VA Veterans Forms
Official-source Department of Veterans Affairs forms for benefits, healthcare, education, disability, and records requests.
Use current official-source forms
These pages prioritize forms with government or issuing-authority sources, source links, PDF workflows, and clear filing context. Always confirm final filing rules, fees, and submission channels with the official source.
Before filing
- Confirm the VA form edition and benefit program before filing.
- Attach service records, medical evidence, dependency records, or authorization documents when required.
- Save a complete copy of the submission packet for follow-up.
703 VA Forms
Page 11 of 30
VA Form 10-2382(1999)
Certification of Inpatient/Outpatient Visit
Official Department of Veterans Affairs 10-2382 for Certification of Inpatient/Outpatient Visit, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2406(2003)
Recommendation for Release of Patient in Home Other Than Patient's Own
Official Department of Veterans Affairs 10-2406 for Recommendation for Release of Patient in Home Other Than Patient's Own, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2407(2025)
Residential Care Home Program Sponsor Application
Official Department of Veterans Affairs 10-2407 for Residential Care Home Program Sponsor Application, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2409(1997)
Patient's Agreement with Hospital in Relation to Home Other Than His Own
Official Department of Veterans Affairs 10-2409 for Patient's Agreement with Hospital in Relation to Home Other Than His Own, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2410(1997)
Agreement to Provide Home Care for Patient
Official Department of Veterans Affairs 10-2410 for Agreement to Provide Home Care for Patient, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2421(2007)
Prosthetic Authorization for Items or Services
Official Department of Veterans Affairs 10-2421 for Prosthetic Authorization for Items or Services, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2431(2008)
Request for Prosthetic Services - fillable
Official Department of Veterans Affairs 10-2431 for Request for Prosthetic Services - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2478(2006)
Veterans Request for Refill of Medications and/or Medical Supplies
Official Department of Veterans Affairs 10-2478 for Veterans Request for Refill of Medications and/or Medical Supplies, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2478A(1978)
Notice About Your Refill Request - fillable
Official Department of Veterans Affairs 10-2478A for Notice About Your Refill Request - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2479C(2011)
Request for Web Survey or Form Number - fillable
Official Department of Veterans Affairs 10-2479C for Request for Web Survey or Form Number - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-250(2019)
VHA Research Protocol Privacy Review Checklist
Official Department of Veterans Affairs 10-250 for VHA Research Protocol Privacy Review Checklist, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2501(2009)
Prosthetic Service Card
Official Department of Veterans Affairs 10-2501 for Prosthetic Service Card, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-252(2020)
Authorization to Release Protected Health Information to State/Local Public Health Authorities
Official Department of Veterans Affairs 10-252 for Authorization to Release Protected Health Information to State/Local Public Health Authorities, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2520(2008)
Prosthetic Service Card Invoice
Official Department of Veterans Affairs 10-2520 for Prosthetic Service Card Invoice, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-253(2020)
Ecclesiastical Endorsement for Veterans Affairs Chaplaincy
Official Department of Veterans Affairs 10-253 for Ecclesiastical Endorsement for Veterans Affairs Chaplaincy, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2553(2019)
Certificate of Residency
Official Department of Veterans Affairs 10-2553 for Certificate of Residency, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2553A(2019)
Certificate of Internship
Official Department of Veterans Affairs 10-2553A for Certificate of Internship, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2570(2007)
VA Staff Dental Outpatient Record
Official Department of Veterans Affairs 10-2570 for VA Staff Dental Outpatient Record, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2570G(2015)
Dental Outpatient Emergency-Referral & Treatment - Order from SDC #F04736
Official Department of Veterans Affairs 10-2570G for Dental Outpatient Emergency-Referral & Treatment - Order from SDC #F04736, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-259(2021)
Revocation of Authorization for Release of Release of Individually-Identifiable Health Information
Official Department of Veterans Affairs 10-259 for Revocation of Authorization for Release of Release of Individually-Identifiable Health Information, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2596(1996)
Identification Tag
Official Department of Veterans Affairs 10-2596 for Identification Tag, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2614D-2A(1992)
Report of Seizure - Medical Record
Official Department of Veterans Affairs 10-2614D-2A for Report of Seizure - Medical Record, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2614D-3A(2000)
Medical Record Allergy Treatment
Official Department of Veterans Affairs 10-2614D-3A for Medical Record Allergy Treatment, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-2614F(1970)
Weight Chart (Clinical Record)
Official Department of Veterans Affairs 10-2614F for Weight Chart (Clinical Record), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.