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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
10-0491 Academic Verification - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) 12/01/2013 5
10-0490 Acknowledgement of Receipt Of Department of Veterans Affairs Protected Health Information By Affiliated Educational Institutions 10/01/2010 2
VA-0902 Actual Expense Per Diem Calculator 10/12/2014 06/2010 1
10-0388-5 Add'l. Doc's. & Info. Required-State Home Construction /Acquisition Grants Appl. 09/07/2005 07/2013 3
10-0491A Addendum to Application for Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) 12/01/2013 1
26-6705d Addendum to Offer to Purchase and Contract of Sale (Fillable) 11/15/2010 08/2008 1
21-8760 Additional Info for Vets with Service-Connected Permanent and Total Disabil. (F) 11/16/2013 09/2006 2
26-1833 Advice Regarding Indebtedness of Obligors on Guaranteed or Insured Loans (Fill) 03/10/2009 02/2000 1
VA-1100 Agreement to Pay Indebtedness 03/12/2014 10/1992 1
10-2410 Agreement to Provide Home Care to Patient (FILLABLE) 07/01/1997 1
21-0960M-1 Amputations Disability Benefits Questionnaire (Fillable) 05/03/2013 10/2012 4
21-0960C-2 Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 7
21-0960M-2 Ankle Conditions Disability Benefits Questionnaire (Fillable) 05/07/2014 05/2013 9
10-0491C Annual VA Employment or Deferment Verification - Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) 12/01/2013 1
VA-9 Appeal to Board of Veterans' Appeals 07/08/2014 11/2009 5
21-534 Appl. for DIC, Death Pension & Accrued Benefits by Surviving Spouse or Child (Fillable) 06/24/2014 06/2014 12
29-8485 Applic. for Ordin. Life Ins. Replace. Ins. for Modif. Life Reduced at 65 (Fill) 10/22/2008 03/2008 1
29-8485a Applic. for Ordinary Life Insurance Replacement Insurance for Modified (Fill) 10/22/2008 03/2008 1
VA-21a Application for Accreditation as a Claims Agent or Attorney 07/08/2014 05/2007 4
VA-21 Application for Accreditation as Service Organization Representative 05/12/2014 07/2007 1
21-601 Application for Accrued Amounts Due A Deceased Beneficiary (Fillable) 06/23/2014 6/2014 6
10-1394 Application for Adaptive Equip - Motor Vehicle - fillable 12/29/2004 01/2008 2
21-6898 Application for Amounts on Deposit for Deceased Veteran (Fillable) 05/17/2011 12/2001 4
10-0436 Application for an Off-site Tissue Banking Waiver - Fillable 12/19/2005 1/2011 5
10-8678 Application for Annual Clothing Allowance (FILLABLE) 12/29/2004 2/2012 3
10-0430 APPLICATION FOR ASSISTANCE FOR HIRING AND RETAINING NURSES AT STATE HOMES 09/01/2007 2
10-2850C Application for Associated Health Occupations (Fillable)- Order from SDC #F05428 09/15/2004 07/2006 4
26-6381 Application for Assumption Approval and/or Release Personal Liability to Gov ... 01/09/2007 01/2006 1
21-4502 Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904) (Fillable) 06/10/2010 07/2008 5
10-0474 Application for Biospecimen Storage at a For-Profit Institution 08/10/2009 1/2011 4
21P-530 Application for Burial Benefits (Fillable) 06/25/2014 06/2014 4
29-1546 Application for Cash Surrender/Application for Policy Loan (Fillable) 02/15/2008 06/2007 2
10-10d Application for CHAMPVA Benefits- Fillable 09/17/2004 07/2014 3
29-1549 Application for Change of Permanent Plan (Medical) (Fillable) 10/17/2008 03/2008 2
21-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In-Service Death Only (Fillable) 06/24/2014 06/2014 2
21-535 Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable) (Fillable) 06/24/2014 06/2014 10
21-534EZ Application for DIC, Death Pension, and/or Accrued Benefits (Fillable) 06/24/2014 06/2014 11
21-526EZ Application for Disability Compensation and Related Compensation Benefits (Fillable) 01/17/2014 1/2014 8
22-8889 Application for Educational Assistance Test Program Benefits (Fillable) 07/23/2012 07/2012 2
21-0571 Application For Exclusion Of Children's Income (Fillable) 11/17/2011 06/2011 2
10-10EC Application For Extended Care Services 10/23/2003 07/2014 5
22-1990e Application for Family Member to Use Transferred Benefits (Fillable) 12/04/2013 06/2013 4
SF-424 Application for Federal Assistance 10/10/2013 10/2005 1
SF-424 Application for Federal Assistance 06/26/2003 2
26-6681 Application for Fee or Roster Personnel Designation (Fillable) 05/08/2013 06/2012 2
10-1170 Application for Furnishing Nursing Home Care to Beneficiaries of VA- fillable 09/15/2004 07/2007 1
10-10EZ APPLICATION FOR HEALTH BENEFITS - Print and fill out by hand 08/06/2004 07/2014 4
10-1010EZ APPLICATION FOR HEALTH BENEFITS - Print and fill out by hand. 08/06/2004 07/2013 4
10-1010EZ Application for Health Care Benefits 10-10EZ - fillable 08/06/2004 07/2013 4
10-2850d APPLICATION FOR HEALTH PROFESSIONS TRAINEES 03/01/2009 11/2011 4
 
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