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
Page 16 of 27
VA Form 10-10072(2013)
Supportive Services for Veteran Families (SSVF) Program-Application for Supportive Services Grant
Official Department of Veterans Affairs 10-10072 for Supportive Services for Veteran Families (SSVF) Program-Application for Supportive Services Grant, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10072A(2011)
Supportive Services for Veteran Families (SSVF) Program-Participant Satisfaction Survey
Official Department of Veterans Affairs 10-10072A for Supportive Services for Veteran Families (SSVF) Program-Participant Satisfaction Survey, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10072B(2011)
Supportive Services for Veteran Families (SSVF) Program-Quarterly Grantee Performance Report
Official Department of Veterans Affairs 10-10072B for Supportive Services for Veteran Families (SSVF) Program-Quarterly Grantee Performance Report, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10072C(2012)
Supportive Services for Veteran Families (SSVF) Program-Renewal Application for Supportive Services Grant
Official Department of Veterans Affairs 10-10072C for Supportive Services for Veteran Families (SSVF) Program-Renewal Application for Supportive Services Grant, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10115C(2021)
HCHV CONTRACT RESIDENTIAL SERVICES (CRS) ACTION FORM
Official Department of Veterans Affairs 10-10115C for HCHV CONTRACT RESIDENTIAL SERVICES (CRS) ACTION FORM, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10143G(2020)
Non-VA Hospital Emergency Notification
Non-VA health care facilities can fill out and return this form to VA when a Veteran presents emergently at your facility.
VA Form 10-10154(2017)
Employee Incentive Scholarship Program-Mobility Agreement
Official Department of Veterans Affairs 10-10154 for Employee Incentive Scholarship Program-Mobility Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10169(2019)
Volunteer Consent Form
Official Department of Veterans Affairs 10-10169 for Volunteer Consent Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10172(2025)
Community Care Provider-Request for Service
Official Department of Veterans Affairs 10-10172 for Community Care Provider-Request for Service, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10173(2020)
Veterans Grant Program Grant Agreement
Official Department of Veterans Affairs 10-10173 for Veterans Grant Program Grant Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10176(2025)
Environmental Hazard Registry (EHR) Worksheet
Official Department of Veterans Affairs 10-10176 for Environmental Hazard Registry (EHR) Worksheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1023(2007)
Information Regarding Possible Claim Against Third Party
Official Department of Veterans Affairs 10-1023 for Information Regarding Possible Claim Against Third Party, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10230A(2022)
Undue hardship review
Official Department of Veterans Affairs 10-10230A for Undue hardship review, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1054C(2015)
Selective Menu-Modified Diet
Official Department of Veterans Affairs 10-1054C for Selective Menu-Modified Diet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1054G(2022)
Selective Menu-Modified Diet (Gray)
Official Department of Veterans Affairs 10-1054G for Selective Menu-Modified Diet (Gray), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1086(2006)
Research Consent Form
Official Department of Veterans Affairs 10-1086 for Research Consent Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10CG(S)(2025)
SOLICITUD PARA EL PROGRAMA DE ASISTENCIA INTEGRAL PARA CUIDADORES FAMILIARES - INSTRUCCIONES
Official Department of Veterans Affairs 10-10CG(S) for SOLICITUD PARA EL PROGRAMA DE ASISTENCIA INTEGRAL PARA CUIDADORES FAMILIARES - INSTRUCCIONES, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10CG(T)(2025)
APPLICATION PARA SA PROGRAMA NG KOMPREHENSIBONG TULONG PARA SA MGA TAGAPAG-ALAGA NG PAMILYA - MGA INSTRUKSYON
Official Department of Veterans Affairs 10-10CG(T) for APPLICATION PARA SA PROGRAMA NG KOMPREHENSIBONG TULONG PARA SA MGA TAGAPAG-ALAGA NG PAMILYA - MGA INSTRUKSYON, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10EC(2017)
Application for Extended Care Services
Official Department of Veterans Affairs 10-10EC for Application for Extended Care Services, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10HS(2021)
Request for Hardship Determination
Official Department of Veterans Affairs 10-10HS for Request for Hardship Determination, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1170(2006)
Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs
Official Department of Veterans Affairs 10-1170 for Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1223(2005)
Report of Subcommittee on Human Studies
Official Department of Veterans Affairs 10-1223 for Report of Subcommittee on Human Studies, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1245C(2011)
VA/Department of Defense Sharing Agreement
Official Department of Veterans Affairs 10-1245C for VA/Department of Defense Sharing Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-1274A(2008)
Inquiry On Availability Of An Instrument From VA Research Equipment Quick Use In
Official Department of Veterans Affairs 10-1274A for Inquiry On Availability Of An Instrument From VA Research Equipment Quick Use In, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
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.