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Learn what the PACT Act means for your VA benefits

About VA Form 10-10EZR

Form name: Health Benefits Update Form
Related to: Health care
Form last updated: October 2022

When to use this form

Use VA Form 10-10EZR if you already receive VA health care benefits, and you need to update your personal, insurance, or financial information.

Downloadable PDF

Download VA Form 10-10EZR (PDF)