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VA Form 10-376(2023)
CARDIAC PRE-OPERATIVE EVALUATION/RISK STRATIFICATION REQUEST
Official Department of Veterans Affairs 10-376 for CARDIAC PRE-OPERATIVE EVALUATION/RISK STRATIFICATION REQUEST, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-379(2024)
Consent and Authorization for Autopsy
Official Department of Veterans Affairs 10-379 for Consent and Authorization for Autopsy, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-380(2025)
VCAP Child Registration Intake Form
Official Department of Veterans Affairs 10-380 for VCAP Child Registration Intake Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-381(2025)
VCAP Appointment Certification Form
Official Department of Veterans Affairs 10-381 for VCAP Appointment Certification Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-387(2025)
Medical Foster Home Caregiver Application
Official Department of Veterans Affairs 10-387 for Medical Foster Home Caregiver Application, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-3884B(2015)
Automated Exchange of Beneficiary Information and Request for Eligibility Data
Official Department of Veterans Affairs 10-3884B for Automated Exchange of Beneficiary Information and Request for Eligibility Data, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-390(2024)
VHA Fraud, Waste, and Abuse Complaint Form
Use this form to report potential health-care fraud, waste, or abuse in VA programs.
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.