
|
| 9 | Does an explanation for the Veteran’s absence now exist?
Note: Claims processors may conclude an explanation for a Veteran’s absence exists even though there is no evidence the Veteran is still alive. |
| 10 | Are all of the conditions described in Step 2 evident?
|
| 11 |
|
| 12 | Treat the administrative decision as a first notice of death (NOD). Reference: For more information on processing a first NOD, see |
| 13 | Invite eligible survivors to submit VA Form 21P-534EZ if their names and addresses are of record. |
| 14 | E-mail a copy of the administrative decision to Director, Compensation Service (214D), for administrative review. |
| 15 | Send a copy of the administrative decision to Insurance Service. |
3Handling Claims for Survivors Benefits
This topic contains information on handling claims for survivors benefits, including
- circumstances under which it is appropriate to deny a claim without undertaking development
- handling evidence that definitely discloses the Veteran is alive
- determining whether death may be presumed for the purpose of awarding survivors benefits, and
- effective dates for awards of survivors benefits.
Revised July 19, 2024
XI.i.2.C.3.aCircumstances Under Which It Is Appropriate to Deny a Claim Without Undertaking Development
Deny a claim for survivors benefits without undertaking development to establish a presumption of death if VA would be unable to pay the claimed benefit due to, for example,
- a legal bar, or
- an unfavorable rating decision.
Important: Include the following statement in the corresponding decision notice (with any appropriate modification): “ This denial of your claim does not imply that the Veteran’s death has been established or can be presumed on the basis of the evidence available. ”
XI.i.2.C.3.bHandling Evidence That Definitely Discloses the Veteran Is Alive
Follow the instructions in the table below if, at any stage of claims development, evidence is obtained or discovered that definitely reveals the Veteran is living or was alive at any time during the seven-year period that began when the Veteran first disappeared.
| If an explanation for the Veteran’s absence ... | Then ... |
|---|---|
does not exist |
|
exists |
|
Reference: For more information on determining whether an explanation exists for a Veteran’s absence, see M21-1, Part XI, Subpart i, 2.C.1.a.
XI.i.2.C.3.cDetermining Whether Death May Be Presumed for the Purpose of Awarding Survivors Benefits
Follow the instructions in the table below if
- VA receives a claim for survivors benefits
- at least seven years have passed since the Veteran’s disappearance, and
- a denial of benefits under the provisions of M21-1, Part XI, Subpart i, 2.C.3.a or b is not in order.
Important: Disregard any of the actions described in the table below (such as the actions described in Steps 2, 9, 10, 11, 14, 15, and 16) that were previously taken in connection with the procedures outlined in M21-1, Part XI, Subpart i, 2.C.2.b or c.
| Step | Action |
|---|---|
| 1 | Does an explanation exist for the Veteran’s absence?
|
| 2 |
|
| 3 | Did VA receive forms from all three of the individuals referenced in Step 2?
|
| 4 | Deny the claim for survivors benefits based on the fact that VA is unable to establish a presumption of death. |
| 5 |
|
| 6 | Does an explanation for the Veteran’s absence now exist?
|
| 7 | Determine whether all of the following conditions are evident:
|
| 8 | Are all of the conditions described in Step 7 evident?
|
| 9 |
|
| 10 |
|
| 11 | Discontinue the Veteran’s award (including the payment of insurance premiums) effective the date in the LAST PAID DATE field on the CURRENT AND HISTORICAL AWARD INFORMATION page in VBMS. |
| 12 | Make a determination as to the claimant’s entitlement to survivors benefits. Reference: For information on selecting an effective date for an award of survivors benefits to a dependent whose award VA discontinued under Step 18 of the instructions in M21-1, Part XI, Subpart i, 2.C.2.b, see M21-1, Part XI, Subpart i, 2.C.3.d. |
| 13 | Notify the claimant of the decision made in Step 12. |
| 14 | Invite other eligible survivors to submit VA Form 21P-534EZ if their names and addresses are of record. |
| 15 | E-mail a copy of the administrative decision referenced in Step 10 to Director, Compensation Service (214D), for administrative review. |
| 16 | Was VA deducting benefits from the Veteran’s award for the payment of insurance premiums?
|
Reference: For more information about preparing decision notices, see M21-1, Part VI, Subpart i, 1.B.
XI.i.2.C.3.dEffective Dates for Awards of Survivors Benefits
Use the table below to determine the effective date of an award of survivors benefits (following the establishment of a presumption of death) to a claimant to whom VA is currently paying benefits under 38 CFR 3.656.
| If … | Then make the adjustment … |
|---|---|
an increased rate of benefits is payable | effective the date of presumed death (seven years after the date of disappearance) subject to any offset necessitated by the payment of benefits under 38 CFR 3.656. |
a decreased rate of benefits is payable | effective the date in the LAST PAID DATE field on the CURRENT AND HISTORICAL AWARD INFORMATION page in VBMS. |
End of Part XI, Subpart i, Chapter 2, Section C