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VAU.S. Department of Veterans Affairs
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VA Form 21-686c ยท v5.0

Add or remove dependents

Branching questions by change type. Evidence requirements change with the answer, so the flow asks only what applies.

Published

5 fields in v5.0

Each field records where it came from on the paper form, so a reviewer can always trace a digital answer back to the box it replaced.

Field schema for VA Form 21-686c

  • Field
    change_typeType of dependent change
    Type
    Choice
    Required
    Yes
    On the paper form
    Page 1, item 1
    Maps to
    dependency.changeType
  • Field
    dependent_nameDependent's full name
    Type
    Text
    Required
    Yes
    On the paper form
    Page 2, Section II, box 4
    Maps to
    dependency.person.fullName
  • Field
    dependent_dobDependent's date of birth
    Type
    Date
    Required
    Yes
    On the paper form
    Page 2, Section II, box 5
    Maps to
    dependency.person.dateOfBirth
  • Field
    event_dateDate of the change
    Type
    Date
    Required
    Yes
    On the paper form
    Page 2, Section II, box 7
    Maps to
    dependency.effectiveOn
  • Field
    supporting_evidenceSupporting evidence
    Type
    File
    Required
    No
    On the paper form
    Page 4, evidence checklist
    Maps to
    dependency.evidence