Forms List

154 results for: Department of Veterans Affairs.
FORM NAME FORM # AGENCY TYPE
VA Advance Directive; Living Will and Durable Power of Attorney for Health Care 10 0137 VHA Form Only 
Certification Regarding Drug-Free Workplace Requirements Other Than Individuals 10 0143 VHA Form Only 
Statement of Assurance of Compliance with Section 504 of Rehabilitation Act of 1973 10 0143a VHA Form Only 
Certification Regarding Lobbying 10 0144 VHA Both Form and Instructions 
Statement of Assurance of Compliance with Equal Opportunity Laws 10 0144a VHA Both Form and Instructions 
Credentialing Transfer Brief 10 0376a VHA Form Only 
Eccleastical Endorsing Organization Verification/Reverification 10 0379 VHA Both Form and Instructions 
Learner's Perception survey 10-0439 VA Form Only 
CHAMPVA Claim Form VA 10-7959 A VHA Both Form and Instructions 
Application for Extended Care 10 10EC VHA Both Form and Instructions 
Application for Medical Benefits 10 10EZ VHA Both Form and Instructions 
Health Benefits Renewal Form 10 10EZR VHA Both Form and Instructions 
Application for Medical Benefits for Dependents or Survivors (CHAMPVA) 10 10d VHA Both Form and Instructions 
State Home Program Application for Veteran Care Medical Certification 10 10sh VHA Form Only 
Equal Opportunity Compliance Review Report 20-8734 VBA Both Form and Instructions 
Supplement To Equal Opportunity Compliance Review Report 20-8734a VBA Both Form and Instructions 
Funeral Arrangements 10 2065 VHA Form Only 
Benefits for Certain Children with Disabilities Born of Vietnam Veterans 21-0304 VBA Both Form and Instructions 
Award Attachment for Certain Children with Disabilities Born of Vietnam Veterans 21-0307 VBA Both Form and Instructions 
Eligibility Verification Report Instructions 21-0510 VBA Both Form and Instructions 
Old Law and Section 306 Eligibility Verification Report (Children Only) 21-0513-1 VBA Both Form and Instructions 
Parent's DIC Eligibility Verification Report 21-0514-1 VBA Both Form and Instructions 
Improved Pension Eligibility Verification Report (Veteran With No Children) 21-0516-1 VBA Both Form and Instructions 
Improved Pension Eligibility Verification Report (Veteran with Children) 21-0517-1 VBA Both Form and Instructions 
Application for Exclusion of Children's Income 21-0571 VBA Both Form and Instructions 
Statement of Disappearance 21-1775 VBA Both Form and Instructions 
Request for Change of Program or Place of Training 21-1995 VBA Both Form and Instructions 
Application for United States Flag for Burial Purposes 21-2008 VBA Both Form and Instructions 
Appointment of Veterans Service Organization as Claimant's Representative 21-22a VBA Both Form and Instructions 
Information From Remarried Widow/er 21-4103 VBA Both Form and Instructions 
Statement in Support of Claim 21-4138 VBA Both Form and Instructions 
Pension Claim Questionnaire for Farm Income 21-4165 VBA Both Form and Instructions 
Supporting Statement Regarding Marriage 21-4171 VBA Both Form and Instructions 
General Instructions for Report of Accidental Injury in Support of Claim for Compensation and Pension 21-4176 VBA Both Form and Instructions 
Request for Employment Info in Connection with Claim for Disability Benefits 21-4192 VBA Both Form and Instructions 
Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901 - 3904) 21-4502 VBA Both Form and Instructions 
Federal Fiduciary's Account 21-4706b VBA Both Form and Instructions 
Court Appointed Fiduciary's Account 21-4706c VBA Both Form and Instructions 
Certificate as to Assets 21-4709 VBA Both Form and Instructions 
Certificate of Balance on Deposit and Authorization to Disclose Financial Record 21-4718a VBA Both Form and Instructions 
Statement of Dependency of Parent(s) 21-509 VBA Both Form and Instructions 
STATEMENT OF PERSON CLAIMING TO HAVE STOOD IN RELATION OF PARENT 21-524 VBA Both Form and Instructions 
Vet's Application for Compensation and/or Pension-Part A 21-526 VBA Both Form and Instructions 
Income-Net Worth And Employment Statement 21-527 VBA Both Form and Instructions 
Application for Burial Benefits 21-530 VBA Both Form and Instructions 
Part 1 Application for Dependency and Indemnity Compensation, Death Pension and 21-534 VBA Both Form and Instructions 
Application for Dependency and Indemnity Compensation by Parent(s) 21-535 VBA Both Form and Instructions 
Application for Accrued Benefits by Veteran's Surviving Spouse, Child, or Depend 21-551 VBA Both Form and Instructions 
Application for Reimbursement From Accrued Amounts Due a Deceased Beneficiary 21-601 VBA Both Form and Instructions 
Application for Amounts Due Estates of Person Entitled to Benefits 21-609 VBA Both Form and Instructions 
Application for Accrued Amounts of Veteran's Benefits Payable to Surviving Spous 21-614 VBA Both Form and Instructions 
Request for Approval of School Attendance 21-674 VBA Both Form and Instructions 
Declaration Of Status Of Dependents 21-686c VBA Both Form and Instructions 
Request for Details of Expenses 21-8049 VBA Both Form and Instructions 
Medical Expense Report 21-8416 VBA Both Form and Instructions 
Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death 21-8416b VBA Both Form and Instructions 
Application of Surviving Spouse or Child for REPS Benefits 21-8924 VBA Both Form and Instructions 
Veteran's Application for Increased Compensation Based on Unemployability 21-8940 VBA Both Form and Instructions 
Notice of Waiver of VA Comp or Pension to Receive Military Pay and Allowance 21-8951-2 VBA Both Form and Instructions 
Yellow Ribbon Program Agreement VA Form 22-0839 VA Form Only 
Conflicting Interests Certification For Proprietary Schools VA Form 22-1919 (old form) VA Form Only 
Application for VA Education Benefits 22-1990 VBA Both Form and Instructions 
Request for Change of Program or Place of Training 22-1995 VBA Both Form and Instructions 
Request for Change of Program or Place of Training Survivors' and Dependents' Education Assistance (Under Provisions of Chapter 35, Title 38 U.S.C.) 22-5495 VBA Both Form and Instructions 
Application for Work-Study Allowance 22-8691 VBA Both Form and Instructions 
Student Work Study Agreement (Student Services) 22-8692 VBA Both Form and Instructions 
Other On-The-Job Training and Apprenticeship Training Agreement and Standards 22-8864 VBA Both Form and Instructions 
Employer's Application to Provide Job Training 22-8865 VBA Both Form and Instructions 
Application for Educational Assistance Test Program Benefits 22-8889 VBA Both Form and Instructions 
Direct Deposit Enrollment 24-0296 VBA Both Form and Instructions 
Application for Refund of Education Contributions 24-5281 VBA Both Form and Instructions 
Prosthetic Authorization for Items or Services 10 2421 VHA Both Form and Instructions 
Authority and Invoice for Travel by Ambulance or Other Hired Vehicle 10 2511 VHA Form Only 
Prosthetic Service Card Invoice 10 2520 VHA Both Form and Instructions 
Dental Record Authorization and Invoice for Outpatient Service 10 2570d VHA Both Form and Instructions 
Request for Determination of Reasonable Value 26-1805 VBA Both Form and Instructions 
Determination of Loan Guaranty Eligibility-Unremarried Surviving Spouses 1 Jan 3 2002 26-1817 VBA Both Form and Instructions 
Report of Certification of Loan Disbursement 26-1820 VBA Both Form and Instructions 
Compliance Inspection Report 26-1839 VBA Both Form and Instructions 
Escrow Agreement for Postponed Exterior Onsite Improvements 26-1849 VBA Both Form and Instructions 
Claim Under Loan Guaranty 26-1874 VBA Both Form and Instructions 
Claim Form Addendum - Adjustable Rate Mortgage 26-1874a VBA Both Form and Instructions 
Request for A Certificate of Eligibility 26-1880 VBA Both Form and Instructions 
Veteran's Application in Acquiring Specially Adapted Housing or Special Home Adaption 26-4555 VBA Both Form and Instructions 
Veteran's Supplemental Application For Assistance in Acquiring Specially Adapted Housing 26-4555c VBA Both Form and Instructions 
Veteran's Application for Assistance in Acquiring Special Housing Adaptations 26-4555d VBA Both Form and Instructions 
Application for Assumption Approval and/or Release from Personal Liability 26-6381 VBA Both Form and Instructions 
Statement of Purchaser Or Owner Assuming Seller's Loan 26-6382 VBA Both Form and Instructions 
Loan Analysis 26-6393 VBA Both Form and Instructions 
Fee or Roster Designation - Application for Fee Personnel Designation 26-6681 VBA Both Form and Instructions 
Offer to Purchase and Contract of Sale 26-6705 VBA Both Form and Instructions 
Credit Statement of Prospective Purchaser 26-6705b VBA Both Form and Instructions 
Addendum to Offer to Purchase and Contract of Sale 26-6705d VBA Both Form and Instructions 
Financial Statement 26-6807 VBA Both Form and Instructions 
Notice of Default 26-6850 VBA Both Form and Instructions 
Notice of Default and Intention to Foreclose 26-6850a VBA Both Form and Instructions 
Notice of Intention to Foreclose 26-6851 VBA Both Form and Instructions 
Claim for Repurchase of Loan 26-8084 VBA Both Form and Instructions 
Request for Verification of Employment 26-8497 VBA Both Form and Instructions 
Request for Verification of Deposit 26-8497a VBA Both Form and Instructions 
Manufactured Home Loan Claim Under Loan Guaranty 26-8630 VBA Both Form and Instructions 
Application For Authority to Close on an Automatic Basis Nonsupervised Lenders 26-8736 VBA Both Form and Instructions 
Nonsupervised Lender's Nomination and Recommendation of Credit Underwriter 26-8736a VBA Both Form and Instructions 
Present Status of Loan 26-8778 VBA Both Form and Instructions 
Interest Rate Reduction Refinancing Loan Worksheet 26-8923 VBA Both Form and Instructions 
Verification of VA Benefit - Related Indebtedness 26-8937 VBA Both Form and Instructions 
Disabled Veterans Application for Vocational Rehabilitation 28-1900 VBA Both Form and Instructions 
Counseling Record - Personal Information 28-1902 VBA Both Form and Instructions 
Authorization And Certification Of Entrance Or Reentrance Into Rehabilitation And Certificate of Status 28-1905 VBA Both Form and Instructions 
Request for Supplies (Chapter 31 - Vocational Rehabilitation) 28-1905m VBA Both Form and Instructions 
Monthly Statement of Wages Paid to Trainee (Chapter 31, Title 38, U.S.C.) 28-1917 VBA Both Form and Instructions 
Application for Counseling 28-8832 VBA Both Form and Instructions 
Application for Physicians, Dentists, Podiatrists and Ophthalmolgists 10 2850 VHA Both Form and Instructions 
Application for Nurses and Nurse Anesthetists 10 2850a VHA Both Form and Instructions 
Application for Residency 10 2850b VHA Both Form and Instructions 
Application for Associated Health Occupations 10 2850c VHA Both Form and Instructions 
VA Matic Change 29-0165 VBA Both Form and Instructions 
Application for Supplemental Service Disabled Veterans (RH) Life Insurance 29-0188 VBA Both Form and Instructions 
Veteran Mortgage Life Insurance Inquiry 29-0543 VBA Both Form and Instructions 
Veteran Mortgage Life Insurance - Change of Address Statement 29-0563 VBA Both Form and Instructions 
Application for Cash Surrender and/or Policy Loan 29-1546 VA Form Only 
Application for Policy Loan/Cash Surrender VA Form 29-1546-1 VA Form Only 
Application for Change of Permanent Plan (Medical) 29-1549 VBA Both Form and Instructions 
Designation of Beneficiary 29-336 VBA Both Form and Instructions 
Application for Reinstatement 29-352 VBA Both Form and Instructions 
Claim for Disability Insurance (Government Life) 29-357 VBA Both Form and Instructions 
Claim for One Sum Payment (Government Life Insurance) 29-4125 VBA Both Form and Instructions 
Claim for Monthly Payment - National Service Life Insurance 29-4125a VBA Both Form and Instructions 
Claim for Monthly Payment - United States Government Life Insurance (USGLI) 29-4125k VBA Both Form and Instructions 
Application for Service-Disabled Insurance 29-4364 VBA Both Form and Instructions 
Notice - Payment Not Applied - Government Life Insurance 29-4499a VBA Both Form and Instructions 
Claim For Disability Insurance Benefits 29-459 VBA Both Form and Instructions 
Reviewing Disability Insurnace Benefits Claim 29-551b VBA Both Form and Instructions 
Supplemental Physical Examination Report 29-8146 VBA Both Form and Instructions 
Supplemental Physician Examination Report (Diabetes-Physician's Report) 29-8160 VBA Both Form and Instructions 
Disability Benefits Questionnaire 29-8313-1 VBA Both Form and Instructions 
Application for Ordinary Life Insurance Replacement Insurance for Modified Life 29-8485 VBA Both Form and Instructions 
Application for Ordinary Life Insurance Replacement Insurance for Modified Life 29-8485a VBA Both Form and Instructions 
Veterans Mortgage Life Insurance Statement 29-8636 VBA Both Form and Instructions 
Insurance Deduction Authorization 29-888 VBA Both Form and Instructions 
Prescription and Authorization for Eyeglasses 10 2914 VHA Form Only 
State Home Inspection 10 3567 VHA Both Form and Instructions 
Request for and Authorization to Release Medical Records or Other Health Information 10 5345 VHA Form Only 
Claim for Cost of Unauthorized Medical Benefits 10 583 VHA Form Only 
Daily Log - Formal Contract 10 6131 VHA Form Only 
Architecture Engineer Fee Proposal 10 6298 VHA Form Only 
Application for Voluntary Service 10 7055 VHA Form Only 
Authorization and Invoice for Medical and Hospital Services 10 7078 VHA Form Only 
Other Health Insurance (OHI) Certification (CHAMPVA) 10 7959c VHA Both Form and Instructions 
Potential Liability Claim (CHAMPVA) 10 7959d VHA Both Form and Instructions 
Claim Cover Sheet for Foreign Medical Program 10 7959f VHA Both Form and Instructions 
Application for Annual Clothing Allowance 10 8678 VHA Both Form and Instructions 
APPEAL TO BOARD OF VETERANS' APPEALS VA 9 VA Both Form and Instructions 
Report of Treatment in Hospital FL29-551a VBA Both Form and Instructions