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.
Go to the online toolHelpful links related to VA Form 10-3542
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VA travel pay reimbursement
Find out what travel expenses are covered and if you or your caregiver may be eligible for VA travel pay reimbursement.