Official government forms
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Showing 469 to 504 of 815 forms
VA Form 10-0708: Employees Records Clearance
Fill out VA Form 10-0708 online, the records clearance form for VA employees who are separating or transferring. Free download of the official PDF.
VA VA Form 10-10172VA Form 10-10172: Community Care Provider - Request for Service
Fill out VA Form 10-10172 online, the community care provider request for service sent to VA for approval. Free download of the official VA PDF.
VA VA Form 10-10CGVA Form 10-10CG: Application for Comprehensive Assistance for Family Caregivers Program
Fill out VA Form 10-10CG online to apply for the VA family caregiver program (PCAFC). Free download of the official VA application PDF.
VA VA Form 10-10dVA Form 10-10d: Application for CHAMPVA Benefits
Fill out VA Form 10-10d online and download the official PDF free. Apply for CHAMPVA health coverage as the spouse, child, or survivor of a Veteran.
VA VA Form 10-10ECVA Form 10-10EC: Application for Extended Care Services
Fill out VA Form 10-10EC online and download the official PDF free. Apply for VA extended care such as nursing home or adult day health care.
VA VA Form 10-10EZRVA Form 10-10EZR: Health Benefits Update Form
Fill out VA Form 10-10EZR online and download the official PDF free. Update your personal, insurance, and financial details with VA health care.
VA VA Form 10-10HSVA Form 10-10HS: Request for Hardship Determination
Fill out VA Form 10-10HS online and download the official PDF free. Ask VA for a hardship determination to reduce or avoid health care copays.
VA VA Form 10-3542VA Form 10-3542: Veteran/Beneficiary Claim for Reimbursement of Travel Expenses
Fill out VA Form 10-3542 online and download the official PDF free. Claim mileage and travel expense reimbursement for trips to VA health care.
VA VA Form 10-5345VA Form 10-5345: Request for and Authorization to Release Health Information
Fill out VA Form 10-5345 online and download the official PDF free. Authorize VA to release your health records to a doctor, insurer, or other party.
VA VA Form 10-5345aVA Form 10-5345a: Individuals' Request for a Copy of Their Own Health Information
Fill out VA Form 10-5345a online and download the official PDF free. Request a copy of your own VA medical records from your VA health facility.
VA VA Form 10-7959cVA Form 10-7959c: CHAMPVA Other Health Insurance (OHI) Certification
Fill out VA Form 10-7959c online and download the official PDF free. Certify or update other health insurance coverage for CHAMPVA beneficiaries.
VA VA Form 10-7959aVA Form 10-7959a: CHAMPVA Claim Form
Fill out VA Form 10-7959a online and download the official PDF free. File a CHAMPVA claim for reimbursement of covered medical expenses.
VA VA Form 10-8678VA Form 10-8678: Application for Annual Clothing Allowance
Fill out VA Form 10-8678 online and download the official PDF free. Apply for the VA annual clothing allowance for prosthetic or skin medication wear.
VA VA Form 10-9050VA Form 10-9050: Health Care Personnel Influenza Vaccination Form
Fill out VA Form 10-9050 online and download the official PDF free. Document flu vaccination or declination for VA health care personnel.
VA VA Form 10091VA Form 10091: VA-FSC Vendor File Request Form
Fill out VA Form 10091 online and download the official PDF free. Set up or update payment and direct deposit details in the VA-FSC vendor file.
VA VA Form 10182VA Form 10182: Decision Review Request: Board Appeal (Notice of Disagreement)
Fill out VA Form 10182 online to appeal a VA decision to the Board of Veterans' Appeals. Free download of the official PDF.
VA VA Form 20-0995VA Form 20-0995: Decision Review Request: Supplemental Claim
Fill out VA Form 20-0995 online to file a Supplemental Claim with new evidence after a VA decision. Free download of the official PDF.
VA VA Form 20-0996VA Form 20-0996: Decision Review Request: Higher-Level Review
Fill out VA Form 20-0996 online to request a Higher-Level Review of a VA decision. Free download of the official fillable PDF.
VA VA Form 20-10206VA Form 20-10206: Freedom of Information Act (FOIA) or Privacy Act (PA) Request
Fill out VA Form 20-10206 online to request VA records under FOIA or the Privacy Act, including your claims file. Free official PDF download.
VA VA Form 20-10207VA Form 20-10207: Priority Processing Request
Fill out VA Form 20-10207 online to request priority processing of a VA claim for hardship or serious illness. Free official PDF download.
VA VA Form 21-0538VA Form 21-0538: Mandatory Verification of Dependents
Fill out VA Form 21-0538 online to verify your dependents for VA disability compensation. Free download of the official fillable PDF.
VA VA Form 21-0779VA Form 21-0779: Request for Nursing Home Information in Connection with Claim for Aid and Attendance
Fill out VA Form 21-0779 online for nursing home verification in an Aid and Attendance claim. Free download of the official VA PDF.
VA VA Form 21-0781VA Form 21-0781: Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s)
Fill out VA Form 21-0781 online to describe in-service traumatic events for a PTSD or mental health claim. Free official PDF download.
VA VA Form 21-0788VA Form 21-0788: Information Regarding Apportionment of Beneficiary's Award
Fill out VA Form 21-0788 online to request apportionment of a veteran's VA benefits for a dependent. Free download of the official PDF.
VA VA Form 21-0845VA Form 21-0845: Authorization to Disclose Personal Information to a Third Party
Fill out VA Form 21-0845 online to let VA share your claim information with a family member or organization. Free official PDF download.
VA VA Form 21-10210VA Form 21-10210: Lay/Witness Statement
Fill out VA Form 21-10210 online to submit a lay or buddy statement supporting a VA claim. Free download of the official fillable PDF.
VA VA Form 21-22VA Form 21-22: Appointment of Veterans Service Organization as Claimant's Representative
Fill out VA Form 21-22 online to appoint a Veterans Service Organization to represent you before VA. Free download of the official PDF.
VA VA Form 21-2680VA Form 21-2680: Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
Fill out VA Form 21-2680 online for Aid and Attendance or Housebound benefits. Free download of the official VA examination PDF.
VA VA Form 21-4138VA Form 21-4138: Statement in Support of Claim
Fill out VA Form 21-4138, Statement in Support of Claim, online and download the official VA PDF free.
VA VA Form 21-4142VA Form 21-4142: Authorization to Disclose Information to the Department of Veterans Affairs
Fill out VA Form 21-4142 online to authorize VA to get your private medical records. Free download of the official PDF.
VA VA Form 21-4142aVA Form 21-4142a: General Release for Medical Provider Information to the Department of Veterans Affairs
Fill out VA Form 21-4142a online to list your medical providers for a VA records request. Free official PDF download.
VA VA Form 21-4192VA Form 21-4192: Request for Employment Information in Connection with Claim for Disability Benefits
Fill out VA Form 21-4192 online, the employer statement for VA Individual Unemployability claims. Free official PDF download.
VA VA Form 21-4502VA Form 21-4502: Application for Automobile or Other Conveyance and Adaptive Equipment
Fill out VA Form 21-4502 online to apply for the VA automobile allowance and adaptive equipment. Free official PDF download.
VA VA Form 21P-509VA Form 21P-509: Statement of Dependency of Parent(s)
Fill out VA Form 21P-509 online to show a parent's dependency for VA benefits. Free download of the official PDF.
VA VA Form 21-674VA Form 21-674: Request for Approval of School Attendance
Fill out VA Form 21-674 online to keep a child aged 18 to 23 on your VA benefits while in school. Free official PDF download.
VA VA Form 21-674bVA Form 21-674b: School Attendance Report
Fill out VA Form 21-674b online to report a dependent student's school attendance to VA. Free download of the official PDF.