PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
VA Form 10-10EZ
for the current year.
VA Form 10-10EZ Application for Health Benefits
What Is VA Form 10-10EZ?
This is a legal form that was released by the U.S. Department of Veterans Affairs on April 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is VA Form 10-10EZ?
A: VA Form 10-10EZ is an application for health benefits through the Veterans Affairs (VA) system.
Q: Who can use VA Form 10-10EZ?
A: Veterans who are eligible for VA health care benefits can use VA Form 10-10EZ.
Q: What is the purpose of VA Form 10-10EZ?
A: The purpose of VA Form 10-10EZ is to apply for health benefits and provide necessary information about your military service and medical history.
Q: What documents do I need to fill out VA Form 10-10EZ?
A: You will need your Social Security Number, information about any health insurance you have, and details about your military service and discharge.
Form Details:
- Released on April 1, 2017;
- The latest available edition released by the U.S. Department of Veterans Affairs;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of VA Form 10-10EZ by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.
Download VA Form 10-10EZ Application for Health Benefits
1
2
3
4
5
