The Department of Veterans Affairs (VA) provides a multitude of services and benefits to veterans and their families. To access these services and benefits, individuals are required to fill out various forms that gather information about their personal and financial status. In this list, we will explore some of the most commonly used VA forms related to military service, education benefits, medical records, and survivor benefits.
- VA Form 0088: Information for Persons Entering Upon or Leaving Military Service (See also VA Form 40-10088. Request for Reimbursement of Casket/Urn)
- VA Form 0239: Leave Transfer Authorization
- VA Form 0538: Application for Conversion of Insurance - This form is used by veterans to convert their Servicemembers' Group Life Insurance (SGLI) coverage to Veterans' Group Life Insurance (VGLI) coverage.
- VA Form 0708: Financial Status Report - This form is used by veterans who have received benefits from the Department of Veterans Affairs (VA) and need to report changes in their financial status.
- VA Form 0710: Authorization for Release of Information Protected under the Fair Credit Reporting Act - This form is used to obtain authorization to release credit information to third parties, such as potential employers or landlords.
- VA Form 0722: Application for Public Transit Fare Benefit
- VA Form 0730b: Child Care Provider Information (For the Child Care Subsidy Program)
- VA Form 0751: Information Technology Equipment Sanitization Certificate
- VA Form 0779: Request for Nursing Home Information in Connection With Claim for Aid and Attendance - This form is used by veterans who are claiming VA benefits for aid and attendance to request information about nursing homes.
- VA Form 0781: Expiration of Service Obligation - This form is used by veterans to notify the VA that they have completed their obligated period of service and are no longer in the military.
- VA Form 0781a: Notice of Termination of Transmittal of Monthly Reports - This form is used by veterans to notify the VA that they are no longer required to submit monthly reports related to their benefits.
- VA Form 08 3385a: Construction Change Order Cost Summary (Prime Contractor)
- VA Form 0820: Authorization and Consent to Release Information to the Department of Veterans Affairs (VA) - This form is used by individuals to authorize the release of their personal information to the VA.
- VA Form 0845: Claim for Unpaid Compensation of Deceased Veteran - This form is used by survivors of deceased veterans to claim any unpaid compensation that may be due to them.
- VA Form 0861: Application for Annual Clothing Allowance - This form is used by veterans to apply for an annual clothing allowance if they have a service-connected disability that requires the use of a prosthetic or orthopedic device.
- VA Form 0867h: Statement of Person Claiming to Have Stood Relationship - This form is used by individuals to provide information about their relationship to a deceased veteran when claiming survivor's benefits.
- VA Form 0869: Comprehensive Assistance for Family Caregivers Program - This form is used by veterans to apply for assistance under the Comprehensive Assistance for Family Caregivers Program.
- VA Form 0877: Vetbiz Vendor Information Pages Verification Program - This form is used to verify the eligibility of veteran-owned small businesses for participation in the VA's Vendor Information Pages program.
- VA Form 0880a: Memorandum of Service Level Expectations for Part-Time Physician on Adjustable Work Hours
- VA Form 0880b: Worksheet for Determining Percentages on Memorandum Service Level Expectations
- VA form 0887a: VA Employee Government Property Loan Form
- VA Form 0887b: NON-VA Employee Personal Property Loan Form
- VA Form 0888: Revocable License
- VA Form 0893: Advance Review of Offer to Donate Support for Official Travel
- VA Form 0933: Statement of Understanding for the Government Travel Charge Card Program
- VA Form 0938: Competency Determination - This form is used by individuals to request a competency determination from the VA.
- VA Form 0938a: Job Analysis Worksheet for Tasks - This form is used by the Department of Veterans Affairs to analyze and evaluate job tasks.
- VA Form 0958: Application for Spina Bifida Benefits - This form is used by individuals with spina bifida or certain other birth defects to apply for VA benefits.
- VA Form 0961: Aid and Attendance Pension - This form is used by veterans to apply for the Aid and Attendance Pension.
- VA Form 0966: Statement of Marital Relationship - This form is used by surviving spouses of deceased veterans to provide information about their marital relationship when claiming survivor's benefits.
- VA Form 0969: Agreement to Pay Indebtedness - This form is used by veterans who owe money to the VA to agree to a repayment plan.
- VA Form 0995: VHA Directive 1192A Clinical Trainee Travel Pay - This form is used by clinical trainees to request travel pay reimbursement from the VA.
- VA Form 0996: Direct Deposit Enrollment - This form is used by veterans to enroll in direct deposit for their VA benefits payments.
- VA Form 0998: Statement of Accredited Representative in Appealed Case - This form is used by accredited representatives to provide a statement regarding an appealed case.
- VA Form 10: Application for Compensation and/or Pension - This form is used by veterans to apply for compensation and/or pension benefits from the VA.
- VA Form 10-0103: Veterans Application for Assistance in Acquiring Home Improvements and Structural Alterations - This form is used by veterans to apply for assistance with home improvements and structural alterations that are necessary for their medical treatment or disability.
- VA Form 10-0114a: Veterans Application for Increased Compensation Based on Unemployability - This form is used by veterans to apply for increased compensation based on their unemployability.
- VA Form 10-0114g: Veterans Application for Individual Unemployability Compensation - This form is used by veterans to apply for individual unemployability compensation.
- VA Form 10-0114j: Certification of Appeal - This form is used by veterans to certify an appeal of a decision made by the VA.
- VA Form 10-0114r: Request for Review of Rejection of Claim - This form is used by veterans to request a review of the rejection of their claim for benefits.
- VA Form 10-0137: VA Advance Directive: Durable Power of Attorney for Health Care and Living Will - This form is used by veterans to outline their healthcare preferences in the event they become incapacitated.
- VA Form 10-0137a: What You Should Know About Advance Directives - This form is used to provide veterans with information about advance directives and their options for medical decision-making.
- VA Form 10-0383: Catastrophically Disabled Veteran Evaluation and Approval
- VA Form 10-0394a: Education Debt Reduction Program (EDRP) Education Loan Verification
- VA Form 10-0415: Claim for One Sum Payment - This form is used by individuals who are entitled to certain one-time payments from the VA, such as a burial allowance or insurance payment.
- VA Form 10-0426: Meds by Mail Order Form
- VA Form 10-0432: Application for Automobile or Other Conveyance and Adaptive Equipment - This form is used by veterans to apply for adaptive equipment for their vehicle or other conveyance.
- VA Form 10-0432a: Market Pay Review and Approval Form
- VA Form 10-0454: Military Treatment Facility Referral to VA Liaison - This form is used by military treatment facilities to refer active-duty service members, retirees, and their beneficiaries to the VA for medical care.
- VA Form 10-0459: National Veterans Sports Programs and Special Event Application - This form is used by veterans to apply for participation in national veterans sports programs and special events.
- VA Form 10-0460: Veterans Work-Study Agreement - This form is used by veterans to enroll in the VA's work-study program.
- VA Form 10-0485: Dependency and Indemnity Compensation (DIC) Application - This form is used by survivors of deceased veterans to apply for DIC benefits.
- VA Form 10-0493: Statement in Support of Claim - This form is used by veterans to provide additional information to support their claims for VA benefits.
- VA Form 10-0500: Program Integrity Fraud, Waste and Abuse Complaint Form
- VA Form 10-0539: Assignment of Functional Categories
- VA Form 10-0708. Employees Records Clearance - This form is used by veterans who have received benefits from the Department of Veterans Affairs (VA) and need to report changes in their financial status.
- VA Form 10-0998: Your Rights to Seek Further Review of Our Healthcare Benefits Decision - This form is used by veterans to understand their rights to seek further review of a healthcare benefits decision made by the Department of Veterans Affairs (VA).
- VA Form 10-10: Application for Health Benefits - This form is used by veterans to apply for health care benefits from the VA.
- VA Form 10-10d. Application for CHAMPVA Benefits - This form is used by veterans to renew their application for dental benefits from the VA.
- VA Form 10-10EC. Application for Extended Care Services - This form is used by eligible veterans to apply for enrollment in the VA's health care system.
- VA Form 10-10EZ: Application for Health Benefits - This form is used by veterans to apply for health care benefits from the VA.
- VA Form 10-10068: Camp Lejeune Family Member Program Application - This form is used by family members of veterans who served at Camp Lejeune, North Carolina between 1953 and 1987 to apply for healthcare benefits related to exposure to contaminated drinking water.
- VA Form 10-10068a: Camp Lejeune Family Member Program Claim Form - This form is used by eligible family members to apply for healthcare benefits under the Camp Lejeune Family Member Program.
- VA Form 10-10068b: Dependency and Indemnity Compensation (DIC) - Child Annuitant's School Attendance Report - This form is used by child annuitants of deceased veterans who are receiving DIC benefits to report their school attendance.
- VA Form 10-10143g: Geriatric Depression Scale (GDS) Assessment – Veterans Version - This form is used by healthcare providers to assess the level of depression in veterans.
- VA Form 10-10164: Application for CHAMPVA Benefits - This form is used by dependents of veterans to apply for health care benefits under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA).
- VA Form 10-10172. Community Care Provider—Request for Service
- VA Form 10-1023: Veterans Retraining Assistance Program (VRAP) Application - This form is used by unemployed veterans to apply for educational and training benefits under the VRAP program.
- VA Form 10-1072: Application for Automobile or Other Conveyance Adaptive Equipment - This form is used by veterans to apply for adaptive equipment for their vehicle or other conveyance. (You can see also VA Form 10-10172 or VA Form 21-4502)
- VA Form 10-1083: Application for Assistance in Acquiring Prosthetic Appliances - This form is used by veterans to apply for prosthetic appliances from the VA.
- VA Form 10-1086: Application for Benefits under the Veterans Education Assistance Program (VEAP) - This form is used by veterans to apply for education benefits under the VEAP program.
- VA Form 10-10CG: Application for Comprehensive Assistance for Family Caregivers Program - by veterans or their designated family caregivers to apply for financial assistance and support services from the VA.
- VA Form 10-10D: Dental Benefits Renewal - This form is used by veterans to renew their application for dental benefits from the VA.
- VA Form 10-10EC: Enrollment Certification - This form is used by eligible veterans to apply for enrollment in the VA's health care system.
- VA Form 10-10EZR: Health Benefits Update Form - This form is used by veterans to update their personal and health care information with the VA.
- VA Form 10-10HS: Request for Hardship Determination - This form is used by veterans to request a hardship determination from the Department of Veterans Affairs (VA) so that they can receive financial assistance.
- VA Form 10-10SH: State Home Program Application for Veteran Care - This form is used by veterans to apply for care under the State Home Program.
- VA Form 10-1170: Application for Furnishing Nursing Home Care to Beneficiaries of VA - This form is used by nursing homes to apply to participate in the VA's Community Nursing Home Program.
- VA Form 10-1171: Application for Extended Care Services - This form is used by veterans to apply for extended care services from the VA.
- VA Form 10-1281: Motor Vehicle Trip Log
- VA Form 10-0137: Foreign Medical Program (FMP) Claim - This form is used by veterans living abroad to claim benefits under the Foreign Medical Program.
- VA Form 10-1394: Application for Adaptive Equipment - This form is used by veterans to apply for adaptive equipment from the VA.
- VA Form 10-172: Request for Service Records - This form is used by individuals to request copies of their service records from the National Personnel Records Center.
- VA Form 10-182: Application for Accrued Amounts Due a Deceased Beneficiary - This form is used by individuals to apply for benefits that were due to a deceased beneficiary, such as a retroactive payment. (You can see also the VA Form 10182. Decision Review Request: Board Appeal (Notice of Disagreement))
These VA forms play a crucial role in ensuring that veterans and their families receive the services and benefits they are entitled to. Each form serves a specific purpose and is used to collect important information that helps the VA operate efficiently and effectively. It is important for individuals to understand the purpose of each form and to provide accurate and complete information to avoid delays or denials of benefits. By using these forms and providing the necessary information, veterans and their families can access the resources they need to lead successful and fulfilling lives.
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