Fill and Sign U.S. Department of Veterans Affairs (VA) Forms

The U.S. Department of Veterans Affairs (VA) is one of the fifteen federal executive departments of the United States and governs what is known to be the most comprehensive system of Veterans assistance in the world. The Department was established in 1930 as an exclusively veteran-focused organization and became a cabinet-level agency in 1989.

The main function of the VA is to support veterans after their retirement from military duty. Several primary goals include providing benefits and support and preventing veterans’ homelessness and unemployment. The Department is lead by the Secretary of Veterans Affairs appointed by the president and confirmed by the U.S. Senate and has three sub-administrations within its structure:

  1. The Veterans Health Administration (VHA) is responsible for biomedical research and providing various healthcare to retired military personnel.
  2. The Veterans Benefits Administration (VBA) provides a variety of services including pensions, disability compensation, home loans, insurance as well as educational, burial, and compensation benefits.
  3. The National Cemetery Administration provides burial benefits, memorial services, and maintains VA cemeteries.
  4. The Office of Information and Technology (OI&T) is a sub-division within the VA with a mission to create the best online experience for veterans.

You can contact the Department of Veterans Affairs through their toll-free White House VA Hotline at 1-855-948-2311 or by calling the Vets.gov Help Desk service at 1-855-574-7286. The main headquarters of the VA is located at 810 Vermont Avenue NW., Washington, D.C. 20420.

Popular U.S. Department of Veterans Affairs (VA) Forms

VA Forms issued by the United States Department of Veterans Affairs play a crucial role in transitioning into civilian life after military service. Whether it's accessing VA benefits, applying for the Veterans Identification Card (VIC), amending military records, or post-service employment, Veterans Administration Forms are an essential part of a retiree’s paperwork.

Browse VA Forms by Number

Department of Veteran Affairs Forms are developed for veterans and are supposed to help them apply for different services, assistance programs, and benefits. With these forms, veterans can expect to be provided with high-quality aids, that will be performed with professionalism, commitment, excellence, and respect.

In addition to this, VA Forms can help veterans deal with different situations that can occur while they are applying or receiving benefits. With these documents, filers can provide support towards their previous claims, appeal the decisions they disagree with, appoint representatives, and address other matters.

Browse the full scope of official up-to-date VA Forms sorted by form number by following the links below.

VA Forms — 0-10500

  • VA Form 9, Appeal to Board of Veterans' Appeals;
  • VA Form 21, Application for Accreditation as Service Organization Representative;
  • VA Form 21a, Application for Accreditation as a Claims Agent or Attorney;
  • VA Form 119, Report of Contact ;
  • VA Form 0120, VA Police Officer Pre-Employment Screening Checklist ;
  • VA Form 0220, Your Appellate Rights Relating to our Denial of your Motion for Reconsideration;
  • VA Form 0710, Authorization for Release of Information;
  • VA Form 0730a, Child Care Subsidy Application Form;
  • VA Form 0730b, Child Care Provider Information;
  • VA Form 0730h, VA Child Care Subsidy Program Benefit Payment Request Form;
  • VA Form 0730i, Change in Child Care Provider ;
  • VA Form 0877, Vetbiz Vendor Information Pages Verification Program;
  • VA Form 0896a, Report of Subcontracts to Small and Veteran-Owned Business;
  • VA Form 0904, Your Rights to Appeal the General Counsel's Decision Concerning Fee Agreement;
  • VA Form 1100, Agreement to Pay Indebtedness;
  • VA Form 1107, Request for Repairs, and/or Accessories;
  • VA Form 2130, Inspection Sheet - Prosthetic Dealer;
  • VA Form 2345, Veteran's Request for Prosthetic Socks;
  • VA Form 2346a, Request for Batteries & Accessories;
  • VA Form 2346b, Positive Airway Pressure (PAP) Devices & Supplies;
  • VA Form 2793, Shop Data Sheet (Artificial Limbs);
  • VA Form 3288, Request for and Consent to Release Information from Claimant's Records;
  • VA Form 4107, VA Form 4107VHA, VA Form 4107C, VA Form 4107INS, VA Form 4107VRE ;
  • VA Form 4597, Your Rights to Appeal our Decision;
  • VA Form 4597a, Your Rights to Appeal our Decision Concerning the Reasonableness of Your Fee Agreement;
  • VA Form 4597b, Your Rights to Appeal Decision on Your Motion for Review Clear & Unmistakable;
  • VA Form 4676a, Employee Supplemental Qualifications Statement;
  • VA Form 4939, Complaint of Employment Discrimination ;
  • VA Form 5655, Financial Status Report;
  • VA Form 6298, Architect - Engineer Fee Proposal ;
  • VA Form 8824i, CAATS Contractor Access Request Form;
  • VA Form 10091, FSC Vendor File Request Form ;
  • VA Form 10101, Contractor Production Report;
  • VA Form 10182, Decision Review Request: Board Appeal (Notice of Disagreement).

VA 10-Series Forms

Download the latest VA Forms from our database along with the newest filing procedures and detailed instructions on how to submit over a hundred different types of claims, certificates, and applications. Most publications are available in several formats and provide the option of digital filing. Download, file, and send forms straight from your browser or save to your desktop or mobile device to print, sign, and return.

VA 10-000 — 10-500 Forms

  • VA Form 10-10CG, VA Form 10-10D, VA Form 10-10EC, VA Form 10-10EZ, VA Form 10-10EZR, VA Form 10-10HS, VA Form 10-10M, VA Form 10-10SH;
  • VA Form 10-250, VHA Research Protocol Privacy Review Checklist ;
  • VA Form 10-2511, Authority and Invoice for Travel by Ambulance or Other Hired Vehicle;
  • VA Form 10-252, Authorization to Release Protected Health Information to State/Local Public Health Authorities;
  • VA Form 10-253, VHA Form 253 Ecclesiastical Endorsement for Veterans Affairs Chaplaincy;
  • VA Form 10-2553, Certificate Of Residency;
  • VA Form 10-259, Revocation of Authorization for Release of Individually-Identifiable Health Information;
  • VA Form 10-493, TRICARE Affirmation;
  • VA Form 10-493, TRICARE Affirmation (Spanish);
  • VA Form 10-493a, TRICARE For Life Affirmation;
  • VA Form 10-493a, TRICARE for Life Affirmation (Spanish);
  • VA Form 10-493b, CHAMPVA Benefits Election Affirmation;
  • VA Form 10-583, Claim for Payment of Cost of Unauthorized Medical Services.

VA 10-0000 — 10-0500 Forms

  • VA Form 10-0003K, Employee Incentive Scholarship Program (EISP) Application;
  • VA Form 10-0003K-2, Employee Incentive Scholarship Program (EISP) Agreement;
  • VA Form 10-0094d, Medical Education Affiliation Agreement - School of Dentistry;
  • VA Form 10-0094e, Medical Education Affiliation Agreement - VA Sponsor - Dentistry;
  • VA Form 10-0094f, Dental Education Affiliation Agreement;
  • VA Form 10-0094g, Associated Health Education Affiliation Agreement;
  • VA Form 10-0102, Career Development Application;
  • VA Form 10-0103, Veterans Application for Assistance in Acquiring Home Improvement ;
  • VA Form 10-0137, Directrices Anticipadas De Va Poder Legal Para La Designacion De Agente Para El Cuidado De Salud Y Testamento En Vida;
  • VA Form 10-0137, VA Advance Directive: Durable Power of Attorney for Health Care and Living Will;
  • VA Form 10-0137A, What You Should Know About Advance Directives;
  • VA Form 10-0143, Certification Regarding Drug-Free Workplace;
  • VA Form 10-0143a, Statement of Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973;
  • VA Form 10-0144, Certification Regarding Lobbying;
  • VA Form 10-0144a, Statement of Assurance of Compliance with Equal Opportunity Laws;
  • VA Form 10-0246, Veterans Patient Statement;
  • VA Form 10-0376a, Credentials Transfer Brief;
  • VA Form 10-0379, Ecclesiastical Endorsing Organization Request to Designate Ecclesiastical Endorsing Official;
  • VA Form 10-0381, Civil Rights Discrimination Complaint;
  • VA Form 10-0383, Catastrophically Disabled Veteran Evaluation & Approval;
  • VA Form 10-0386, VHA Choice Approval For Medical Care;
  • VA Form 10-0388, Documents & Information Required for State Home Construction & Acquisition Grant;
  • VA Form 10-0388-1, Documents and Information Required For State Home Construction and Acquisition Grants Initial Application;
  • VA Form 10-0388-10, Cert. of Compliance with Federal Requirements - State Home Construction Grant ;
  • VA Form 10-0388-12, Cert Re Debarment, Suspension, Ineligibility, Voluntary Exclusn-Lower Tier Tran;
  • VA Form 10-0388-13, Documents and Information Required For State Home Construction and Acquistion Grants - Post-Grant Requirements;
  • VA Form 10-0388-14, Checklist of Major Requirements for State Home Construction/Acquisition Grants;
  • VA Form 10-0388-2, Cert. of Compliance w/ the Provisions of Davis-Bacon Act (40 USC 276a to 276a-7);
  • VA Form 10-0388-3, State Home Construction Grant Program Space Program Analysis-Nursing Home & Dom;
  • VA Form 10-0388-4, State Home Construction Grant Program Space Analysis - Adult Day Health Care;
  • VA Form 10-0388-5, Additional Documents and Information Required For State Home Construction and Acquisition Grants Application;
  • VA Form 10-0388-6, Certification of State Matching Funds to Qualify for Group 1 on Priority List ;
  • VA Form 10-0388-7, Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primarily Covered Transactions ;
  • VA Form 10-0388-8, Cert. Re Drug-Free Workplace Requirments for Grantees Other than Individuals;
  • VA Form 10-0388-9, Certification Regarding Lobbying;
  • VA Form 10-0398, Research Protocol Safety Survey;
  • VA Form 10-0400, Request for Veterans Service Organization (VSO) Access to Computer Patient Record System (CPRS) Read Only;
  • VA Form 10-0400a, CPRS Read-Only Rules for VSOs;
  • VA Form 10-0408, VHA Fisher House Application;
  • VA Form 10-0408A, VHA Fisher House or Other Temporary Lodging Application;
  • VA Form 10-0415, VA Geriatrics and Extended Care (GEC) Referral;
  • VA Form 10-0426, Meds By Mail Order Form CHAMPVA;
  • VA Form 10-0430, Application for Assistance for Hiring and Retaining Nurses at State Homes ;
  • VA Form 10-0436, Application for an Off-site Tissue Banking Waiver;
  • VA Form 10-0445, Occupational and Environmental Exposure History;
  • VA Form 10-0454, Military Treatment Facility Referral to VA Liaison;
  • VA Form 10-0455, Clinical Trial Annual Progress Report ;
  • VA Form 10-0455a, Clinical Trial Inclusion/Enrollment Report;
  • VA Form 10-0459, Credentialing Release of Information Authorization;
  • VA Form 10-0460, Request for Prescription Drugs from an Eligible Veteran in a State Home;
  • VA Form 10-0462, Political Activities Fact Sheet and Certification;
  • VA Form 10-0464a, Toxic Embedded Surveillance Center Fragment Collection Form Checklist;
  • VA Form 10-0474, Application for Biospecimen Storage at a For-Profit Institution;
  • VA Form 10-0491, Academic Verification - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491A, Addendum to Application for Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491C, Annual VA Employment or Deferment Verification - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491D, Education Program Completion Notice/Service Obligation Placement - HPSP $ VIOMPSP;
  • VA Form 10-0491E, Evaluation & Recommendation Form - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491F, Health Professional Scholarship Program (HPSP) Agreement;
  • VA Form 10-0491G, APPLICATION Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491H, Notice of Approaching Graduation - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491I, Notice of Change and/or Annual Academic Status - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491J, Request for Deferment for Advanced Education - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491K, VA Scholarship Offer Response - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP);
  • VA Form 10-0491L, VA Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) Agreement;
  • VA Form 10-0491n, Veterans Healing Veterans Medical Access and Education Program Agreement;
  • VA Form 10-0493, Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research.

VA 10-0500 — 10-1000 Forms

  • VA Form 10-0525, Restriction of the Release of Individually-Identifiable Health Information Through eHealth Exchange;
  • VA Form 10-0525a, Restriction of the Release of Individually-Identifiable Health Information Through eHealth Exchange;
  • VA Form 10-0527, Request and Authorization to Release Protected Health Information to the Choice Program;
  • VA Form 10-0539, Assignment of Functional Categories;
  • VA Form 10-0708, Employees Records Clearance;
  • VA Form 10-0998, Your Rights To Seek Further Review of Our HealthCare Benefits Decision;
  • VA Form 10-1023, Information Regarding Possible Claim Against Third Party;
  • VA Form 10-1086, Research Consent Form.

VA 10-1000 — 10-1500 Forms

  • VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA;
  • VA Form 10-1223, Report of Subcommittee on Human Studies;
  • VA Form 10-1245C, VA/Department of Defense Sharing Agreement ;
  • VA Form 10-1313-1, Merit Review Application;
  • VA Form 10-1313-2, Research and Development Program;
  • VA Form 10-1313-3, Research & Development Program - Current Funds & First Year Request;
  • VA Form 10-1313-4, Research & Development Program-Estimated;
  • VA Form 10-1313-5, VA Research & Development Program - Investigator's Biographic Sketch;
  • VA Form 10-1313-6, VA Research and Development Program - Investigator's Biographic Sketch;
  • VA Form 10-1313-7, VA Research & Development Program-Investigator's VA & Non-VA Research Support;
  • VA Form 10-1313-8, Research & Dev. Program-Investigator's Total VA & Non-VA Research/Dev. Support;
  • VA Form 10-1313-10, Research Advisory Group Summary Statement;
  • VA Form 10-1313-11, Rehab Research & Dev. Svc-Scientific Merit Review Board Summary Statement;
  • VA Form 10-1313-13, VHA Research & Development Letter of Intent Cover Page;
  • VA Form 10-1313A, Merit Review Board Summary Sheet;
  • VA Form 10-1314, HSR&D Carer Development Awardee Annual Progress Report;
  • VA Form 10-1394, Application for Adaptive Equip - Motor Vehicle ;
  • VA Form 10-1436, Research and Development Information System Project Data Sheet .

VA 10-2000 — 10-2500 Forms

  • VA Form 10-2065, Funeral Arrangements;
  • VA Form 10-2406, Recommendation for Release of Patient in Home Other Than Patient's Own;
  • VA Form 10-2407, Residential Care Home Program - Sponsor Application;
  • VA Form 10-2409, Patient Agreement with Hospital in Relation to Home Other Than Own;
  • VA Form 10-2410, Agreement to Provide Home Care to Patient;
  • VA Form 10-2478, Veterans Request for Refill of Medication.

VA 10-2500 — 10-3000 Forms

  • VA Form 10-2649A, Interfacility Transfer Form ;
  • VA Form 10-2649B, Provider Certification & Patient Consent for Transfer;
  • VA Form 10-2850, Application for Physicians, Dentists, Podiatrists, Optometrists & Chiropractors;
  • VA Form 10-2850A, Application for Nurses and Nurse Anesthetists;
  • VA Form 10-2850C, Application for Associated Health Occupations;
  • VA Form 10-2850d, Application for Health Professions Trainees.

VA 10-3000 — 10-3500 Forms

  • VA Form 10-3203, Consent for Production and use of Verbal or Written Statements , Photographs, Digital Images , and/or Video or Audio Recordings by VA;
  • VA Form 10-3203a, Informed Consent and Authorization for Third Parties to Produce or Record Statements, Photographs, Digital Images, or Video or Audio Recordings;
  • VA Form 10-3542, Veteran/Beneficiary Claim for Reimbursement of Travel Expenses;
  • VA Form 10-3567, State Home Inspection - Staffing Profile.

VA 10-5000 — 10-6000 Forms


VA 10-6000 — 10-7000 Forms

  • VA Form 10-6001a, Contract Progress Report;
  • VA Form 10-6056A, Lease.

VA 10-7000 — 10-8000 Forms

  • VA Form 10-7055, Application for Voluntary Service ;
  • VA Form 10-7078, Authorization and Invoice for Medical and Hospital Services ;
  • VA Form 10-7959A, CHAMPVA Claim Form;
  • VA Form 10-7959C, CHAMPVA - Other Health Insurance (OHI) Certificate;
  • VA Form 10-7959D, CHAMPVA Potential Liability Claim;
  • VA Form 10-7959E, Claim for Miscellaneous Expenses ;
  • VA Form 10-7959f-1, Foreign Medical Program (FMP) Registration Form;
  • VA Form 10-7959f-2, Claim Cover Sheet – Foreign Medical Program (FMP).

VA 10-8000 — 10-9500 Forms

  • VA Form 10-8678, Application for Annual Clothing Allowance;
  • VA Form 10-9012, Investigational Drug Information Record;
  • VA Form 10-9050, Health Care Personnel Influenza Vaccination Form ;
  • VA Form 10-9054, Medical Education Affiliation Agreement between VA and Institutions with Undergraduate Medical Education (UME);
  • VA Form 10-9055, Graduate Medical Education Affiliation Agreement between VA and Institutions Sponsoring Graduate Medical Education.

VA 10-10000 — 10-10500 Forms

  • VA Form 10-10065, Ethics Consultation Feedback Tool;
  • VA Form 10-10072, Supportive Services for Veteran Families (SSVF) Program Application for Supportive Services Grant;
  • VA Form 10-10072A, Supportive Services for Veteran Families (SSVF) Program Participant Satisfaction Survey ;
  • VA Form 10-10072B, Supportive Services for Veteran Families (SSVF) Program Quarterly Grantee Performance Report;
  • VA Form 10-10072C, Supportive Services for Veteran Families (SSVF) Program Renewal Application for Supportive Services Grant;
  • VA Form 10-10116, Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research;
  • VA Form 10-10118, Designee for Patient Personal Property;
  • VA Form 10-10143g, Non-VA Hospital Emergency Notification;
  • VA Form 10-10145, Department of Veterans Affairs Veterans Health Administration (VHA) Veterans Choice Program Provider Agreement ;
  • VA Form 10-10152, Reimbursement Request for Qualifying Adoption Expenses ;
  • VA Form 10-10154, Employee Incentive Scholarship Program Mobility Agreement;
  • VA Form 10-10163, Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges;
  • VA Form 10-10164, Opt-Out of Sharing Protected Health Information Through Health Information Exchanges;
  • VA Form 10-10171, Veterans Care Agreement ;
  • VA Form 10-10172, Community Care Provider - Request for Service.

VA 20-Series Forms

  • VA Form 20-572, Request for Change of Address/Cancellation of Direct Deposit;
  • VA Form 20-0968, Claim for Reimbursement of Travel Expenses;
  • VA Form 20-0995, Decision Review Request: Supplemental Claim;
  • VA Form 20-0996, Decision Review Request: Higher-level Review;
  • VA Form 20-0998, Your Rights to Seek Further Review of Our Decision;
  • VA Form 20-8206, VA Statement of Assurance of Compliance with Equal Opportunity Laws;
  • VA Form 20-8800, Request for VA Forms and Publications;
  • VA Form 20-10206, Freedom of Information Act (FOIA) or Privacy Act (PA) Request;
  • VA Form 20-10207, Priority Processing Request ;
  • VA Form 20-10208, Document Evidence Submission .

VA 21-Series Forms

  • VA Form 21-22, VA Form 21-22A;
  • VA Form 21-526, VA Form 21-526B, VA Form 21-526C, VA Form 21-526EZ;
  • VA Form 21-527EZ, Application for Pension;
  • VA Form 21-530, Application For Burial Benefits;
  • VA Form 21-534, VA Form 21-534A, VA Form 21-534EZ ;
  • VA Form 21-651, Election of Compensation in Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation from Department of Veterans Affairs;
  • VA Form 21-674, VA Form 21-674B, VA Form 21-674C;
  • VA Form 21-686c, Application Request To Add and/or Remove Dependents;
  • VA Form 21-0304, Application for Benefits for Qualifying Veteran's Child Born with Disabilities;
  • VA Form 21-0307, Award Attachment for Qualifying Veteran's Child Born with Disabilities;
  • VA Form 21-0506, Due Process Rights;
  • VA Form 21-0538, Mandatory Verification of Dependents;
  • VA Form 21-0779, Request for Nursing Home Information in Connection with Claim for Aid and Attendance;
  • VA Form 21-0781, VA Form 21-0781A;
  • VA Form 21-0788, Information Regarding Apportionment of Beneficiary's Award;
  • VA Form 21-0789, Your Rights to Representation and a Hearing;
  • VA Form 21-0819, DoD Referral to Integrated Disability Evaluation System (IDES);
  • VA Form 21-0845, Authorization To Disclose Personal Information To a Third Party;
  • VA Form 21-0966, Intent To File a Claim For Compensation and/or Pension, or Survivors Pension and/or DIC;
  • VA Form 21-0972, Alternate Signer Certification;
  • VA Form 21-2680, Examination for Housebound Status or Permanent Need For Regular Aid and Attend;
  • VA Form 21-4138, Statement in Support of Claim;
  • VA Form 21-4140, Employment Questionnaire ;
  • VA Form 21-4142, VA Form 21-4142A;
  • VA Form 21-4170, Statement of Marital Relationship;
  • VA Form 21-4192, Request for Employment Information in Connection With Claim for Disability Benefits ;
  • VA Form 21-4193, Notice to Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution;
  • VA Form 21-4502, Application for Automobile or Other Conveyance and Adaptive Equipment ;
  • VA Form 21-6898, Application for Amounts on Deposit for Deceased Veteran ;
  • VA Form 21-8760, Additional Info for Vets with Service-Connected Permanent and Total Disabil. (F);
  • VA Form 21-8764, Disability Compensation Award Attachment Important Information (F);
  • VA Form 21-8764a, Disability Compensation Award Under 38 U.S.C. 1151 Important Information (F);
  • VA Form 21-8767, Death Pension Award Attachment (F);
  • VA Form 21-8940, Veteran's Application for Increased Compensation Based on Unemployability;
  • VA Form 21-8951-2, Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances;
  • VA Form 21-8960-1, Certification of School Attendance or Termination;
  • VA Form 21-10210, Lay/Witness Statement.

VA 21P-Series Forms

  • VA Form 21P-509, Statement of Dependency of Parent(s);
  • VA Form 21P-524, Statement of Person Claiming to Have Stood in Relation of Parent;
  • VA Form 21P-527, Income, Net Worth and Employment Statement;
  • VA Form 21P-527EZ, Application for Pension;
  • VA Form 21P-530, VA Form 21P-530A;
  • VA Form 21P-534, VA Form 21P-534A, VA Form 21P-534EZ;
  • VA Form 21P-535, Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable);
  • VA Form 21P-601, Application for Accrued Amounts Due A Deceased Beneficiary;
  • VA Form 21P-0510, Eligibility Verification Report Instructions;
  • VA Form 21P-0510(Spanish), Instrucciones Para El Reporte De Verificacion De Elegibilidad;
  • VA Form 21P-0512s-1, Old Law and Section 306 Eligibility Verification Report (Surviving Spouse);
  • VA Form 21P-0512s-1(Spanish), Solicitud De Verificacion De Elegibilidad Pension;
  • VA Form 21P-0512V-1, Old Law and Section 306 Eligibility Verification Report (Veteran);
  • VA Form 21P-0513-1, Old Law and Section 306 Eligibility Verification Report (Children Only);
  • VA Form 21P-0513-1(Spanish), Reporte De Verificacion Bajo La Vieja Ley Y Seccion 306 (Hijos Unicamente);
  • VA Form 21P-0514-1, DIC Parent's Eligibility Verification Report;
  • VA Form 21P-0514-1(Spanish), Reporte De Verificacion De Elegibilidad Para Padres - DIC 21P-0516-1, Improved Pension Eligibility Verification Report (Veteran With No Children);
  • VA Form 21P-0516-1 (Spanish), Reporte Verificacion De Elegibilidad Para Pension Mejorada (Veterano Sin Hijos);
  • VA Form 21P-0517-1, Improved Pension Eligibility Verification Report (Veteran With Children);
  • VA Form 21P-0517-1(Spanish), Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Veterano Con Hijos);
  • VA Form 21P-0518-1, Improved Pension Eligibility Verification Report (Surviving Spouse With No Children);
  • VA Form 21P-0518-1(Spanish), Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Conyuge Sobreviviente Sin Hijos);
  • VA Form 21P-0519c-1, Improved Pension Eligibility Verification Report (Child or Children);
  • VA Form 21P-0519C-1(Spanish), Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Hijo o Hijos);
  • VA Form 21P-0519s-1, Improved Pension Eligibility Verification Report (Surviving Spouse With Children);
  • VA Form 21P-0519S-1(Spanish), Departamento de Asuntos de Veteranos Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Conyuge Sobreviviente con Hijos);
  • VA Form 21P-0571, Application For Exclusion Of Children's Income;
  • VA Form 21P-0784, Supplemental Income Questionnaire (For Philippine Claims Only);
  • VA Form 21P-0847, Request for Substitution of Claimant upon Death of Claimant;
  • VA Form 21P-0969, Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (DIC) (Attachment to VA Forms 21P-527, 21P-527EZ, 21P-534, and 21P-534EZ);
  • VA Form 21P-1775, Statement of Disappearance;
  • VA Form 21P-4165, Pension Claim Questionnaire for Farm Income ;
  • VA Form 21P-4171, Supporting Statement Regarding Marriage;
  • VA Form 21P-4185, Report of Income from Property or Business;
  • VA Form 21P-4706b, VA Fiduciary's Account; 21P-4706c, Court Appointed Fiduciary's Account;
  • VA Form 21P-4718a, Certificate of Bal. on Deposit and Auth. to Disclose Financial Record;
  • VA Form 21P-8049, Request for Details of Expenses;
  • VA Form 21P-8416, VA Form 21P-8416B;
  • VA Form 21P-8768, Disability Pension Award Attachment;
  • VA Form 21P-8924, Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors);
  • VA Form 21P-8941, REPS Annual Eligibility Report (Under the Provisions of Section 256, Public Law 97-377);
  • VA Form 21P-10194, Legal Summary - Non Service-Connected Pension for Veterans;
  • VA Form 21P-10195, Legal Summary - Accrued Benefits;
  • VA Form 21P-10196, Legal Summary - Burial Benefits, Plot and Internment Allowances, and Transportation Benefits ;
  • VA Form 21P-10197, Legal Summary - Dependency and Indemnity Compensation;
  • VA Form 21P-10198, Legal Summary - Survivors Pension;
  • VA Form 21P-10199, Legal Summary - Survivors Pension, Dependency and Indemnity Compensation, and Accrued Benefits;
  • VA Form 21P-10202, Legal Summary - Parent's Dependency and Indemnity Compensation.

VA 22-Series Forms

  • VA Form 22-0803, Application for Reimbursement of Licensing or Certification Test Fees;
  • VA Form 22-0810, Application for Reimbursement of National Exam Fee ;
  • VA Form 22-0839, Yellow Ribbon Program Agreement (Under Chapter 33 of title 38, U.S.C.);
  • VA Form 22-0848, Application for Rural Relocation Benefit Under the Post - 9/11 GI Bill;
  • VA Form 22-0976, Application for Approval of a Program in a Foreign Country ;
  • VA Form 22-0989, Education Benefit Entitlement Restoration Request Due to School Closure , Program Suspension or Withdrawal;
  • VA Form 22-0993, Request to Opt-Out of Information Sharing with Educational Institutions ;
  • VA Form 22-0997, Application for VET TEC Pilot Program (Training Provider);
  • VA Form 22-1919, Conflicting Interests Certification for Proprietary Schools;
  • VA Form 22-1990, Application for VA Education Benefits;
  • VA Form 22-1990e, Application for Family Member to Use Transferred Benefits ;
  • VA Form 22-1990n, Application for VA Education Benefits Under the National Call to Service (NCS) Program;
  • VA Form 22-1990t, Application for Individualized Tutorial Assistance;
  • VA Form 22-1995, Request for Change of Program or Place of Training;
  • VA Form 22-1999, Enrollment Certification;
  • VA Form 22-1999c, Certificate of Affirmation of Enrollment Agreement - Correspondence Course ;
  • VA Form 22-5281, Application for Refund of Educational Contributions (VEAP, Ch. 32, Title 38, U.S.C.);
  • VA Form 22-5490, Dependents' Application for VA Education Benefits (Under Provisions of chapters 33 and 35, of title 38, U.S.C.);
  • VA Form 22-5495, Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapters 33 and 35, Title 38, U.S.C.);
  • VA Form 22-6553c, Monthly Certification of Flight Training;
  • VA Form 22-6553d-1, Monthly Certification of On-The-Job and Apprenticeship Training;
  • VA Form 22-8597, Fact Sheet on Approval of OJT Programs (F);
  • VA Form 22-8691, Application for Work-Study Allowance;
  • VA Form 22-8692a, Extended Student Work-Study Agreement;
  • VA Form 22-8692b, Student Work-Study Agreement;
  • VA Form 22-8864, Training Agreement for Apprenticeship and Other On-The-Job Training Programs;
  • VA Form 22-8865, Employer's Application to Provide Job Training;
  • VA Form 22-8889, Application for Educational Assistance Test Program Benefits ;
  • VA Form 22-8979, Student Verification of Enrollment;
  • VA Form 22-10201, VET TEC Employment Certification Form;
  • VA Form 22-10204, Housing Relief Request (Colmery Act Sections 107/501);
  • VA Form 22-10219, Department of Veterans Affairs Work Study Work Site Application;
  • VA Form 22-10271, Veteran Rapid Retraining Assistance (VRRAP) Participation Agreement and Acknowledgment.

VA 24-Series Forms

VA 26-Series Forms

  • VA Form 26-421, Equal Employment Opportunity Certification;
  • VA Form 26-0286, VA Loan Summary Sheet;
  • VA Form 26-0503, Federal Collection Policy Notice;
  • VA Form 26-0551, Debt Questionnaire;
  • VA Form 26-0585, VA Advertising Guidelines for Fair Housing ;
  • VA Form 26-0592, Counseling Checklist for Military Homebuyers;
  • VA Form 26-0785, Lender's Staff Appraisal Reviewer (SAR) Application;
  • VA Form 26-0829, Servicer's Staff Appraisal Reviewer (SAR) Application;
  • VA Form 26-0967, Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion ;
  • VA Form 26-0967a, Scoring Criteria for SAH Assistive Technology Grants;
  • VA Form 26-0971, Status of Loan Account - Foreclosure or Other Liquidation;
  • VA Form 26-1802a, HUD/VA Addendum to Uniform Residential Loan Application;
  • VA Form 26-1805, Request for Determination of Reasonable Value (Real Estate);
  • VA Form 26-1814, Batch Transmittal - Loan Code Sheet;
  • VA Form 26-1817, Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses ;
  • VA Form 26-1820, Report and Certification of Loan Disbursement;
  • VA Form 26-1833, Advice Regarding Indebtedness of Obligors on Guaranteed or Insured Loans ;
  • VA Form 26-1839, Compliance Inspection Report;
  • VA Form 26-1849, Escrow Agreement for Postponed Exterior Onsite Improvements;
  • VA Form 26-1852, Description of Materials;
  • VA Form 26-1859, Warranty of Completion of Construction;
  • VA Form 26-1880, Request for A Certificate of Eligibility;
  • VA Form 26-4555, Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant;
  • VA Form 26-4555c, Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing;
  • VA Form 26-6363, Endorsement to Certificate of Reasonable Value;
  • VA Form 26-6381, Application for Assumption Approval and/or Release From Personal Liability to Gov.;
  • VA Form 26-6382, Statement of Purchaser Or Owner Assuming Seller's Loan;
  • VA Form 26-6393, Loan Analysis ;
  • VA Form 26-6681, Application for Fee or Roster Personnel Designation;
  • VA Form 26-6705, Offer to Purchase and Contract of Sale;
  • VA Form 26-6705b, Credit Statement of Prospective Purchaser;
  • VA Form 26-6705d, Addendum to Offer to Purchase and Contract of Sale;
  • VA Form 26-6807, Financial Statement;
  • VA Form 26-6807a, Supplemental Certification for Financial Statement;
  • VA Form 26-6808, Loan Service Report ;
  • VA Form 26-8084, Claim for Repurchase of Loan (Chapter 37, Title 38 U.S.C., 38 CFR 36.4600);
  • VA Form 26-8106, Statement of Veteran Assuming GI Loan (Substitution of Entitlement);
  • VA Form 26-8149, Report of Automatic Manufactured Home and/or Lot Loan;
  • VA Form 26-8261a, Request for Certificate of Veteran Status ;
  • VA Form 26-8497, Request for Verification of Employment;
  • VA Form 26-8497a, Request for Verification of Deposit;
  • VA Form 26-8599, Manufactured Home Warranty (Limited Warranty);
  • VA Form 26-8629, Manufactured Home Loan Claim Under Loan Guaranty ;
  • VA Form 26-8630, Manufactured Home Loan Claim Under Loan Guaranty;
  • VA Form 26-8641a, Computation of Loan Amount for Manufactured Home Unit;
  • VA Form 26-8644, Placement Certificate for Manufactured Home;
  • VA Form 26-8712, Manufactured Home Appraisal Report;
  • VA Form 26-8730, Used Manufactured Home Warranty (Limited Warranty);
  • VA Form 26-8731a, Water-Plumbing Systems Inspection Report (Manufactured Home);
  • VA Form 26-8731b, Electrical Systems Inspection Report (Manufactured Home);
  • VA Form 26-8731c, Fuel and Heating Systems Inspection Report (Manufactured Home);
  • VA Form 26-8736, Application For Authority To Close Loans On An Automatic Basis - Non Supervised Lenders;
  • VA Form 26-8736a, Non-Supervised Lender's Nomination and Recommendation of Credit Underwriter;
  • VA Form 26-8736b, Checklist/Request For Authority To Close Loans On An Automatic Basis - Nonsupervised Lenders;
  • VA Form 26-8791, VA Affirmative Marketing Certification;
  • VA Form 26-8812, VA Equal Opportunity Lender Certification;
  • VA Form 26-8827, Housing Discrimination Complaint;
  • VA Form 26-8844, Financial Counseling Statement;
  • VA Form 26-8923, Interest Rate Reduction Refinancing Loan Worksheet ;
  • VA Form 26-8937, Verification of VA Benefits.

VA 27-Series Forms

  • VA Form 27-0501, Veterans Benefits Timetable;
  • VA Form 27-2008, Application for United States Flag for Burial Purposes.

VA 28-Series Forms

  • VA Form 28-0588, VA Vocational Rehabilitation - Getting Ahead After You Get Out;
  • VA Form 28-1900, Application for Vocational Rehabilitation for Claimants With Service-connected Disabilities;
  • VA Form 28-1902w, Rehabilitation Needs Inventory (RNI);
  • VA Form 28-8832, Education/Vocational Counseling Application;
  • VA Form 28-10212, Chapter 31 Request for Assistance.

VA 29-Series Forms

  • VA Form 29-336, Designation of Beneficiary - Government Life Insurance ;
  • VA Form 29-336a, Supplemental Designation of Beneficiary - Government Life Insurance;
  • VA Form 29-352, Application for Reinstatement (Insurance Lapsed More Than 6 Months);
  • VA Form 29-353, Application for Reinstatement (Non-Medical - Comparative Health Statement);
  • VA Form 29-357, Claim for Disability Insurance - Government Life Insurance;
  • VA Form 29-380, Application For Protection of Commercial Life Insurance Policy ;
  • VA Form 29-389, Notice of Lapse and Application for Reinstatement;
  • VA Form 29-541, Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary;
  • VA Form 29-586, Certification of Change for Correction of Name - Government Life Insurance;
  • VA Form 29-888, Insurance Deduction Authorization ;
  • VA Form 29-0165, VA Matic Enrollment/Change;
  • VA Form 29-0188, Application for Supplemental Service-Disabled Veterans Insurance (SRH);
  • VA Form 29-0309, Direct Deposit Enrollment/Change (For VA Life Insurance Only);
  • VA Form 29-0532-1, VA MATIC Authorization;
  • VA Form 29-0543, Veterans Mortgage Life Insurance (VMLI) Inquiry;
  • VA Form 29-0563, Veterans Mortgage Life Insurance (VMLI) - Change of Address Statement;
  • VA Form 29-0975, Authorization to Disclose Personal Information to a Third Party (Insurance);
  • VA Form 29-1546, Application for Cash Surrender/Application for Policy Loan;
  • VA Form 29-1549, Application for Change of Permanent Plan (Medical);
  • VA Form 29-4125, Claim for One Sum Payment - Government Life Insurance;
  • VA Form 29-4125a, Claim for Monthly Payments - National Service Life Insurance;
  • VA Form 29-4364, Application for Service-Disabled Veterans Insurance;
  • VA Form 29-8485, Applic. for Ordin. Life Ins. Replace. Ins. for Modif. Life Reduced at 65;
  • VA Form 29-8485a, Applic. for Ordinary Life Insurance Replacement Insurance for Modified;
  • VA Form 29-8636, Veterans Mortgage Life Insurance Statement.

VA 40-Series Forms

  • VA Form 40-0241, State Cemetery Data;
  • VA Form 40-0895-10, Certification of Compliance w/Fed Require. State or Tribal Gov't Const. Grants;
  • VA Form 40-0895-13, Certification Regarding Documents and Info. Req. for State Cemetery Constr.;
  • VA Form 40-0895-14, Checklist of Major Requirements for State or Tribal Gov't Cemetery Const. Grants;
  • VA Form 40-0895-15, Cert of Cemetery Maintained in Accordance with Nat'l Cemetery Admin. Stds.;
  • VA Form 40-0895-16, Certification Regarding Plan Preparation (39.32 and 39.82);
  • VA Form 40-0895-17, Certification Regarding Documentation of Grant Accomplishment (39.120);
  • VA Form 40-0895-2, Certification of Compliance with Provisions of the Davis-Bacon Act;
  • VA Form 40-0895-3, State or Tribal Government Cemetery Grants Service Space Program Analysis - Buil;
  • VA Form 40-0895-6, Certification of State or Tribal Government Matching Architectural & Engineering;
  • VA Form 40-0895-7, Certification Regarding Debarment, Suspension, and Other Responsibility Matters;
  • VA Form 40-1330, VA Form 40-1330M;
  • VA Form 40-10007, Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery;
  • VA Form 40-10088, Request for Reimbursement of Casket/Urn;
  • VA Form 40-10190, Funeral Honors Providers Certification Form;
  • VA Form 40-40-0247, Presidential Memorial Certificate Request Form;
  • VA Form 40-40-0895-8, Certification Regarding Drug-Free Workplace Requirements for Grantees;
  • VA Form 40-40-0895-9, Certification Regarding Lobbying 40-40-4970, Request for Disinterment;
  • VA Form 40-40-0895-11, Memo of Agreement for a Grant to Const. or Modify State/Tribal Gov't Vet Cem;
  • VA Form 40-40-0895-12, Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Excl.

Office of Information and Technology (OI&T) Forms

Browse the latest OI&T Forms through this link.


Not what you were looking for? Check out these related tags:

ADVERTISEMENT

Documents:

768

  • Default
  • Name
  • Form number
  • Size

This form is used for verifying the eligibility of veterans under the Old Law and Section 306 for benefits.

This document provides demographic and military service information for individuals associated with the MIRECC (Mental Illness, Research, Education, and Clinical Center) in VISN (Veterans Integrated Service Network) 19.

Use this form if you are a veteran claiming for benefits and wish to have a service organization assist you with your claim by appointing a representative.

This form is used for providing information about child care providers for services related to VA benefits.

This document is for requesting the designation of an Ecclesiastical Endorsing Official from an Ecclesiastical Endorsing Organization.

This Form is used for transferring credentials for individuals in the Department of Veterans Affairs (VA). It helps in ensuring that necessary credentials are transferred accurately and efficiently.

This document is used for applying for medical benefits through the Department of Veterans Affairs (VA). It requires information about the veteran's medical history and diagnoses.

This form is used for submitting a career development application for veterans.

This Form is used for requesting identifying information regarding a veteran from a correspondent.

This document is a checklist used for screening potential police officers for pre-employment in the Veterans Affairs (VA) Police department. It ensures that all necessary requirements and qualifications are met before hiring.

This form is used for collecting and recording data related to state cemeteries.

This form is used for applying for voluntary service in the Veterans Affairs (VA) system.

This document is used for authorizing and invoicing dental outpatient services in the VA healthcare system.

This document is used to determine eligibility for claiming a payment plan, acceptance of a compromise offer, or as debt waiver.

This Form is used for filing a potential liability claim under the CHAMPVA program.

This form is used for requesting time-sharing schedules at VA medical facilities.

This form is used for requesting time sharing at the Armed Forces Recreation Center.

This form is used for patients to agree with a hospital regarding their stay in a home other than their own.

This document is used for filing a civil rights discrimination complaint with the Department of Veterans Affairs.

This document is used for claiming reimbursement for travel expenses by ambulance or other hired vehicle for VA beneficiaries.

This type of document, known as VA Form FL10-341a, is used for conducting an appraisal of an applicant by the Department of Veterans Affairs.

This form is used for requesting repairs or accessories for a VA product or equipment.

This document is used for reporting and documenting incidents that occur in various settings, such as workplaces, schools, or public spaces. It helps provide a consistent format for gathering information about an incident, including date, time, location, descriptions of individuals involved, and details of what happened. The incident report template is an essential tool for ensuring accurate and thorough documentation of incidents for future reference or legal purposes.

This Form is used for veterans to apply for assistance in hiring and retaining nurses at state homes.

Use this form if you are a veteran wishing to appeal to the board after being denied benefits under the VA.

This form is used to apply for a job in the associated healthcare occupations within the Department of Veterans Affairs (VA) and its sub-agencies.

This form is used for individuals to apply for disability benefits related to headaches, including migraine headaches. It is a questionnaire that helps gather information about the severity and impact of the headaches on daily life.

This Form is used for assessing esophageal conditions and determining eligibility for disability benefits. It covers a range of disorders including GERD, hiatal hernia, and other esophageal disorders.

Service members' dependents (spouses and children) should complete this application to apply for the transfer of entitlement of educational benefits based on the service member's military service.

This form is used for general medical information necessary for veterans.

Loading Icon