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47 Selected / 555 In Database Search Again
Number (type) Title Issue Date Revision Date # Pages
10-493b
(PDF)
CHAMPVA Benefits Election Affirmation 6/1/2016 01/2016 1
10-1170
(PDF)
Application for Furnishing Nursing Home Care to Beneficiaries of VA- fillable 9/15/2004 07/2007 1
21-0760
(PDF)
VA Benefits in Brief (No Fill-in) 11/3/2017 11/2017 2
10-7959C
(PDF)
CHAMPVA - Other Health Insurance (OHI) Certificate 9/15/2004 08/2018 2
10-0415
(PDF)
VA Geriatrics and Extended Care (GEC) Referral - fillable 5/1/2006 5
10-0137
(PDF)
VA Advance Directive: Durable Power of Attorney for Health Care and Living Will 6/5/2003 5/2018 7
10-9054
(PDF)
Medical Education Affiliation Agreement between VA and Institutions with Undergraduate Medical Education (UME) 9/21/2018 09/2018 8
21P-0969
(PDF)
Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (DIC) (Attachment to VA Forms 21P-527, 21P-527EZ, 21P-534, and 21P-534EZ) (Fillable) 2/19/2019 10/2018 11
29-0309
(PDF)
Direct Deposit Enrollment/Change (For VA Life Insurance Only) (Fillable) 3/12/2014 11/2010 1
10-0454
(PDF)
Military Treatment Facility Referral to VA Liaison - fillable 3/1/2009 08/2017 3
21-0960A-4
(PDF)
Heart Conditions (Including Ischemic and Non-Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac Surgery) Disability Benefits Questionnaire (Fillable) 3/29/2018 3/2018 7
26-0286
(PDF)
VA Loan Summary Sheet 9/2/2015 11/2008 2
26-0585
(PDF)
VA Advertising Guidelines for Fair Housing (Fillable) 8/20/2015 12/2012 1
10-0491C
(PDF)
Annual VA Employment or Deferment Verification - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) 12/1/2013 01/2018 1
28-0588
(PDF)
VA Vocational Rehabilitation - Getting Ahead After You Get Out (Fillable) 3/21/2019 12/2000 2
21-0960A-2
(PDF)
Artery and Vein Conditions (Vascular Diseases Including Varicose Veins) Disability Benefits Questionnaire (Fillable) 3/29/2018 3/2018 5
VA0730h
(PDF)
VA Child Care Subsidy Program Benefit Payment Request Form 8/20/2019 06/2014 1
10-0094e
(PDF)
Medical Education Affiliation Agreement - VA Sponsor - Dentistry (FILLABLE) 11/19/2004 6
26-6363
(PDF)
Endorsement to Certificate of Reasonable Value (Fillable) 6/12/2015 04/2008 5
20-8206
(PDF)
VA Statement of Assurance of Compliance with Equal Opportunity Laws 11/7/2016 05/2006 1
10-9055
(PDF)
Graduate Medical Education Affiliation Agreement between VA and Institutions Sponsoring Graduate Medical Education 9/21/2018 09/2018 8
29-0165
(PDF)
VA Matic Enrollment/Change (Fillable) 4/5/2017 02/2016 1
29-0532-1
(PDF)
VA MATIC Authorization (Fillable) 8/21/2015 04/2005 2
10-1313-5
(PDF)
VA Research & Development Program - Investigator's Biographic Sketch 4/22/1999 8/2015 1
10-1313-6
(PDF)
VA Research and Development Program - Investigator's Biographic Sketch 4/26/1999 8/2015 1
 
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