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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
10-7959f-1 Foreign Medical Program (FMP) Registration Form - fill 12/06/2006 11/2008 1
10-7959f-2 CLAIM COVER SHEET FOREIGN MEDICAL PROGRAM (FMP) - fill 12/06/2006 11/2008 2
10-8678 Application for Annual Clothing Allowance (FILLABLE) 12/29/2004 5/2015 3
10-9012 Investigational Drug Information Record 01/31/2000 1
10-9054 Medical Education Affiliation Agreement between VA and Institutions with Undergraduate Medical Education (UME) 09/21/2018 09/2018 8
10-9055 Graduate Medical Education Affiliation Agreement between VA and Institutions Sponsoring Graduate Medical Education 09/21/2018 09/2018 8
20-0968 Claim for Reimbursement of Travel Expenses (Fillable) 04/09/2015 03/2015 3
20-0995 DECISION REVIEW REQUEST: SUPPLEMENTAL CLAIM 06/11/2019 02/2019 4
20-0996 DECISION REVIEW REQUEST: HIGHER-LEVEL REVIEW 06/25/2019 02/2019 4
20-0998 YOUR RIGHTS TO SEEK FURTHER REVIEW OF OUR DECISION 10/02/2019 02/2019 2
20-572 Request for Change of Address/Cancellation of Direct Deposit (Fillable) 06/04/2010 03/1996 1
20-8206 VA Statement of Assurance of Compliance with Equal Opportunity Laws 11/07/2016 05/2006 1
20-8800 Request for VA Forms and Publications (Fillable) 06/04/2010 01/2001 1
21-0304 Application for Benefits for Qualifying Veteran's Child Born with Disabilities (Fillable) 04/02/2020 03/2020 3
21-0307 Award Attachment for Qualifying Veteran's Child Born with Disabilities 04/02/2020 03/2020 2
21-0506 Due Process Rights (No Fill-in) 06/12/2015 04/2012 1
21-0538 Mandatory Status of Dependents (Fillable) 01/11/2019 12/2017 3
21-0760 VA Benefits in Brief (No Fill-in) 11/03/2017 11/2017 2
21-0779 Request for Nursing Home Information in Connection with Claim for Aid and Attendance (Fill) 03/28/2017 02/2017 1
21-0781 Statement in Support of Claim for Service Connection for PTSD (Fillable) 10/04/2017 9/2017 3
21-0781a Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault (Fillable) 09/14/2017 9/2017 3
21-0788 Information Regarding Apportionment of Beneficiary's Award (Fillable) 11/30/2018 03/2018 2
21-0789 Your Rights to Representation and A Hearing (No Fill-in) 06/07/2017 06/2017 2
21-0790 Your Rights to Representation and a Hearing (Possible Overpayment) (No Fill-in) 06/07/2017 06/2017 2
21-0819 DoD Referral to Integrated Disability Evaluation System (IDES) (Fillable) 10/16/2018 07/2018 2
21-0845 Authorization To Disclose Personal Information To a Third Party (Fillable) 02/27/2019 09/2016 3
21-0966 Intent To File A Claim For Compensation and/or Pension, or Survivors Pension and/or DIC 11/07/2019 08/2018 1
21-0972 Alternate Signer Certification (Fillable) 01/13/2020 01/2020 3
21-22 Appointment of Veterans Service Organization as Claimant's Representative (Fillable) 03/20/2019 02/2019 4
21-22a Appointment of Individual As Claimant's Representative (Fillable) 02/22/2019 02/2019 3
21-2680 Examination for Housebound Status or Permanent Need For Regular Aid and Attend. (Fill) 12/10/2018 09/2018 2
21-4138 Statement in Support of Claim (Fillable) 01/26/2018 01/2018 2
21-4140 Employment Questionnaire (Fillable) 05/31/2018 10/2017 2
21-4142 Authorization to Disclose Information to the Department of Veterans Affairs(VA) (Fillable) 03/11/2019 3/2018 4
21-4142a General Release for Medical Provider Information to the Department of Veterans Affairs (VA) (Fillable) 03/07/2018 3/2018 2
21-4170 Statement of Marital Relationship (Fillable) 12/21/2017 12/2017 4
21-4192 Request for Employment Information in Connection With Claim for Disability Benefits (Fillable) 09/14/2017 09/2017 2
21-4193 Notice to Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution (Fillable) 03/06/2018 11/2017 3
21-4502 Application for Automobile or Other Conveyance and Adaptive Equipment (Fillable) 04/03/2019 03/2018 4
21-526EZ Application for Disability Compensation and Related Compensation Benefits (Fillable) 11/18/2019 09/2019 12
21-651 Election of Compensation in Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation from Department of Veterans Affairs (Fillable) 06/15/2015 6/2015 1
21-674 Request for Approval of School Attendance (Fillable) 04/03/2019 06/2018 4
21-674b School Attendance Report (Fillable) 04/03/2019 06/2018 2
21-686c Application Request To Add And/Or Remove Dependents (Fillable) 12/05/2019 09/2018 12
21-6898 Application for Amounts on Deposit for Deceased Veteran (Fillable) 05/17/2011 12/2001 4
21-8760 Additional Info for Vets with Service-Connected Permanent and Total Disabil. (F) 11/16/2013 09/2006 2
21-8764 Disability Compensation Award Attachment Important Information (F) 11/03/2009 05/2009 2
21-8764a Disability Compensation Award Under 38 U.S.C. 1151 Important Information (F) 01/23/2015 05/2009 2
21-8767 Death Pension Award Attachment (F) 01/23/2015 08/2005 2
21-8940 Veteran's Application for Increased Compensation Based on Unemployability (Fillable) 11/08/2017 10/2017 3
 
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