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 15 of 30
VA Form 10-394(2025)
Subcutaneous Insulin Infusion (SCII) Pump Patient Log
Official Department of Veterans Affairs 10-394 for Subcutaneous Insulin Infusion (SCII) Pump Patient Log, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
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.
VA Form 10-4555B(1998)
Certificate of Medical Feasibility
Official Department of Veterans Affairs 10-4555B for Certificate of Medical Feasibility, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-4790(2009)
Driver Rehabilitation Program Report
Official Department of Veterans Affairs 10-4790 for Driver Rehabilitation Program Report, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-4794(2011)
Audiovisual Data Sheet
Official Department of Veterans Affairs 10-4794 for Audiovisual Data Sheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-493(2016)
TRICARE Affirmation
Official Department of Veterans Affairs 10-493 for TRICARE Affirmation, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-493A(2016)
TRICARE for Life Affirmation
Official Department of Veterans Affairs 10-493A for TRICARE for Life Affirmation, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-493B(2016)
CHAMPVA Benefits Election Affirmation
Official Department of Veterans Affairs 10-493B for CHAMPVA Benefits Election Affirmation, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5018(2015)
Petty Cash Receipt
Official Department of Veterans Affairs 10-5018 for Petty Cash Receipt, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5023(2007)
Receipt for Miscellaneous Collections
Official Department of Veterans Affairs 10-5023 for Receipt for Miscellaneous Collections, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5096(2005)
Request For Service or Article (VCS)- Fillable
Official Department of Veterans Affairs 10-5096 for Request For Service or Article (VCS)- Fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5345(2021)
Request for and Authorization to Release Health Information
Use VA Form 10-5345 to authorize us to share your health information with a non-VA (or third-party) individual or organization.
VA Form 10-5345A(2021)
Individuals' Request for a Copy of Their Own Health Information
Official Department of Veterans Affairs 10-5345A for Individuals' Request for a Copy of Their Own Health Information, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5379A(1991)
Special Pay Agreement
Official Department of Veterans Affairs 10-5379A for Special Pay Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5379E(2001)
Special Pay Computation - Physicians and Dentists
Official Department of Veterans Affairs 10-5379E for Special Pay Computation - Physicians and Dentists, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5392(2016)
Occasional Volunteer Time Sheet
Official Department of Veterans Affairs 10-5392 for Occasional Volunteer Time Sheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5397(2005)
Employee Uniform Allowance Authorization-fill
Official Department of Veterans Affairs 10-5397 for Employee Uniform Allowance Authorization-fill, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5501(1999)
Domiciliary Examination
Official Department of Veterans Affairs 10-5501 for Domiciliary Examination, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5504(2007)
Foreign Travel Request - Briefing Slip
Official Department of Veterans Affairs 10-5504 for Foreign Travel Request - Briefing Slip, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5506(1997)
RECORD OF PATIENT CONDUCT
Official Department of Veterans Affairs 10-5506 for RECORD OF PATIENT CONDUCT, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5548A(2007)
Pacemaker Surveilance - fillable
Official Department of Veterans Affairs 10-5548A for Pacemaker Surveilance - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5588(2021)
State Home Report and Statement of Federal Aid Claimed
Official Department of Veterans Affairs 10-5588 for State Home Report and Statement of Federal Aid Claimed, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5588A(2021)
Claim for Payment for Nursing Home Care Provided to Veterans Awarded Retroactive Service Connection
Official Department of Veterans Affairs 10-5588A for Claim for Payment for Nursing Home Care Provided to Veterans Awarded Retroactive Service Connection, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-6001A(2018)
Contract Progress Report
Official Department of Veterans Affairs 10-6001A for Contract Progress Report, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.