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VA Veterans Forms

Official-source Department of Veterans Affairs forms for benefits, healthcare, education, disability, and records requests.

703 fillable formsOfficial source linksUpdated May 14, 2026

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 9 of 30

VA Form 10-10176(2025)

Environmental Hazard Registry (EHR) Worksheet

Official Department of Veterans Affairs 10-10176 for Environmental Hazard Registry (EHR) Worksheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1023(2007)

Information Regarding Possible Claim Against Third Party

Official Department of Veterans Affairs 10-1023 for Information Regarding Possible Claim Against Third Party, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10230A(2022)

Undue hardship review

Official Department of Veterans Affairs 10-10230A for Undue hardship review, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1054C(2015)

Selective Menu-Modified Diet

Official Department of Veterans Affairs 10-1054C for Selective Menu-Modified Diet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1054G(2022)

Selective Menu-Modified Diet (Gray)

Official Department of Veterans Affairs 10-1054G for Selective Menu-Modified Diet (Gray), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1086(2006)

Research Consent Form

Official Department of Veterans Affairs 10-1086 for Research Consent Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10CG(2024)

Application for Comprehensive Assistance for Family Caregivers Program

Use VA Form 10-10CG to apply for the Program of Comprehensive Assistance for Family Caregivers. Each time a new caregiver is appointed, a new VA Form 10-10CG is required.

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VA Form 10-10CG(S)(2025)

SOLICITUD PARA EL PROGRAMA DE ASISTENCIA INTEGRAL PARA CUIDADORES FAMILIARES - INSTRUCCIONES

Official Department of Veterans Affairs 10-10CG(S) for SOLICITUD PARA EL PROGRAMA DE ASISTENCIA INTEGRAL PARA CUIDADORES FAMILIARES - INSTRUCCIONES, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10CG(T)(2025)

APPLICATION PARA SA PROGRAMA NG KOMPREHENSIBONG TULONG PARA SA MGA TAGAPAG-ALAGA NG PAMILYA - MGA INSTRUKSYON

Official Department of Veterans Affairs 10-10CG(T) for APPLICATION PARA SA PROGRAMA NG KOMPREHENSIBONG TULONG PARA SA MGA TAGAPAG-ALAGA NG PAMILYA - MGA INSTRUKSYON, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10D(2025)

Application for CHAMPVA Benefits

If you're the spouse or child of a Veteran with disabilities, or the surviving spouse or child of a Veteran who has died, use VA Form 10-10d to apply for health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs).

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VA Form 10-10EC(2017)

Application for Extended Care Services

Official Department of Veterans Affairs 10-10EC for Application for Extended Care Services, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10EZ-S(2025)

Application For Health Benefits- Spanish

Official Department of Veterans Affairs 10-10EZ-S for Application For Health Benefits- Spanish, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10EZR(2025)

Health Benefits Update Form

Use VA Form 10-10EZR if you already receive VA health care benefits, and you need to update your personal, insurance, financial, or military service history information.

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VA Form 10-10EZR-S(2025)

Health Benefits Update Form- Spanish

Official Department of Veterans Affairs 10-10EZR-S for Health Benefits Update Form- Spanish, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10HS(2021)

Request for Hardship Determination

Official Department of Veterans Affairs 10-10HS for Request for Hardship Determination, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10M(2016)

Medical Certificate

Official Department of Veterans Affairs 10-10M for Medical Certificate, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-10SH(2021)

State Home Program Application for Veteran Care Medical Certification

Official Department of Veterans Affairs 10-10SH for State Home Program Application for Veteran Care Medical Certification, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1170(2006)

Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs

Official Department of Veterans Affairs 10-1170 for Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1223(2005)

Report of Subcommittee on Human Studies

Official Department of Veterans Affairs 10-1223 for Report of Subcommittee on Human Studies, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1245C(2011)

VA/Department of Defense Sharing Agreement

Official Department of Veterans Affairs 10-1245C for VA/Department of Defense Sharing Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1274A(2008)

Inquiry On Availability Of An Instrument From VA Research Equipment Quick Use In

Official Department of Veterans Affairs 10-1274A for Inquiry On Availability Of An Instrument From VA Research Equipment Quick Use In, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1313-1(2006)

Merit Review Application

Official Department of Veterans Affairs 10-1313-1 for Merit Review Application, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1313-10(1990)

Research Advisory Group Summary Statement

Official Department of Veterans Affairs 10-1313-10 for Research Advisory Group Summary Statement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 10-1313-11(1987)

Rehabilitation Research and Development Service-Scientific Merit Review Board Summary Statement

Official Department of Veterans Affairs 10-1313-11 for Rehabilitation Research and Development Service-Scientific Merit Review Board Summary Statement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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