Veterans Affairs Forms

Application to add or remove dependents (spouse, children, dependent parents) to a VA compensation award.

Allows a spouse, child, or other person to legally sign VA forms on behalf of an incapacitated veteran.

Application to claim burial allowance, plot allowance, and transportation reimbursement for deceased veterans.

Application for review and upgrade of discharge characterization from the Armed Forces. Can affect eligibility for VA benefits.

Designates an accredited attorney or claims agent as the veteran's representative in VA proceedings.

Appointment of a Veterans Service Organization as the veteran's representative with power of attorney for VA claims.

Authorization and consent allowing VA to obtain private medical records from non-VA providers for disability claim adjudication.

Application for CHAMPVA health insurance for spouses, children, or survivors of veterans with permanent and total service-connected disabilities.

CHAMPVA claim form for reimbursement of medical expenses not filed directly by a provider. Requires itemized bills.

CHAMPVA Other Health Insurance certification to report changes in other health insurance coverage. Must include copy of insurance card.

Application for Dependency and Indemnity Compensation, Death Pension, and/or Accrued Benefits for surviving family members of deceased veterans.

Companion form to 21-4142 allowing specific medical professionals to release records to VA for claim processing.

Decision Review Request for a senior reviewer to re-examine a denied claim without new evidence. Must file within 1 year of decision.

Preserves the effective date for a VA benefits claim while gathering evidence. Provides 1 year to submit the formal claim.

Appeal to the Board of Veterans' Appeals under the AMA. Three docket options: direct review, evidence submission, or hearing.

Sent to the veteran's last employer to verify employment history in connection with a disability benefits claim.

Request to obtain DD-214, service records, and medical records from military service through the National Personnel Records Center.

Continues dependent benefits for children ages 18-23 who are attending school full-time.

Statement for PTSD claims secondary to personal assault including military sexual trauma (MST). Allows alternative evidence sources.

Statement detailing stressor events related to a PTSD disability compensation claim. Describes incidents during military service.

Decision Review Request for submitting new and relevant evidence for reconsideration of a denied VA claim under the Appeals Modernization Act.

Application for Total Disability based on Individual Unemployability. Claims total disability rating when unable to maintain substantial gainful employment due to service-connected disabilities.

VA advance directive and durable power of attorney for health care. Documents treatment preferences and designates a healthcare agent within the VA system.

Examination for housebound status or permanent need for regular aid and attendance. Physician completes detailed ADL assessment sections.

Application for Program of Comprehensive Assistance for Family Caregivers including stipend, respite care, and health benefits.

Application for disability compensation and related benefits for service-connected conditions. Requires linking conditions to military service.

Application for VA education benefits including Post-9/11 GI Bill, Montgomery GI Bill, REAP, and VEAP programs.

Health Benefits Update Form for veterans already enrolled in VA health care who need to update personal, insurance, financial, or military service information.

Application for VA health benefits. Requires military service history, current insurance, income/assets, and toxic exposure history.

Application for Home Improvements and Structural Alterations grant. Up to $6,800 for service-connected and $2,000 for non-service-connected disabilities.

Authorization allowing VA to share personal information with a non-VA individual or organization designated by the veteran.

Application for SAH/SHA grants for major home adaptations. SAH up to $121,812 (FY2026) for veterans with severe service-connected disabilities.

Claim for reimbursement of travel expenses to VA medical appointments. Over 10 million claims filed annually.

Application for tax-free Veterans Pension income supplement for wartime veterans with limited income and net worth.