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 19 of 27
VA Form 10-2804C(2008)
Acrylic Laboratory Prescription
Official Department of Veterans Affairs 10-2804C for Acrylic Laboratory Prescription, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2815(2007)
Temporary Receipt for Funds - fillable
Official Department of Veterans Affairs 10-2815 for Temporary Receipt for Funds - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2817(2007)
Special Meal Ticket - fillable
Official Department of Veterans Affairs 10-2817 for Special Meal Ticket - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2850E(2023)
APPRAISAL OF APPLICANT
Official Department of Veterans Affairs 10-2850E for APPRAISAL OF APPLICANT, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2917(2005)
Daily Assignment Nursing Unit Personnel
Official Department of Veterans Affairs 10-2917 for Daily Assignment Nursing Unit Personnel, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-301(2025)
IRS/SSA Veteran Reported Income
Official Department of Veterans Affairs 10-301 for IRS/SSA Veteran Reported Income, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-302(2025)
IRS/SSA Spouse Reported Income
Official Department of Veterans Affairs 10-302 for IRS/SSA Spouse Reported Income, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-303(2025)
Declaration of Representative
Official Department of Veterans Affairs 10-303 for Declaration of Representative, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-304(2025)
Waiver Statement
Official Department of Veterans Affairs 10-304 for Waiver Statement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-305(2025)
VA Form 10-305 Your Rights to Seek Further Review of PCAFC Decisions
Official Department of Veterans Affairs 10-305 for VA Form 10-305 Your Rights to Seek Further Review of PCAFC Decisions, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-306(2025)
Request for Information (PCAFC Decisions)
Official Department of Veterans Affairs 10-306 for Request for Information (PCAFC Decisions), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-307(2021)
Notice of Disagreement (PCAFC Decisions)
Official Department of Veterans Affairs 10-307 for Notice of Disagreement (PCAFC Decisions), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-313(2022)
VHA NATIONAL FORMULARY REQUEST FOR FORMULARY REVIEW FORM FOR ADDITION OR REMOVAL REQUESTS BY VHA LEADERSHIP
Official Department of Veterans Affairs 10-313 for VHA NATIONAL FORMULARY REQUEST FOR FORMULARY REVIEW FORM FOR ADDITION OR REMOVAL REQUESTS BY VHA LEADERSHIP, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-314(2025)
REQUEST FOR PAYMENT OF BOWEL AND BLADDER SERVICES
Official Department of Veterans Affairs 10-314 for REQUEST FOR PAYMENT OF BOWEL AND BLADDER SERVICES, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-3213B(2009)
REQUEST AND ENGINEERING WORK ORDER
Official Department of Veterans Affairs 10-3213B for REQUEST AND ENGINEERING WORK ORDER, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-322(2024)
Clinical Determinations and Indications Question Submission Form
Official Department of Veterans Affairs 10-322 for Clinical Determinations and Indications Question Submission Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-329(2028)
COATS-SNOWE NOTIFICATION OF OPT OUT FORM PROCESSING OPTING OUT OF FUNCTIONS RELATED TO INDUCED ABORTIONS
Official Department of Veterans Affairs 10-329 for COATS-SNOWE NOTIFICATION OF OPT OUT FORM PROCESSING OPTING OUT OF FUNCTIONS RELATED TO INDUCED ABORTIONS, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-334(2023)
VA Form - Tribal Documentation Form
Use VA Form 10-334 to request a copay exemption if you're an eligible American Indian or Alaska Native Veteran. Find out if you're eligible for a VA health care copay exemption
VA Form 10-376(2023)
CARDIAC PRE-OPERATIVE EVALUATION/RISK STRATIFICATION REQUEST
Official Department of Veterans Affairs 10-376 for CARDIAC PRE-OPERATIVE EVALUATION/RISK STRATIFICATION REQUEST, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-380(2025)
VCAP Child Registration Intake Form
Official Department of Veterans Affairs 10-380 for VCAP Child Registration Intake Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-381(2025)
VCAP Appointment Certification Form
Official Department of Veterans Affairs 10-381 for VCAP Appointment Certification Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-3884B(2015)
Automated Exchange of Beneficiary Information and Request for Eligibility Data
Official Department of Veterans Affairs 10-3884B for Automated Exchange of Beneficiary Information and Request for Eligibility Data, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-390(2024)
VHA Fraud, Waste, and Abuse Complaint Form
Use this form to report potential health-care fraud, waste, or abuse in VA programs.
VA Form 10-4236A(2018)
Certificate of Reciprocity
Official Department of Veterans Affairs 10-4236A for Certificate of Reciprocity, 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.