Forms Library

Official Department of Veterans Affairs 10-0493 for 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 workflows.

Official Department of Veterans Affairs 10-0525 for Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-0525A for Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-0527 for Request and Authorization to Release Protected Health Information to the Choice/PC3 Program, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-0539 for Assignment of Functional Categories, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-0708 for Employees Records Clearance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-0998 for Your Rights to Seek Further Review of Our Healthcare Benefits Decision, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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.

Use VA Form 10-10068 to apply for health care benefits through the Camp Lejeune Family Member Program.

Use VA Form 10-10068a to file a claim through the Camp Lejeune Family Member Program.

Use VA Form 10-10068b to provide a report from your health care provider when you apply to the Camp Lejeune Family Member Program.

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.

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.

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.

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.

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.

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.

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...

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.

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.

Non-VA health care facilities can fill out and return this form to VA when a Veteran presents emergently at your facility.

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.

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.

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.