LexisNexis® Automated Forms

$213.00LexisNexis® Automated Veterans Benefits Forms

VETERANS BENEFITS FORMS
A subscription to the LexisNexis® Automated Veterans Benefits Forms includes approximately 100 Veterans Benefits Administration forms and value-added instructions written by National Veteran's Legal Services Program (NVLSP) attorneys.

The LexisNexis® Automated Veterans Benefits Forms package is comprehensive, intuitive, reliable, and easy to use. Since the forms are fully automated with HotDocs® document assembly software, all you have to do is enter case or client-specific information once, and it will be automatically inserted throughout the form where that information is relevant. This means you'll be printing out signature-ready documents in minutes. Eliminate repetitive typing, cutting and pasting, and the increased chance of error that goes along with traditional methods of document preparation. You can also save the information you've entered after completing a form and use it to instantly complete related forms.

M21-1 Part IV. Chapter 6, Paragraph 6.09

NOTE: The submission of any properly completed and signed but obsolete form such as a superceded version of a 21-526 or 21-534 is a formal claim. If further information is needed, solicit the evidence by asking the claimant to complete any needed VA forms or by furnishing VA Form 21-4138, Statement of Claim, with the necessary evidence. See M21-1, Part III, Paragraph 2.04.

Free Training included.



  • To purchase this entire package, click on the " Purchase Package " button above. To ensure that you are always using the latest versions of the forms, any forms downloaded onto your computer will expire after 48 hours, but you may return to LexisOne at any time to download them again. Forms that you have already filled out and saved as separate documents will not expire. For questions about the two-day expiration policy, please call 1-877-507-6063, option 2.
     
  • To purchase an individual form, click on the "Purchase Individually " button at the top of the section containing the desired form. To ensure that you are always using the latest versions of the forms, any forms downloaded onto your computer will expire after 48 hours. To fill them out after that period, you will need to repurchase the form. Forms that you have already filled out and saved as separate documents will not expire. For questions about the two-day expiration policy, please call 1-877-507-6063, option 2.

Best Value Forms You will need to log-in to purchase any of these forms


  • Foreword by Ronald Abrams, National Veterans Legal Services Program
  • Veterans Benefits Manual Advocacy Checklist for Different Types of VA Claims (App17-A)

Back to Top


  • Application for Annual Clothing Allowance (Under 38 U.S.C. 1162) (10-8678) (April 2008) (Under 38 U.S.C. 3901-3904)
  • Application for Automobile or Other Conveyance and Adaptive Equipment (21-4502) (July 2008, (Under 38 U.S.C. 3901-3904))
  • Application for Automobile or Other Conveyance and Adaptive Equipment (21-4502) (Instructions) (July 2008, (Under 38 U.S.C. 3901-3904))
  • Application for Ben. for Certain Children with Disab. Born of Vietnam Vets. (21-0304) (Instructions) (September 2006)
  • Application for Benefits for Certain Children with Disabilities Born of Vietnam Veterans (21-0304) (September 2006)
  • Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (21P-530) (June 2014)
  • Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (21P-530) (Instructions) (June 2014)
  • Application for DIC, Death Pension, and/or Accrued Benefits (21-534EZ) (June 2014)
  • Application for Dependency and Indemnity Compensation (21-534) (June 2014, Application for Dependency and Indemnity Compensation, Death, Pension and Accrued Benefits by a Surviving Spouse or Child (including death compensation if applicable))
  • Application for Dependency and Indemnity Compensation (21-534) (Instructions) ((6/98) Instructions and Important Information for Application for Dependency and Indemnity Compensation)
  • Application for Dependency and Indemnity Compensation by Parent(s) (21-535) (June 2014)
  • Application for Dependency and Indemnity Compensation by Parent(s) (21-535) (Instructions) (June 2014)
  • Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (21-534a) (June 2014, In Service Death Only)
  • Application for Exclusion of Children?s Income (21-0571) (June 2011)
  • Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601) (June 2014, (VEAP, Chapter 32, Title 38, U.S.C.))
  • Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601) (Instructions) (June 2014, (VEAP, Chapter 32, Title 38, U.S.C.))
  • Application for United States Flag for Burial Purposes (21-2008) (Instructions) (September 2005)
  • Application for United States Flag for Burial Purposes (27-2008) (July 2012)
  • Declaration of Status of Dependents (21-686c) (June 2014)
  • Election of Compensation In Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation From Dept. of Veterans Affairs ((38 U.S.C. 5304(A)-5305) March 2005)
  • Eligibility Verification Report Instructions (21-0510) (June, 2004) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Fully Developed Claim Notice (Compensation) (21-526EZ) (January 2014)
  • Fully Developed Claim Notice (Pension) (21-527EZ) (June 2014)
  • Improved Pension Eligibility Verification Report (Child or Children) (21-0519c-1) (April 2012)
  • Improved Pension Eligibility Verification Report (Surviving Spouse with Children) (21-0519s-1) (06/12) The VA sends this form after an application has been submitted. Please check the date of the form sent by the VA against this version. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Improved Pension Eligibility Verification Report (Surviving Spouse with No Children) (21-0518-1) (06/12) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Improved Pension Eligibility Verification Report (Veteran with Children) (21-0517-1) (06/12) The VA sends this form after an application has been submitted. Please check the date of the form sent by the VA against this version. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Improved Pension Eligibility Verification Report (Veteran with No Children) (21-0516-1) (June 2012) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Income-Net Worth and Employment Status Statement (21-527) (June 2014)
  • Income-Net Worth and Employment Status Statement (21-527) (Instructions) (2/99)
  • Information Regarding Apportionment of Beneficiary's Award (21_0788) (June 2014)
  • Medical Expense Report (21P-8416) (February 2012, (Supersedes VA Form 21-8416, Which Will Not Be Used.))
  • Notice of Disagreement (21-0958) (February 2013)
  • Old Law Eligibility Verification Report (Veteran) (21-0511v-1) (11/96)
  • Old Law and Section 306 Eligibility Verification Report (Children Only) (21-0513-1) (06/04) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) (21-0512s-1) (June 2004 (VEAP, Chapter 32, Title 38, U.S.C.))
  • Parent's DIC Eligibility Verification Report (21-0514-1) (06/12) (VEAP, Chapter 32, Title 38, U.S.C.))
  • Pre-Discharge Compensation Claim (21-526c) (July 2009 (For use only with Benefits Delivery at Discharge (BDD) or Quick Start Claims))
  • Report of Accidental Injury in Support of Claim for Compensation or Pension (21-4176) (October 2005)
  • Report of Income from Property or Business (21-4185) (December 2011)
  • Request for Approval of School Attendance (21-674) (February 2012 (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request for Approval of School Attendance (21-674) (Instructions) (July 2005 (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request for Details of Expenses (21-8049) (8/94) (Under 38 U.S.C. 3901-3904)
  • Request for Employment Information in Connection with Claim for Disability Benefits (21-4192) (July 2004, (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request? for Nursing Home Information in Connection with Claim for Aid and Attendance??(21-0779) (March 2010)
  • School Attendance Report (21-674b) (February 2012)
  • Section 306 Eligibility Verification Report (Surviving Spouse) (21-0512s-1) (06/04) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Section 306 Eligibility Verification Report (Veteran) (21-0512v-1) (06/04) The VA sends this form after an application has been submitted. Please check the date of the form sent by the VA against this version. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Social Security Administration Application For Survivors Benefits (21-534b) (OMB Approved No. 0960-0062 (Page 10 of form 21-534) (Payable Under Title II of the Social Security Act))
  • Statement in Support of Claim (21-4138) (Updated August 2011 (VEAP, Chapter 32, Title 38, U.S.C.))
  • Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (21-0781) (January 2014, OMB Approved No. 2900-0659)
  • Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) (January 2014 Secondary to Personal Trauma OMB Approved No. 2900-0659)
  • Statement of Dependency of Parent(s) (21-509) (December 2010)
  • Statement of Marital Relationship (21-4170) (October 2004)
  • Statement of Person Claiming to Have Stood in Relation of Parent (21-524) (Revised November 2004)
  • Supporting Statement Regarding Marriage (21-4171) (November 2004)
  • Veteran's Application for Compensation and/or Pension (21-526) (Instructions) ((9/09) This file includes the instructions and important information the Veteran's Application for Compensation or Pension.)
  • Veteran's Application for Compensation and/or Pension, General Information (21-526) Revised (June 2014) (New version of form replaces old forms "21-526 Parts A, B, C, and D". General Information. Please read "General Instructions" (Veteran's Application for Compensation and/or Pension (21-526) (Instructions) before you fill out this form).)
  • Veteran's Application for Increased Compensation Based on Unemployability (21-8940) (June 2011)
  • Veteran's Supplemental Claim (21-526b) (June 2014)

Back to Top


  • (21-0960A-1) Ischemic Heart Disease (IHD) (January 2014)
  • (21-0960A-2) Artery and Vein Conditions (Vascular Diseases Including Varicose Veins) (October 2012)
  • (21-0960A-3) Hypertension Disability Benefits Questionnaire (October 2012)
  • (21-0960A-4) Heart Conditions (Including Ischemic and Non-Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac ...) (October 2012)
  • (21-0960B-1) Disability Benefits Questionnaire Hairy Cell and Other B-Cell Leukemias (January 2014)
  • (21-0960B-2) Hematologic and Lymphatic Conditions, Including Leukemia Disability Benefits... (October 2012)
  • (21-0960C-1) Parkinson's Disease (January 2014)
  • (21-0960C-10) Peripheral Nerves Conditions (October 2012)
  • (21-0960C-11) Seizure Disorders (Epilepsy) Disability Benefits Questionnaire (October 2012)
  • (21-0960C-2) Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) Disability Benefits Questionnaire (October 2012)
  • (21-0960C-3) Cranial Nerve Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960C-4) Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire (October 2012)
  • (21-0960C-5) Central Nervous System and Neuromuscular Diseases (Except Trau. Brain Injury, etc.)... (October 2012)
  • (21-0960C-6) Narcolepsy Disability Benefits Questionnaire (October 2012)
  • (21-0960C-7) Fibromyalgia Disability Benefits Questionnaire (October 2012)
  • (21-0960C-8) Headaches (Including Migraine Headaches) Disability Benefits Questionnaire (October 2012)
  • (21-0960C-9) Multiple Sclerosis (MS) Disability Benefits Questionnaire (October 2012)
  • (21-0960D-1) Oral and Dental Conditions Including Mouth, Lips and Tongue ... (October 2012)
  • (21-0960E-1) Diabetes Mellitus Disability Benefits Questionnaire (October 2012)
  • (21-0960E-2) Endocrine Diseases (Other than Thyroid, Parathyroid or Diabetes Mellitus) (October 2012)
  • (21-0960E-3) Thyroid and Parathyroid Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960F-1) Scars/Disfigurement Disability Benefits Questionnaire (October 2012)
  • (21-0960F-2) Skin Diseases Disability Benefits Questionnaire (October 2012)
  • (21-0960G-1) Esophageal Conditions (Including gastroesophageal reflux disease (GERD)...) (October 2012)
  • (21-0960G-2) Gallbladder and Pancreas Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960G-3) Intestinal Conditions (Other that Surgical or Infections)... (October 2012)
  • (21-0960G-4) Intestinal Surgery (Bowel Resection, Colostomy, Ileostomy) Disability Benefits... (October 2012)
  • (21-0960G-5) Hepatitis, Cirrhosis and Other Liver Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960G-6) Peritoneal Adhesions Disability Benefits Questionnaire (October 2012)
  • (21-0960G-7) Stomach and Duodenal Conditions (Not Including Gerd or Esophageal Disorders) (October 2012)
  • (21-0960G-8) Infectious Intestinal Disorders, Including Bacterial and Parasitic Infections... (October 2012)
  • (21-0960H-1) Hernias (Including Abdominal, Inguinal and Femoral Hernias)... (October 2012)
  • (21-0960H-2) Rectum and Anus Conditions IIncluding Hemorrhoids) Benefits Questionnaire (October 2012)
  • (21-0960I-1) Persian Gulf and Afghanistan Infectious Diseases Disability Benefits Questionnaire (October 2012)
  • (21-0960I-2) HIV - Related Illnesses Disability Benefits Questionnaire (October 2012)
  • (21-0960I-3) Infectious Diseases (Other than HIV-Related Illness, Chronic Fatigue, Tuberculosis)... (October 2012)
  • (21-0960I-4) Systemic Lupus Erythematosus (SLE) and Other Autoimmune Diseases Disability Benefits (October 2012)
  • (21-0960I-5) Nutritional Deficiencies Disability Benefits Questionnaire (October 2012)
  • (21-0960I-6) Tuberculosis Disability Benefits Questionnaire (October 2012)
  • (21-0960J-1) Kidney Conditions (Nephrology) Disability Benefits Questionnaire (October 2012)
  • (21-0960J-2) Male Reproductive Organ Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960J-3) Prostate Cancer Disability Benefits Questionnaire (October 2012)
  • (21-0960J-4) Urinary Tract (Including Bladder and Urethra) Conditions (October 2012)
  • (21-0960K-1) Breast Conditions and Disorders Disability Benefits Questionnaire (October 2012)
  • (21-0960K-2) Gynecological Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960L-1) Respiratory Conditions (Other than Tuberculosis and Sleep Apnea) Disability Benefits (October 2012)
  • (21-0960L-2) Sleep Apnea Disability Benefits Questionnaire (October 2012)
  • (21-0960M-1) Amputations Disability Benefits Questionnaire (October 2012)
  • (21-0960M-10) Muscle Injuries Disability Benefits Questionnaire (October 2012)
  • (21-0960M-11) Osteomyelitis Disability Benefits Questionnaire (October 2012)
  • (21-0960M-12) Shoulder and Arm Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960M-13) Neck (Cervical Spine) Disability Benefits Questionnaire (May 2013)
  • (21-0960M-14) Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960M-15) Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960M-16) Wrist Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960M-2) Ankle Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960M-3) Non-Degenerative Arthritis... (May 2013)
  • (21-0960M-4) Elbow and Forearm Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960M-5) Flatfoot (Pes Planus) Disability Benefits Questionnaire (January 2011)
  • (21-0960M-6) Foot Miscellaneous (Other Than Flatfoot/PES Planus) Disability Benefits Questionnaire (May 2013)
  • (21-0960M-7) Hand and Finger Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960M-8) Hip and Thigh Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960M-9) Knee and Lower Leg Conditions Disability Benefits Questionnaire (May 2013)
  • (21-0960N-1) Ear Conditions (Including Vestibular and Infectious Conditions) (October 2012)
  • (21-0960N-2) Eye Conditions Disability Benefits Questionnaire (October 2012)
  • (21-0960N-4) Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx ... (October 2012)
  • (21-0960P-1) Eating Disorders Disability Benefits Questionnaire (October 2012)
  • (21-0960P-2) Mental Disorders (Other Than PTSD and Eating Disorders) Disability Benefits (October 2012)
  • (21-0960P-3) Review Post Traumatic Stress Disorder (PTSD) Disability Benefits Questionnaire (October 2012)
  • (21-0960Q-1) Chronic Fatigue Syndrome Disability Benefits Questionnaire (October 2012)
  • 21-0960N-3) Loss of Sense of Smell and/or Taste Disability Benefits Questionnaire (October 2012)

Back to Top


  • Application for Correction of Military Record (DD 149) (Revised (April 2012))
  • Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty... (Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty With the Armed Forces of the United States (DD 2168) (April 2010))
  • Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293) (Revised (October 2011))
  • Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293) (Instructions) (Revised (October 2011))
  • Claim for Combat-Related Special Compensation (CRSC) (DD 2860) (July 2011)
  • Claim for Combat-Related Special Compensation (CRSC) (DD 2860) (Instructions) (Revised (January 2004) Attachment 1 - Program Guidance Revised (April 15, 2004))
  • Preseparation Counseling Checklist (AC), (AGR), (AR), (FTS), (RPA) (DD 2648) (January 2011)
  • Report of Medical Assessment (DD 2697) (February 1995)
  • Request for Medical/Dental Records From the National Personnel Records Center (NPRC)(DD 877-1) ((DD 877-1) April 1998)
  • Request for Medical/Dental Recordsor Information (DD 877) ((DD 877) September 1967)
  • Service Member's Individual Transition Plan Checklist (DD 2958) (November 2012)
  • Transition Assistance Program (TAP) Checklist for Deactivating/Demobilizing Natl Guard and Reserve Service Members (DD 2648-1) (January 2011)

Back to Top


  • Appeal to Board of Veterans' Appeals (9) (November 2009)
  • Appeal to Board of Veterans' Appeals (9) (Instructions) (November 2009)
  • Application for Accreditation as a Claims Agent (VA-21A) (May 2007)
  • Application for Accreditation as a Veterans Organization Representative (VA Form 21) (August 2005(R))
  • Application for Adaptive Equipment Motor Vehicle (10-1394) (2/05)
  • Application for CHAMPVA Benefits (10-10d) (July 2014)
  • Application for Comprehensive Assistance for Family Caregivers Program (10-10CG) (May 2011)
  • Application for Extended Care Services (10-10EC) (July 2014)
  • Application for Health Benefits (10-10EZ) (July 2013)
  • Application for Health Benefits (10-10EZ) (Old Copy) (July 2008 A newer version of htis form exists, this copy in included for use by Veterans Integrated Service Network (VISN) 20.)
  • Application for Standard Government Headstone or Marker (40-1330) (February 2014)
  • Application for Standard Government Headstone or Marker (General Information Sheet) (40-1330) (February 2014)
  • Application for Survivors Benefits (SSA-24) (March 1995)
  • Application of Surviving Spouse or Child for Reps Benefits (21-8924) (June 2011)
  • Appointment of Individual as Claimant's Representative (21-22a) (June 2009)
  • Appointment of Veterans Service Organization as Claimant's Representative (21-22) (June 2014)
  • Appointment of Veterans Service Organization as Claimant's Representative (21-22) (Instructions) ((November 2005) Recognized Service Organizations)
  • Authorization To Disclose Personal Information To a Third Party (21-0845) (May 2010)
  • Authorization and Consent to Release Information to the Department of Veterans Affairs (21-4142) (February 2012)
  • Authorization to Disclose a Record in the Presence of a Third Party (VA Form 5571) (February 1993 (R ))
  • CHAMPVA Other Health Insurance (OHI) Certification (10-7959C) (VA Form 10-7959C May 2010)
  • Claim for Payment of Cost of Unauthorized Medical Services (10-583) (October 2010)
  • Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (21-2680) (10/92)
  • Financial Status Report (5655) (Revised (June 2009) RS)
  • Foreign Medical Program (FMP) Registration Form (10-7959f-1) (VA Form 10-7959f-1 November 2008)
  • Health Benefits Renewal Form (10-10EZR) (October 2013)
  • Individuals' Request for a Copy of Their Own Health Information (10-5345a) (May 2005)
  • Instructions for Completing Application for Health Benefits (10-10EZ) (February 2011)
  • Radiation Risk Activity Information Sheet
  • Rehabilitation Plan (28-8872) (9/89)
  • Rehabilitation Plan--Continuation Sheet (28-8872a) (9/89)
  • Request for Hardship Determination (10-10HS) (October 2008)
  • Request for Substitution of Claimant Upon Death of Claimant (21-0847) (June 2009)
  • Request for and Consent to Release of Information from Claimant's Records (3288) (10/95) (R)
  • Request for and Consent to Release of Medical Records Protected by 38 U.S.C. 7332 (10-5345) (May 2005)
  • Statement of Accredited Representation in Appealed Case (1-646) (4/91)
  • Veteran's Application in Acquiring Specially Adapted Housing or Special Home Adapt. Grant (26-4555) (Revised (Jaunuary 2009))
  • Veterans Application For Assistance in Acquiring Home Improvement and Structural Alterations (10-0103) (February 2005(R))

Back to Top


  • Application and Enrollment Certification for Individualized Tutorial Assistance (22-1990t) (January 2014) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Application and Enrollment Certification for Individualized Tutorial Assistance (22-1990t) (Instructions) (January 2014) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Application for Family Member to use Transferred Benefits (22-1990E) (August 2009)
  • Application for Refund of Educational Contributions (24-5281) (3/01) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Application for Survivors' and Dependents' Educational Assistance (22-5490) (June 2014)
  • Application for Survivors' and Dependents' Educational Assistance (22-5490) (Instructions) (June 2014)
  • Application for VA Education Benefits (22-1990) (June 2014, In this form, a disabled veteran requests consideration for vocational rehabilitation.)
  • Application for VA Education Benefits (22-1990) (Instructions) (May 2013)
  • Application for Work-Study Allowance (22-8691) (November 2005) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Application for Work-Study Allowance (22-8691) (Instructions) (November 2005) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Certificate of Affirmation of Enrollment Agreement--Correspondence Course (22-1999c) (06/05) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Monthly Certification of Flight Training (22-6553c) (Instructions for Students) (6/01) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Req. for Change of Program or Place of Training Survivors' and Dependents' Educ. Assist. (22-5495) (June 2014, (Under Provisions of Chapter 35, Title 38, U.S.C.))
  • Req. for Change of Program or Place of Training Survivors' and Deps' Educ. Assist. (22-5495) (Instructions) (June 2014, (Under Provisions of Chapter 35, Title 38, U.S.C.))
  • Request for Change of VA Education Program or Place of Training (22-1995) (June 2014, (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606))
  • Request for Change of VA Education Program or Place of Training (22-1995) (Instructions) (June 2014, (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606))
  • Supplemental Information for Change of Program or Reenrollment (22-8873) (After Unsatisfactory Attendance, Conduct or Progress (August 2009))
  • Time Record (Work-Study Program) (22-8690) (1/99) (Under Provisions of Chapter 35, Title 38, U.S.C.)

Back to Top


  • Direct Deposit Enrollment (24-0296) ((November 2009) After Unsatisfactory Attendance, Conduct or Progress)
  • Request for Change of Address/Cancellation of Direct Deposit (20-572) (3/96) In this form, a VA beneficiary (receiving a variety of VA benefits) (5/ request a change of address or cancel direct deposit. (VEAP, Chapter 32, Title 38, U.S.C.)

Back to Top


  • App. for Assump. Approval and/or Release from Personal Liability to Gov't on a Home Loan (26-6381) (12/96) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Request for Determination of Loan Guaranty Eligibility--Unmarried Surviving Spouses (26-1817) (January 2014, In this form, an unremarried surviving spouse of a veteran may request a certificate of eligibility for purchasing a home with a VA home loan. (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request for a Certificate of Eligibility for VA Home Loan Benefits (26-1880) (September 2011, Supersedes VA Form 26-1880, Mar - 2011, Which Will Not Be Used.)
  • Request for a Certificate of Eligibility for VA Home Loan Benefits (26-1880) (Instructions) (September 2011)

Back to Top


  • Application for Cash Surrender Value/or Application for Policy Loan (29-1546) (6/07) In this form, a policy-holder (5/ apply for the cash surrender value of their policy or request a loan. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Application for Service Disabled Insurance (29-4364) ((December 2003) In this form, a disabled veteran may apply for this special type of life insurance.)
  • Application for Service Disabled Insurance (29-4364) (Instructions) Pamphlet (29-9) (Pamphlet (29-9) Service-Disabled Veterans Insurance RH Information and Premum Rates Instructions for VA Form (29-4364) Application for Service Disabled Insurance)
  • Application for Supplemental Service-Disabled Veterans (RH) Life Insurance (29-0189) (November 1992)
  • Application for Supplemental Service-Disabled Veterans Insurance (SRH) (29-0188) (January 2011)
  • Application for Veterans' Group Life Insurance (SGLV 8714) (Revised (September 2005) (Under 38 U.S.C. 3901-3904))
  • Application for Veterans' Group Life Insurance (SGLV 8714) (Instructions) (3/03) (Under 38 U.S.C. 3901-3904)
  • Claim for Death Benefits (SGLV 8283) (June 2014, (Under 38 U.S.C. 3901-3904))
  • Claim for Death Benefits (SGLV 8283) (Instructions) (June 2014, (Under 38 U.S.C. 3901-3904))
  • Claim for Disability Insurance--Government Life (29-357) (April 2012) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Claim for One Sum Payment (29-4125) (March 2013)
  • Designation of Beneficiary Government Life Insurance (29-336) (September 2014)
  • Designation of Beneficiary Government Life Insurance (29-336) (Instructions) (September 2014)

Back to Top


  • Application for 10-Point Veteran Preference (To be Used by Veterans and Relatives of Veterans) (SF 15) (Revised October 2013)
  • Application for Relief From Court-Martial Findings and/or Sentence... (DA Form 3499) (Application for Relief From Court-Martial Findings and/or Sentence Under the Provisions of Title 10, United States Code, Section 869 July 2014)
  • Presidential Memorial Certificate Request Form (40-0247) (May 2013)
  • Request For Information Needed To Reconstruct Medical Data (NA-13055) (March 2008)

Back to Top


  • Questionnaire about Military Service (NA 13075) (Rev. June 2011, Expires (07/31/2014) (Under 38 U.S.C. 3901-3904))
  • Request For Information Needed To Reconstruct Medical Data (NA-13055) (Rev. April 2011)

Back to Top


  • Application for 10-Point Veteran Preference (To be Used by Veterans and Relatives of Veterans) (SF 15) (Revised October 2013)
  • Claim for Damage, Injury, or Death Standard Form (SF 95) ((rev. 7/85) Previous editions not usable. Designed using Perform Pro, WHS/D10R, Jun 98)
  • Claim for Unpaid Compensation of Deceased member of the Uniformed Serviced (SF 1174) (Standard Form 1174 (EG) September 1992)
  • Records Transmittal and Receipt (SF 135) (7/85)
  • Request Pertaining to Military Records (SF 180) (Rev. (10/10) Formatted for letter size paper (8.5" x 11"). (OMB Expires 10/ 31, 2011))
  • Request Pertaining to Military Records (SF 180) (Instructions) (Rev. (10/10) Formatted for letter size paper (8.5" x 11"). (OMB Expires 10/ 31, 2011))

Back to Top


  • Counseling Record - Personal Information (28-1902) (Aug 2000)
  • Disabled Veterans Application for Vocational Rehabilitation (28-1900) (June 2011, Supersedes VA Form 28-1900, Nov - 2010, Which Will Not Be Used.)
  • Disabled Veterans Application for Vocational Rehabilitation (28-1900) (Instructions) (June 2011, Supersedes VA Form 28-1900, Nov - 2010, Which Will Not Be Used.)
  • Employment Questionnaire (21-4140-1) (August 2011, (VA Form 21-4140-1))
  • Rehabilitation Needs Inventori (RNI) (28-1902W) (July 2007, VA Form 28-1902W)

Back to Top


  • Appeal Cancellation Form
  • Submission Cover Sheet (This is a form that can be submitted as a cover sheet when making submissions to the VA regional offices.)

Back to Top



  • Calvet Home Loan Program - Prequalification Application Form
  • Civil Service Preference (Application for Veteran's Preference for California State Civil Service Examinations SPB-1093 (January 2014))
  • College Fee Waiver for Veteran's Dependents (Revised (July 2012))
  • Special License Plate Application (Reg 17A) (Veteran's Special Licence Plate (Purple Heart, Medal Of Honor) Rev. July 2011)
  • Veterans Home Application (Application for Admission Veteran's Home of California Rev. (June 2013))

Back to Top


  • Application for Alternative Veterans Exemption From Real Property Taxation (RP-458-a) (April 2014)
  • Application for New York State Civil Service Examinations Open to the Public (Form OC-APP (June 2014) (June 2014, Includes Veterans Preference Section)
  • Application for Veterans Exemption From Real Property Taxation (RP-458) (January 2007)
  • Form to Register Motor Vehicle Obtained by Disabled Veteran Under Title 38 U.S.C. (MV-1E) ((06/07) Statement to Register a Vehicle Under Title 38)
  • Form to Register a Vehicle With Former POW Or Congressional Medal of Honor Plates (MV-1H) (12/04)
  • Form to Renew Registration of Motor Vehicle for Disabled Veteran Under Title 38 (MV-1G) ((11/07) Statement to Renew Registration Under Title 38)

Back to Top


  • Application for "Disabled Veteran" License Plate (12/02)
  • Application for Special License Plate - Purple Heart Recipient or Former POW (August 2013)
  • Claims Tracking Form (TVC 18) (Texas Veterans Commission Form (TVC 18))
  • Nursing Home Statement (TVC 15a) (Revised August 2000 Texas Veterans Commission Form Number VTC 15a)
  • Statement of Attending Physician (TVC 16) (Revised, June 2004 Texas veterans Commission Form Number TVC 16)
  • Texas State Veterans Home Application for Admission (October 10, 2011)
  • Texas Veterans Housing Assistance and Home Improvement Programs, Cert of Eligibility Application (June 3, 2014)
  • Texas Veterans Preference Employment Form (09/03)

Back to Top


Forms Search

Search Tips »