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About VA Form 10-3542

Form name: Veteran/Beneficiary Claim for Reimbursement of Travel Expenses
Related to: Family member benefits, Health care
Form last updated: August 2022

When to use this form

Use this travel reimbursement form (VA Form 10-3542) when you want to ask us to pay you back for travel expenses related to your health care.

Downloadable PDF

Download VA Form 10-3542 (PDF)

Online tool

You can submit your request online instead of filling out and sending us the paper form.

  • Find out what travel expenses are covered and if you or your caregiver may be eligible for VA travel pay reimbursement.