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VA Form 10-3542

Form name:Veteran/Beneficiary Claim for Reimbursement of Travel Expenses
Form revision date: May 2025
Related to: Family member and caregiver benefits, Health care

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

Online tool

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