Benefits Forms
Browse official and fillable benefits PDFs. Open a form to fill it online, download a blank copy, or print it for filing.
Find the right benefits form
Benefits forms are commonly used by people and teams preparing official paperwork. This hub organizes 641 fillable PDFs so you can find the right document, fill it online, download a blank copy, and keep a record for filing.
Filing checklist
- Open the form detail page and verify the agency, year, revision date, and source link.
- Read the official instructions before submitting the completed form.
- Check the issuing authority, form number, revision label, and any filing instructions before submitting.
- Keep a copy of the completed PDF and any confirmation receipt from the official filing channel.
641 Benefits Forms
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VA Form 10-0396(2015)
Special Rates Evaluation Worksheet
Official Department of Veterans Affairs 10-0396 for Special Rates Evaluation Worksheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0397A(2015)
Virtual Learning Center Personal Profiles
Official Department of Veterans Affairs 10-0397A for Virtual Learning Center Personal Profiles, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0398(2002)
Research Protocol Safety Survey
Official Department of Veterans Affairs 10-0398 for Research Protocol Safety Survey, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0403(2008)
Responsible Requestor and Project Information Sheet- Fillable
Official Department of Veterans Affairs 10-0403 for Responsible Requestor and Project Information Sheet- Fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0403A(2002)
Data Use Agreement
Official Department of Veterans Affairs 10-0403A for Data Use Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0408(2005)
VHA Fisher House Application
Official Department of Veterans Affairs 10-0408 for VHA Fisher House Application, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0422(2004)
VAMC Checklist for Waiver Requests
Official Department of Veterans Affairs 10-0422 for VAMC Checklist for Waiver Requests, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0426(2016)
Meds by Mail Order Form
Official Department of Veterans Affairs 10-0426 for Meds by Mail Order Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0432A(2020)
Market Pay Review and Approval Form
Official Department of Veterans Affairs 10-0432A for Market Pay Review and Approval Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0440(2006)
Weekly Pressure Ulcer Report - fillable
Official Department of Veterans Affairs 10-0440 for Weekly Pressure Ulcer Report - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0445(2006)
Occupational and Environment Exposure History
Official Department of Veterans Affairs 10-0445 for Occupational and Environment Exposure History, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0451(2008)
CONFLICT OF INTEREST DISCLOSURE FORM
Official Department of Veterans Affairs 10-0451 for CONFLICT OF INTEREST DISCLOSURE FORM, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0453(2018)
Screening Checklist (Appointee)- fillable
Official Department of Veterans Affairs 10-0453 for Screening Checklist (Appointee)- fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0454(2017)
Military Treatment Facility Referral to VA Liaison
Official Department of Veterans Affairs 10-0454 for Military Treatment Facility Referral to VA Liaison, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0455(2007)
Clinical Trial Annual Progress Report
Official Department of Veterans Affairs 10-0455 for Clinical Trial Annual Progress Report, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0455A(2008)
Clinical Trial Inclusion/Enrollment Report
Official Department of Veterans Affairs 10-0455A for Clinical Trial Inclusion/Enrollment Report, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0462(2008)
Political Activities Fact Sheet and Certification
Official Department of Veterans Affairs 10-0462 for Political Activities Fact Sheet and Certification, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0464A(2020)
Toxic Embedded Surveillance Center Fragment Collection Form Checklist
Official Department of Veterans Affairs 10-0464A for Toxic Embedded Surveillance Center Fragment Collection Form Checklist, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0474(2011)
Application for Biospecimen Storage at a For-Profit Institution
Official Department of Veterans Affairs 10-0474 for Application for Biospecimen Storage at a For-Profit Institution, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0477(2009)
EEO Program Manager Designation Form
Official Department of Veterans Affairs 10-0477 for EEO Program Manager Designation Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0491L(2020)
VA Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) Agreement
Official Department of Veterans Affairs 10-0491L for VA Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0539(2026)
Assignment of Functional Categories
Official Department of Veterans Affairs 10-0539 for Assignment of Functional Categories, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10065(2016)
Ethics Consultation Feedback Tool
Official Department of Veterans Affairs 10-10065 for Ethics Consultation Feedback Tool, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10068C(2025)
Camp Lejeune Family Member Program Information Update Form (VA form 10-10068c)
If you're enrolled in the Camp Lejeune Family Member Program, use VA form 10-10068c to update your contact information or health care coverage.
Common mistakes to avoid
- Using an outdated edition when the issuing authority has published a newer version.
- Leaving signature, date, identification number, or required attachment fields blank.
- Submitting the completed form to the wrong agency, department, or upload portal.