About VA Form 10-10172
- Form name: Community Care Provider—Request for Service
- Related to: VHA
- Form last updated: April 2022
Downloadable PDFDownload VA Form 10-10172 (PDF)
Change your direct deposit information
Find out how to update your direct deposit information online for disability compensation, pension, or education benefits.
Change your address
Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits.
Request your military records, including DD214
Submit an online request to get your DD214 or other military service records through the milConnect website.
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