VA Form 40-1330M: Claim Government Medallion (Private Cemetery) – VA Form 40-1330M is the official Claim for Government Medallion for Placement in a Private Cemetery. This free bronze medallion honors eligible deceased Veterans by affixing to a privately purchased headstone or marker in a private or local government cemetery.
The Department of Veterans Affairs (VA) provides the medallion at no cost to recognize military service. It serves as an alternative to a full government headstone or marker for graves already marked privately.
Eligibility for VA Government Medallion
Eligible Veterans include those discharged under honorable conditions who served in the Armed Forces on or after April 6, 1917, and are buried in a private cemetery with a privately purchased headstone or marker.
Active duty servicemembers who died on active duty after the same date and meet the burial criteria also qualify.
Key service requirements:
- For service after September 7, 1980 (enlisted) or October 16, 1981 (officers): Minimum 24 months continuous active duty or completion under special circumstances (e.g., death on active duty).
- Limited training service in National Guard or Reserves generally does not qualify unless special circumstances apply.
- Reservists and National Guard members entitled to retired pay (or would have been but for age) qualify with proper documentation.
Available Medallion Sizes and Design
The VA offers three bronze medallion sizes:
- Large: 6 3/8″ W x 4 3/4″ H x 1/2″ D
- Medium: 3 3/4″ W x 2 7/8″ H x 1/4″ D
- Small: 2″ W x 1 1/2″ H x 1/3″ D
Each features “VETERAN” inscribed across the top and the branch of service at the bottom. Applicants must confirm the chosen size fits the cemetery’s rules.
Who Can Apply for VA Form 40-1330M?
Authorized applicants include:
- Decedent’s next of kin or family member
- Personal representative
- Representative of a Congressionally-chartered Veterans Service Organization
- State or local government employee serving Veterans
- Individual responsible for unclaimed remains or memorialization under state law
A family member typically submits the form for medallions. Written authorization is required for others.
Step-by-Step: How to Apply Using VA Form 40-1330M?
- Download the form: Get the latest version (March 2025) here: Download VA Form 40-1330M (PDF).
- Gather required documents: Include a copy of the Veteran’s DD Form 214 (or equivalent discharge papers) or other proof of service. Do not send originals.
- Complete the form: Fill out all sections accurately, including Veteran details, applicant information, cemetery information, and medallion size. Obtain the cemetery official’s signature certifying the medallion can be affixed.
- Submit the claim:
- Mail: NCA FP Evidence Intake Center, PO Box 5237, Janesville, WI 53547
- Fax: 1-800-455-7143
- Electronically: Via Quick Submit at https://eauth.va.gov/accessva/.
Processing typically follows submission of a complete application.
What Happens After Approval?
The VA ships the medallion (with mounting hardware and instructions) to the designated address, usually the cemetery or applicant. The government does not cover installation costs—private cemeteries may charge a setting fee. The medallion is provided in lieu of a traditional government headstone or marker.
Important Tips and Common Questions
- Submit only one medallion per eligible Veteran.
- Eligible Veterans generally cannot receive both a full government headstone/marker and a medallion.
- Presidential Memorial Certificates may also be requested.
- Contact the VA Applicant Assistance Unit at 1-800-697-6947 or ask.va.gov for help.
For full details on related benefits, visit the official VA page: Medallions | Veterans Affairs
Why Honor Veterans with a Government Medallion?
This benefit provides a lasting, visible symbol of service and sacrifice for families who choose private burial. It ensures Veterans receive recognition regardless of cemetery type, supporting dignity in memorialization across the United States.
For the most current information, always refer to official VA sources, as policies can update. Prepare applications in advance where possible to ease the burden on surviving family members.