M21-1 Manual / Part XI, Subpart ii, Chapter 3, Section C
Development for Accrued and Requests for Substitution
M21-1, Part XI, Subpart ii, Chapter 3, Section C
Overview
In This Section | This section contains the following topics:
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1. Applications for Accrued and Requests for Substitution
Introduction | This topic contains information on developing for accrued benefits, including
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Change Date | September 11, 2025 |
XI.ii.3.C.1.a. Applications for Accrued Benefits | A claim for accrued benefits may be filed on the following applications:
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XI.ii.3.C.1.b. Applications for a Request to Substitute | A standard application is not required to request to substitute. A request to substitute, from an individual in the categories of eligible persons, is deemed to be included when VA receives a
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XI.ii.3.C.1.c. Action to Take When Accrued Benefits Exist but No Claim Is Filed | If an accrued claim is not filed and accrued benefits exist, or an initial claim, decision review request, or appeal is pending, VA has an obligation to notify those individuals who are potentially entitled to the benefits. Send VA Form 21P-601 to the
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XI.ii.3.C.1.d. Information to Include on Notification Letter With VA Form 21P-601 | In the notification letter, refer the claimant to the attached VA Form 21P-601 and its instructions for information on the
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XI.ii.3.C.1.e. Application Filing Time Limits | Use the table below to determine the proper time limit for applying for accrued benefits.
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XI.ii.3.C.1.f. Request for Substitution Time Limits | A person may not substitute for a deceased claimant unless the person files a request to substitute no later than one year after the claimant's death. |
XI.ii.3.C.1.g. Language to Include on Request for Substitution Letters When There Is No Evidence of Accrued | Use the following language when notifying a claimant of a pending claim, request for decision review or appeal and there is no evidence of accrued benefits: [Insert original claimant’s name]had a claim higher-level review or appeal pending at the time of death. A person eligible for accrued benefits may request to substitute for a deceased claimant who had a pending claim or appeal at the time of death. Substitution may allow a person to submit evidence in support of the pending claim or appeal for potential accrued benefits. If you wish to file a request for substitution and have not already done so, please complete and return VA Form 21P-601 as indicated in the instructions under, "Where Do I Send My Completed Form?". We will make a determination at that time whether you are eligible to substitute. The request to substitute must be received within one year of the deceased claimant’s death. Filling out this form will also allow VA to make a determination on accrued benefits. |
2. Section 5103 Notices
| Change Date | August 17, 2026 |
XI.ii.3.C.2.a. When to Send a Section 5103 Notice | VA has a duty to assist claimants in obtaining evidence as required by the Veterans Claims Assistance Act of 2000, Public Law 106-475. This includes sending the claimant a Section 5103 notice letter. For accrued or substitution claims, a Section 5103 notice letter may be required for several reasons, including
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3. When Development for Eligibility of Accrued Benefits and the Right to Substitution Is Not Required
Introduction | This topic contains information on developing for eligibility of accrued benefits and the right to substitution, including
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Change Date | August 17, 2026 |
XI.ii.3.C.3.a. Definition: Evidence Needed to Complete the Application for Accrued Benefits | Evidence needed to complete the application for accrued benefits means information necessary to establish that
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XI.ii.3.C.3.b. Definition: Evidence Needed to Complete the Request to Substitute | Evidence needed to complete the request to substitute means information necessary to establish
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XI.ii.3.C.3.c. When to Deny Accrued or Substitution Claims Without Development | It is not required to issue development when
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XI.ii.3.C.3.d. Notification Requirements for Incomplete Accrued Claims | If the claimant did not provide evidence of eligibility for accrued benefits, the application is considered incomplete. VA is not required to send a Section 5103 notice letter. The examples below apply to standalone applications for accrued benefits (VA Form 21P-601 orVA Form 21P-0847). Example 1: A child between the ages of 18 to 23 submits VA Form 21P-601for accrued based on relationship with a copy of their birth certificate, but does not submit proof they were enrolled in school at the time of the payee’s death. The child is not an established dependent on the payee’s award. There is also no evidence showing the claimant bore reimbursable expenses. The application for accrued benefits is considered incomplete per 38 CFR 3.1000(c)(1) because the claimant has not provided evidence of eligibility showing they are a qualifying child. Example 2: A potential surviving spouse submits VA Form 21P-601 for accrued based on relationship but does not provide complete marital history information. The claims file does not show evidence of a spouse prior to the Veteran’s death. There is also no evidence showing the potential spouse bore reimbursable expenses. The application for accrued benefits is considered incomplete per 38 CFR 3.1000(c)(1) because the claimant has not provided evidence of eligibility. Follow the steps in the table below when the application for accrued benefits is considered incomplete.
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XI.ii.3.C.3.e. Notification Requirements for Incomplete Requests for Substitution | If a person's request to substitute does not include complete evidence of eligibility when it is originally submitted, the claim is considered incomplete. VA is not required to send a Section 5103 notice letter. The example below applies to standalone requests for substitution (VA Form 21P-601orVA Form 21P-0847). Example: The Veteran’s descendant, who is over the age of 23, submits VA Form 21P-0847, but does not indicate that they bore expenses of last illness and/or burial. The request for substitution is incomplete because the claimant has not provided evidence of eligibility demonstrating that they are among those listed in the categories of eligible persons according to 38 CFR 3.1000(a)(1)-(5). Follow the steps in the table below when a request for substitution is considered incomplete.
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XI.ii.3.C.3.f. Time Limits for Evidence of Eligibility | Use the table below to determine the proper time limit for receiving evidence of eligibility after initial notification.
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XI.ii.3.C.3.g. Example: Denial of a Request for Substitution With a Response Not Timely Filed and an Accrued Claim With a Timely Response | Situation:
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XI.ii.3.C.3.h. Example: Timely Filed Response for Substitution and Accrued Claim | Situation: This situation is similar to Example 1, except VA receives the evidence of eligibility on 10/01/2023. Result: Take the following actions:
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XI.ii.3.C.3.i. Example: Not Timely Filed Response in an Accrued Claim and Request for Substitution | Situation: This situation is similar to Example 1, except VA receives the evidence of eligibility on 12/18/2024. Result: Deny the accrued claim and the request to substitute as the evidence of eligibility was not timely filed. |
4. Development of the Original Claimant’s Pending Claim
Introduction | This topic contains information on development for pending claims after a grant of substitution, including
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Change Date | February 7, 2022 |
XI.ii.3.C.4.a. When Development, Including the Section 5103 Notice, Is Required | Additional development is required if
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XI.ii.3.C.4.b. When Development, Including the Section 5103 Notice, Is Not Required | Additional development is not required if it is determined all development actions have been completed during the original claimant’s lifetime and it is determined the original claimant
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XI.ii.3.C.4.c. When the Development Control Period Has Expired or Necessary Evidence Is Received | If development was necessary, review the claim again when the development control period has expired, or the necessary evidence is received, whichever is earlier, and take the following actions:
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XI.ii.3.C.4.e. Language to Include in the Development Letter if the Applicant Did Not Specifically Request Substitution | Use the following language in the development letter if the applicant did not specifically request substitution and there was a pending claim or appeal at the time of the original claimant’s death. VA has received your claim for accrued benefits and accepted this claim as a request for substitution for the purpose of completing [insert original claimant’s name] [insert claim or appeal]pending at the time of death. The request for substitution allows you to submit additional evidence in support of the pending[insert claim or appeal]. As mentioned in a previous letter, we have granted the request for substitution. |
XI.ii.3.C.4.f. Language to Include in the Development Letter if the Applicant Requested Substitution and It Is Granted | Use the following language if the applicant requested substitution and it is granted by VA: As mentioned in a previous letter, we have granted the request for substitution. The request for substitution allows you to submit additional evidence in support of the pending [insert claim or appeal] to determine your entitlement to [insert the word “additional” if some accrued benefits have been paid] accrued benefits. |
XI.ii.3.C.4.g. Language to Include in the Development Letter in the How Soon Should You Send What We Need Section | Use the table below to determine the appropriate language to include in the How Soon Should You Send What We Need section in the first development letter:
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XI.ii.3.C.4.h. Substitution Waiver Language to Include in All Development Letters if Not Previously Included | Use the following substitution waiver language if not previously included: The right to substitute may be waived by submitting the request in writing. We have enclosed VA Form 21-10210, Lay/Witness Statement, for this purpose. If the right to substitute is waived, VA will still render a decision on the accrued claim, if applicable, but based only on the evidence contained in the claims folder at the time of the original claimant’s death. |
5. Notification Requirements for Substitution Grants and Denials
Introduction | This topic contains information on developing for accrued benefits, including
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Change Date | February 7, 2022 |
XI.ii.3.C.5.a. Language to Use When Denying the Request to Substitute | When denying a request to substitute be sure to provide the specific reason for denial in the notification letter. The letter should also include any of the three findings potentially relevant to a denial explained in M21-1, Part XI, Subpart ii, 3.C.5.b. Reference: For more information on what the substitution denial notification letter should include, see Substitution Denial Letter Template. |
XI.ii.3.C.5.b. Discussion of Findings When Denying the Request to Substitute | There are only three findings potentially relevant to a denial of a request to substitute. The three potentially relevant findings are whether
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XI.ii.3.C.5.c. Right to Appeal the Request to Substitute Decision | 38 CFR 3.1010(e)(1) states, the agency of original jurisdiction will provide written notification of the granting or denial of a request to substitute to the person who filed the request, together with notice in accordance with 38 CFR 3.103(b)(1).38 CFR 3.1010(e)(2) states that, the denial of a request to substitute may be appealed to the Board of Veterans' Appeals pursuant to 38 U.S.C. 7104(a) and 7105. However, for decisions concerning the right to substitute made on or after February 19, 2019, claimants have the right to appeal to the Board of Veterans’ Appeals or to request a decision review. Therefore, the decision notice should include VA Form 20-0998, Your Right to Seek Review of Our Decision.Reference: For more information on finality of decisions, see M21-1, Part X, Subpart ii, 1.A. |
XI.ii.3.C.5.d. Language to Use When Granting the Request to Substitute | See the Substitution Grant Letter Template for language to include in the notification letter when granting a substitution request. |
XI.ii.3.C.5.e. Language to Use When Granting Substitution and an HLR Was Pending | Use the table below to determine the appropriate language to include in the substitution decision notice when granting substitution and there was a pending HLR at the time of the original claimant’s death.
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6. Updating Legacy Appeals After a Grant of Substitution
Change Date | February 19, 2019 |
XI.ii.3.C.6.a. Updating the VACOLS Record for Legacy Appeals | Upon the grant of a request of substitution, update the Veterans Appeals Control and Locator System (VACOLS) record if the original claimant had a pending
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Source: VA M21-1 Adjudication Procedures Manual, M21-1, Part XI, Subpart ii, Chapter 3, Section C (U.S. government work, reproduced for reference). Browse all sections →