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VA Form 10-5501(1999)
Domiciliary Examination
Official Department of Veterans Affairs 10-5501 for Domiciliary Examination, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5504(2007)
Foreign Travel Request - Briefing Slip
Official Department of Veterans Affairs 10-5504 for Foreign Travel Request - Briefing Slip, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5506(1997)
RECORD OF PATIENT CONDUCT
Official Department of Veterans Affairs 10-5506 for RECORD OF PATIENT CONDUCT, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5548A(2007)
Pacemaker Surveilance - fillable
Official Department of Veterans Affairs 10-5548A for Pacemaker Surveilance - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5588(2021)
State Home Report and Statement of Federal Aid Claimed
Official Department of Veterans Affairs 10-5588 for State Home Report and Statement of Federal Aid Claimed, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-5588A(2021)
Claim for Payment for Nursing Home Care Provided to Veterans Awarded Retroactive Service Connection
Official Department of Veterans Affairs 10-5588A for Claim for Payment for Nursing Home Care Provided to Veterans Awarded Retroactive Service Connection, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-6001A(2018)
Contract Progress Report
Official Department of Veterans Affairs 10-6001A for Contract Progress Report, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-6056A(2009)
Lease
Official Department of Veterans Affairs 10-6056A for Lease, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7008(2006)
Clearance Prescription for Recreation Activities - fillable
Official Department of Veterans Affairs 10-7008 for Clearance Prescription for Recreation Activities - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7008A(2006)
Clearance/Prescription for Recreation Activities - fillable
Official Department of Veterans Affairs 10-7008A for Clearance/Prescription for Recreation Activities - fillable, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7033(2004)
Recreation Therapy Activity Worksheet
Official Department of Veterans Affairs 10-7033 for Recreation Therapy Activity Worksheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7042(2019)
Outstanding Service Award
Official Department of Veterans Affairs 10-7042 for Outstanding Service Award, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7055(2016)
Application for Voluntary Service
Official Department of Veterans Affairs 10-7055 for Application for Voluntary Service, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7078(2005)
Authorization and Invoice for Medical and Hospital Services
Official Department of Veterans Affairs 10-7078 for Authorization and Invoice for Medical and Hospital Services, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7108(2001)
Nursing Care Referral Form
Official Department of Veterans Affairs 10-7108 for Nursing Care Referral Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7131(2024)
Exchange of Beneficiary Information and Request for Administrative Action
Official Department of Veterans Affairs 10-7131 for Exchange of Beneficiary Information and Request for Administrative Action, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7132(2008)
Status Change - Order from SDC #F01866
Official Department of Veterans Affairs 10-7132 for Status Change - Order from SDC #F01866, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7174(1999)
Measurement Form - Elastic Hosiery
Official Department of Veterans Affairs 10-7174 for Measurement Form - Elastic Hosiery, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7396B(1965)
Complications of Surgical Procedures - Continuation Sheet
Official Department of Veterans Affairs 10-7396B for Complications of Surgical Procedures - Continuation Sheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7919(2000)
Request For Library Materials
Official Department of Veterans Affairs 10-7919 for Request For Library Materials, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7959A(2025)
CHAMPVA Claim Form
If you're currently enrolled in the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), use form 10-7959A to file a claim for reimbursement. Only use VA Form 10-7959A if you've already received your CHAMPVA enrollment packet in the mail.
VA Form 10-7959C(2025)
CHAMPVA-Other Health Insurance (OHI) Certification
Only use VA Form 10-7959C or Formulario VA 10-7959c (espanol) if one of these descriptions is true for you: You're applying for CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs), and have other health insurance to declare as part of your VA Form 10-10d application, or You're already...
VA Form 10-7959D(2021)
CHAMPVA Potential Liability Claim
Official Department of Veterans Affairs 10-7959D for CHAMPVA Potential Liability Claim, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-7959E(2025)
Claim for Miscellaneous Expenses
Official Department of Veterans Affairs 10-7959E for Claim for Miscellaneous Expenses, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.