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 10-10065(2016)
Ethics Consultation Feedback Tool
Official Department of Veterans Affairs 10-10065 for Ethics Consultation Feedback Tool, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10068(2025)
Camp Lejeune Family Member Program Application
Use VA Form 10-10068 to apply for health care benefits through the Camp Lejeune Family Member Program.
VA Form 10-10068A(2025)
Camp Lejeune Family Member Program Claim Form
Use VA Form 10-10068a to file a claim through the Camp Lejeune Family Member Program.
VA Form 10-10068B(2025)
Camp Lejeune Family Member Program Treating Physician Report
Use VA Form 10-10068b to provide a report from your health care provider when you apply to the Camp Lejeune Family Member Program.
VA Form 10-10068C(2025)
Camp Lejeune Family Member Program Information Update Form (VA form 10-10068c)
If you're enrolled in the Camp Lejeune Family Member Program, use VA form 10-10068c to update your contact information or health care coverage.
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 10-10116(2015)
Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research
Official Department of Veterans Affairs 10-10116 for Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related...
VA Form 10-10116C(2016)
Health Care For Homeless Veterans (HCHV) Contracted Residential Services (CRS) Action Sheet
Official Department of Veterans Affairs 10-10116C for Health Care For Homeless Veterans (HCHV) Contracted Residential Services (CRS) Action Sheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10118(2014)
Designee for Patient Personal Property
Official Department of Veterans Affairs 10-10118 for Designee for Patient Personal Property, 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 10-10145(2016)
Veterans Health Administration (VHA) Veterans Choice Program Provider Agreement
Official Department of Veterans Affairs 10-10145 for Veterans Health Administration (VHA) Veterans Choice Program Provider Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10152(2023)
Reimbursement Request for Qualifying Adoption Expenses
Official Department of Veterans Affairs 10-10152 for Reimbursement Request for Qualifying Adoption Expenses, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
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 10-10163(2021)
Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges
Official Department of Veterans Affairs 10-10163 for Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10164(2020)
Opt-Out of Sharing Protected Health Information Through Health Information Exchanges
Official Department of Veterans Affairs 10-10164 for Opt-Out of Sharing Protected Health Information Through Health Information Exchanges, 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 10-10171(2019)
Veterans Health Administration (VHA) Veterans Care Agreement
Official Department of Veterans Affairs 10-10171 for Veterans Health Administration (VHA) Veterans Care Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10171-NH(2021)
Veterans Care Agreements - Nursing Home
Official Department of Veterans Affairs 10-10171-NH for Veterans Care Agreements - Nursing Home, 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.