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
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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 10-0400(2002)
Request for Veterans Service Organization (VSO) Access to Computer Patient Record System (CPRS) Read Only
Official Department of Veterans Affairs 10-0400 for Request for Veterans Service Organization (VSO) Access to Computer Patient Record System (CPRS) Read Only, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0400A(2002)
Computer Patient Record System (CPRS) Read Only Rules of Behavior for Veterans Service Organization (VSO)
Official Department of Veterans Affairs 10-0400A for Computer Patient Record System (CPRS) Read Only Rules of Behavior for Veterans Service Organization (VSO), 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 10-0403B(2002)
Medical Record Data Access List
Official Department of Veterans Affairs 10-0403B for Medical Record Data Access List, 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 10-0430(2017)
Application for Assistance for Hiring and Retaining Nurses at State Homes
Official Department of Veterans Affairs 10-0430 for Application for Assistance for Hiring and Retaining Nurses at State Homes, 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 10-0436(2009)
Application for an Off-Site Tissue Banking Waiver at a Non-Profit or Academic Institution
Official Department of Veterans Affairs 10-0436 for Application for an Off-Site Tissue Banking Waiver at a Non-Profit or Academic Institution, 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 10-0459(2008)
Credentialing Release of Information Authorization
Official Department of Veterans Affairs 10-0459 for Credentialing Release of Information Authorization, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0460(2008)
Request for Prescription Drugs from an Eligible Veteran in a State Home
Official Department of Veterans Affairs 10-0460 for Request for Prescription Drugs from an Eligible Veteran in a State Home, 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.