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Welcome to the Department of Veterans Affairs Forms web site.

Forms on this site are available in several formats. Fillable pdf can be filled on-line, printed, saved and edited. XFT forms can be filled on-line, printed, and saved to your pc but cannot be edited later (TURN OFF YOUR POP-UP BLOCKER TO USE XFT). Some PDF are printable blank forms.

You can download viewer software at https://www.va.gov/viewer.htm
To find a form, enter the form number (example: 12-1234 or 1234) or a word from the form's title or subject.
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Number Title Issue Date Revision Date # Pages
VA-1100 Agreement to Pay Indebtedness 03/12/2014 10/1992 1
VA-1107 Request for Repairs, and/or Accessories 03/12/2014 06/1998 1
VA-21 Application for Accreditation as Service Organization Representative 01/05/2016 01/2016 1
VA-2130 Inspection Sheet - Prosthetic Dealer 01/16/2014 08/1994 2
VA-21a Application for Accreditation as a Claims Agent or Attorney 08/02/2016 05/2007 4
VA-2793 Shop Data Sheet (Artificial Limbs) 05/09/2014 03/2002 2
VA-3215 Application of Service Representative for Placement on Mailing List 03/10/2014 05/2002 1
VA-3288 Request for and Consent to Release Information from Claimant's Records 05/12/2014 10/1995 2
VA-40-0241 State Cemetery Data 05/12/2014 04/2008 3
VA-40-0895-10 Certification of Compliance w/Fed Require. State or Tribal Gov't Const. Grants 01/23/2014 10/2010 1
VA-40-0895-13 Certification Regarding Documents and Info. Req. for State Cemetery Constr. 01/23/2014 10/2010 1
VA-40-0895-14 Checklist of Major Requirements for State or Tribal Gov't Cemetery Const. Grants 01/23/2014 12/2012 2
VA-40-0895-15 Cert of Cemetery Maintained in Accordance with Nat'l Cemetery Admin. Stds. 03/12/2014 10/2010 1
VA-40-0895-16 Certification Regarding Plan Preparation (39.32 and 39.82) 01/23/2014 10/2010 2
VA-40-0895-17 Certification Regarding Documentation of Grant Accomplishment (39.120) 01/23/2014 10/2010 1
VA-40-0895-2 Certification of Compliance with Provisions of the Davis-Bacon Act 01/23/2014 10/2010 1
VA-40-0895-3 State or Tribal Government Cemetery Grants Service Space Program Analysis - Buil 03/19/2014 10/2010 3
VA-40-0895-6 Certification of State or Tribal Government Matching Architectual & Engineering 03/19/2014 10/2010 1
VA-40-0895-7 Certification Regarding Debarment, Suspension, and other Responsibility Matters 01/23/2014 10/2010 2
VA-40-10007 Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery 05/24/2017 05/2017 2
VA-40-10088 Request for Reimbursement of Casket/Urn 05/13/2015 04/2015 2
VA-40-1330 Claim For Standard Government Headstone or Marker 07/30/2018 12/2017 5
VA-40-1330M Claim for Government Medallion for Placement in a Private Cemetery 03/20/2018 12/2017 3
VA-4107 Your Rights to Appeal our Decision 07/06/2016 06/2016 2
VA-4107c Your Rights to Appeal our Decision - Contested Claims 07/06/2016 06/2016 2
VA-4107INS Your Rights To Appeal Our Decision 05/16/2017 05/2017 1
VA-4107VHA Your Rights To Appeal Our Decision 07/06/2016 06/2016 2
VA-4107VRE Your Rights to Appeal our Decision 02/14/2018 02/2018 2
VA-4597 Your Rights to Appeal our Decision 01/12/2017 12/2016 2
VA-4597a Your Rights to Appeal our Decision Concerning the Reasonableness of Your Fee Agreement 01/12/2017 12/2016 2
VA-4597b Your Rights to Appeal Decision on Your Motion for Review Clear & Unmistakable 01/12/2017 12/2016 2
VA-4637(ES) Employee Educational Data 10/07/2015 10/2011 20
VA-4667b Supervisory Appraisal of Employee for Promotion 03/12/2014 03/1992 4
VA-4667c Supervisory Appraisal of Employee for Promotion - Narrative Appraisal 03/12/2014 12/1993 3
VA-4670 Position Classification Worksheet for Research Positions 05/09/2014 01/1991 1
VA-4676a Employee Supplemental Qualifications Statement 07/18/2014 09/1992 3
VA-4939 Complaint of Employment Discrimination 07/02/2018 03/2017 2
VA-5655 Financial Status Report (Fillable) 03/19/2014 06/2009 2
VA-5655blank Financial Status Report (Print Version/non-fillable) 07/18/2014 06/2009 2
VA-6298 Architect - Engineer Fee Proposal 09/19/2018 09/2018 9
VA-646 Statement of Accredited Representative in Appealed Case 01/12/2017 06/2015 2
VA-8 Certification of Appeal 09/27/2017 09/2017 2
VA-8824i CAATS Contractor Access Request Form 05/09/2014 05/2014 1
VA-9 Appeal to Board of Veterans' Appeals 07/13/2015 07/2015 5
 
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