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VA Form 10-3542: Veteran/Beneficiary Claim for Reimbursement of Travel Expenses

VA Form 10-3542 is the paper claim for the Beneficiary Travel program, which reimburses eligible Veterans and other beneficiaries for travel to and from VA health care appointments.

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What is VA Form 10-3542?

The Beneficiary Travel program pays mileage at VA's current rate and can reimburse certain other expenses, such as tolls and parking, for eligible Veterans traveling to VA or VA-authorized care. Eligibility generally depends on factors like service-connected disability rating, income, or traveling for specific types of care.

VA Form 10-3542 records the trip details: the appointment, the addresses traveled between, and the expenses claimed. Most travelers can file the same claim online through the Beneficiary Travel Self Service System (BTSSS) instead of using paper, and VA encourages direct deposit for faster payment.

Who files VA Form 10-3542?

Veterans with qualifying service-connected ratings traveling to VA health care appointments
Veterans whose income falls below the applicable VA travel eligibility threshold
Non-Veteran beneficiaries, such as certain caregivers or CHAMPVA beneficiaries, when authorized for travel benefits
Attendants accompanying an eligible Veteran when VA has approved attendant travel

How to fill out VA Form 10-3542

Keep receipts for tolls, parking, or other claimed expenses, and note the date and facility of your appointment.
Complete the traveler information, appointment details, and the addresses you traveled between.
List mileage and any other expenses you are claiming.
Sign and date the certification.
Submit the claim online through BTSSS at VA.gov, or turn in the paper form to the Beneficiary Travel office at the VA facility where you received care. File promptly; travel claims generally must be submitted within 30 days of the trip, so check the current deadline on VA.gov.

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Page 1 25 fields

For V H A. Use Only. FACILITY I D.

For V H A. Use Only. CLAIM RECEIVED DATE. Enter 2 digit month, 2 digit day and 4 digit year.

SECTION A. TRAVELER'S INFORMATION. 1. A. NAME OF PERSON CLAIMING TRAVEL REIMBURSEMENT (Last, First, Middle).

1. B. CLAIMANT'S SOCIAL SECURITY NUMBER. Enter 9 digit social security number.

1. C. CLAIMANT'S DATE OF BIRTH. Enter 2 digit month, 2 digit day and 4 digit year.

2. A. CLAIMANT'S STATUS (check one) (Complete 3. A., 3. B., 3. C. and 3. D. if Caregiver, Attendant or Donor is checked). VETERAN.

2. A. Specify Other.

3. A. NAME OF VETERAN (Last, First, Middle).

3. B. VETERAN'S SOCIAL SECURITY NUMBER. Enter 9 digit social security number.

3. C. VETERAN'S DATE OF BIRTH. Enter 2 digit month, 2 digit day and 4 digit year.

SECTION B. TRIP INFORMATION. 1. A. I AM CLAIMING TRAVEL REIMBURSEMENT FROM ADDRESS (Street, City, State, Zip).

1. B. DATE TRIP BEGAN. Enter 2 digit month, 2 digit day and 4 digit year.

1. C. TRAVEL BY (e. g., car, train, bus, taxi).

2. A. I AM CLAIMING RETURN TRAVEL REIMBURSEMENT TO THE ADDRESS IN SECTION B. 1. A. ABOVE. YES.

2. A. If "NO," provide the Street, City, State, Zip below.

2. B. DATE TRIP ENDED. Enter 2 digit month, 2 digit day and 4 digit year.

2. C. TRAVEL BY (e. g., car, train, bus, taxi).

3. I AM CLAIMING REIMBURSEMENT OF EXPENSES OTHER THAN MILEAGE, SUCH AS TOLLS, PARKING, LODGING, MEALS. YES (If "YES," itemize expenses

3. A. Itemized expenses for reimbursement.

3. B. Itemized expenses for reimbursement.

3. C. Itemized expenses for reimbursement.

3. D. Itemized expenses for reimbursement.

4. TREATING FACILITY NAME (V. A. or Non-V. A. location).

5. TREATING FACILITY ADDRESS (Optional).

DATE. Enter 2 digit month, 2 digit day and 4 digit year.

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Frequently asked questions

How long do I have to file a VA travel claim?

Beneficiary travel mileage claims generally must be filed within 30 days of the appointment or travel. Deadlines can differ for some claim types, so confirm the current rule on VA.gov or with your facility's travel office.

Do I have to use the paper form?

No. Most people file through the Beneficiary Travel Self Service System (BTSSS), reached through VA.gov, which is usually faster. The paper 10-3542 remains available if you cannot or prefer not to file online.

Is there a deductible on travel reimbursement?

VA applies a small per-trip deductible with a monthly cap for many mileage claims, though some travelers and trip types are exempt. Check the current deductible amounts on the VA travel pay pages before estimating your reimbursement.

VA Form 10-3542: Veteran/Beneficiary Claim for Reimbursement of Travel Expenses

What is VA Form 10-3542?

Who files VA Form 10-3542?

How to fill out VA Form 10-3542

Quick fill VA Form 10-3542 on this page

Frequently asked questions

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