Documents
2110 indexed federal forms from official USCIS, IRS, VA, and State Department catalogs. Links go to .gov only — never a fake download on this site. For application portals (including all states), see Applications.
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Immigration & Citizenship
G-639
Freedom of Information/Privacy Act and Online FOIA Request
Immigration & Citizenship
I-102
Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
Immigration & Citizenship
I-131
Application for Travel Documents, Parole Documents, and Arrival/Departure Records
Immigration & Citizenship
I-192
Application for Advance Permission to Enter as a Nonimmigrant
Immigration & Citizenship
I-212
Application for Permission to Reapply for Admission into the United States After Deportation or Removal
Immigration & Citizenship
I-589
Application for Asylum and for Withholding of Removal
Immigration & Citizenship
I-600A
Application for Advance Processing of an Orphan Petition
Immigration & Citizenship
I-693
Report of Immigration Medical Examination and Vaccination Record
Immigration & Citizenship
I-821D
Consideration of Deferred Action for Childhood Arrivals
Immigration & Citizenship
I-881
Application for Suspension of Deportation or Special Rule Cancellation of Removal (Pursuant to Section 203 of Public Law 105-100 (NACARA))
Immigration & Citizenship
I-956F
Application for Approval of an Investment in a Commercial Enterprise
Immigration & Citizenship
N-426
Request for Certification of Military or Naval Service
Taxes & IRS
portal
706 (Schedule T)
Section 2032A Property Valuation
Taxes & IRS
portal
706 (Schedule U)
Qualified Conservation Easement Exclusion
Taxes & IRS
990-PF
Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation
Taxes & IRS
portal
1042 (Schedule Q)
Tax Liability of Qualified Derivatives Dealer (QDD)
Taxes & IRS
1099-H
Health Coverage Tax Credit (HCTC) Advance Payments
Taxes & IRS
1099-SA
Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
Taxes & IRS
portal
1120-F (Schedule Q)
Tax Liability of Qualified Derivatives Dealer (QDD)
Taxes & IRS
4461
Application for Approval of Master or Prototype or Volume Submitter Defined Contribution Plans
Taxes & IRS
4461-A
Application for Approval of Master or Prototype or Volume Submitter Defined Benefit Plan
Taxes & IRS
4461-B
Application for Approval of Master or Prototype or Volume Submitter Plans
Taxes & IRS
4461-C
Application for Approval of Standardized or Nonstandardized 403(b) Pre-Approved Plan
Taxes & IRS
5306
Application for Approval of Prototype or Employer Sponsored Individual Retirement Arrangement (IRA)
Taxes & IRS
5306-A
Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan)
Taxes & IRS
5498-SA
HSA, Archer MSA, or Medicare Advantage MSA Information
Taxes & IRS
5578
Annual Certification of Racial Nondiscrimination for a Private School Exempt From Federal Income Tax
Taxes & IRS
7200
Advance Payment of Employer Credits Due to COVID-19
Taxes & IRS
portal
7200 (sp)
Advance Payment of Employer Credits due to COVID-19 (Spanish Version)
Taxes & IRS
7207
Advanced Manufacturing Production Credit
Taxes & IRS
7220
Prevailing Wage and Apprenticeship (PWA) Verification and Corrections
Taxes & IRS
8038
Information Return for Tax-Exempt Private Activity Bond Issues
Taxes & IRS
8328
Carryforward Election of Unused Private Activity Bond Volume Cap
Taxes & IRS
12153
Request for a Collection Due Process or Equivalent Hearing
Taxes & IRS
portal
12153 (sp)
Request for a Collection Due Process or Equivalent Hearing (Spanish Version)
Taxes & IRS
12256
Withdrawal of Request for Collection Due Process or Equivalent Hearing
Taxes & IRS
13997
Validating Your TIN and Reasonable Cause
Taxes & IRS
14364
Continuing Education Evaluation
Taxes & IRS
14417
Reimbursable Agreement - Non-Federal Entities (State and Local Governments, Foreign Governments, Commercial Organizations, and Private Businesses)
Taxes & IRS
15028
Certification of Publicly Traded Partnership to Notify Specified Partners and Qualified Relevant Partners for Approved Modifications Under IRC Section 6225(c)(5)
Taxes & IRS
15293
Consent for Disclosure of Non-Tax IRS Records Protected under the Privacy Act
Taxes & IRS
15603
IRS Request for individual Access to Non-Tax Records Protected under the Privacy Act
Taxes & IRS
15662
Application for Private Letter Rulings
Taxes & IRS
15714
Advance Election to Participate Under Section 25F for 2027
Veterans Affairs
10-0003k
Employee Incentive Scholarship Program (EISP) Application
Veterans Affairs
10-0003K-2
Employee Incentive Scholarship Program (EISP) Agreement
Veterans Affairs
10-10CG
Application for Comprehensive Assistance for Family Caregivers Program
Veterans Affairs
10-10CG(S)
Application for the Program of Comprehensive Assistance for Family Caregivers – Spanish
Veterans Affairs
10-10CG(S)
SOLICITUD PARA EL PROGRAMA DE ASISTENCIA INTEGRAL PARA CUIDADORES FAMILIARES - INSTRUCCIONES
Veterans Affairs
10-10CG(T)
Application for the Program of Comprehensive Assistance for Family Caregivers – Tagalog
Veterans Affairs
10-10CG(T)
APPLICATION PARA SA PROGRAMA NG KOMPREHENSIBONG TULONG PARA SA MGA TAGAPAG-ALAGA NG PAMILYA - MGA INSTRUKSYON
Veterans Affairs
10-10d
Application for CHAMPVA Benefits
Veterans Affairs
10-10EC
Application for Extended Care Services
Veterans Affairs
10-10EZ
Instructions and Enrollment Application for Health Benefits
Veterans Affairs
10-10EZ-S
Application For Health Benefits- Spanish
Veterans Affairs
10-10EZR
Health Benefits Update Form
Veterans Affairs
10-10EZR-S
Health Benefits Update Form- Spanish
Veterans Affairs
10-10EZRS
INSTRUCCIONES PARA COMPLETAR EL FORMULARIO DE ACTUALIZACIÓN DE LOS BENEFICIOS MÉDICOS
Veterans Affairs
10-10EZS
Instrucciones y Solicitud de Beneficios Medicos
Veterans Affairs
10-10HS
Request for Hardship Determination
Veterans Affairs
10-10M
Medical Certificate
Veterans Affairs
10-10SH
State Home Program Application for Veteran Care Medical Certification
Veterans Affairs
10-0053
Medication Inspection for Wards and Clinics
Veterans Affairs
10-0056A
Fire Safety Inspection Report
Veterans Affairs
10-0094d
Medical Education Affiliation Agreement—School of Dentistry
Veterans Affairs
10-0094e
Dental Education Affiliation Agreement Between Department of Veterans Affairs (VA) as the Sponsoring Institution, and a School of Dentistry and Its Affiliated Institutions
Veterans Affairs
10-0094f
Dental Education Affiliation Agreement Between Department of Veterans Affairs (VA) and Institutions Sponsoring Dental Education
Veterans Affairs
10-0094g
Associated Health Education Affiliation Agreement Between the Department of Veterans Affairs (VA) and an Educational Program
Veterans Affairs
10-0094h
Education Affiliation Agreement Between Non-VA Health Care Facility or Agency (FILLABLE)
Veterans Affairs
10-0102
Career Development Application
Veterans Affairs
10-0103
Veterans Application for Assistance in Acquiring Home Improvements and Structural Alterations
Veterans Affairs
10-0114J
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – CLINICAL OPIOID WITHDRAWAL SCALE (COWS)
Veterans Affairs
10-0114J-2
VAAES ACUTE INPATIENT NSG ADMISSION SCREENING
Veterans Affairs
10-0114J-3
VAAES MENTAL HEALTH NSG ADMISSION SCREENING
Veterans Affairs
10-0114J-4
VA-APPROVED ENTERPRISE STANDARD ACUTE INPATIENT NSG SHIFT ASSESSMENT
Veterans Affairs
10-0114J-5
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – Neurological and Vascular Checks
Veterans Affairs
10-0114J-6
VAAES Acute Nursing Frequent Documentation – Urinary Catheter
Veterans Affairs
10-0114J-7
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – AGITATED BEHAVIOR SCALE (ABS – TBI Patients Only)
Veterans Affairs
10-0114J-8
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – CLINICAL INSTITUE WITHDRAWAL ASSESSMENT FOR ALCOHOL – REVISED (CIWA-Ar)
Veterans Affairs
10-0114J-9
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – CONFUSION/SEDATION
Veterans Affairs
10-0114J-10
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – CLINICAL OPIOID WITHDRAWAL SCALE (COWS)
Veterans Affairs
10-0114J-11
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS)
Veterans Affairs
10-0114J-12
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION - DAILY CARE
Veterans Affairs
10-0114J-13
VA-APPROVED ENTERPRISE STANDARD NURSING FREQUENT DOCUMENTATION - PICC/MIDLINE and PIV INSERTION
Veterans Affairs
10-0114J-14
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING FREQUENT DOCUMENTATION – STROKE
Veterans Affairs
10-0114J-15
VAAES ACUTE INPATIENT NSG SHIFT ASSESSMENT – BEDSIDE SWALLOW SCREEN
Veterans Affairs
10-0114J-16
VA-APPROVED ENTERPRISE STANDARD SKIN INSPECTION/ASSESSMENT
Veterans Affairs
10-0114J-17
VA-APPROVED ENTERPRISE STANDARD ACUTE NURSING DOCUMENTATION NATIONAL EARLY WARNING SCORE (NEWS)
Veterans Affairs
10-0114J-18
VA-APPROVED ENTERPRISE STANDARD VA POST ANESTHESIA/SEDATION SCORE VA-PAS (Phase 1)
Veterans Affairs
10-0114J-19
APPROVED ENTERPRISE STANDARD VA POST ANESTHESIA/SEDATION SCORE VA-PAS (Phase 2)
Veterans Affairs
10-0114J(20)
VAAES Acute Nursing Frequent Documentation – Pain Assessment
Veterans Affairs
10-0114J(21)
VAAES BEHAVIORAL RESTAINT(S) AND SEC;ISOPM
Veterans Affairs
10-0114J(22)
VAAES STROKE SPECIFIC BEDSIDE SWALLOW SCREEN
Veterans Affairs
10-0114L-6
VAAES Acute Nursing Frequent Documentation – Urinary Catheter
Veterans Affairs
10-0137
VA Advance Directive: Durable Power of Attorney for Health Care and Living Will
Veterans Affairs
10-0137 Spanish-English
Directrices Anticipadas De Va Poder Legal Para La Designacion De Agente Para El Cuidado De Salud Y Testamento En Vida
Veterans Affairs
10-0137A
What You Should Know About Advance Directives
Veterans Affairs
10-0143
Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals
Veterans Affairs
10-0143a
Statement of Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973
Veterans Affairs
10-0144
Certification Regarding Lobbying
Veterans Affairs
10-0144a
Statement of Assurance of Compliance with Equal Opportunity Laws
Veterans Affairs
10-0246
Veteran Patient Statement
Veterans Affairs
10-250
VHA Research Protocol Privacy Review Checklist
Veterans Affairs
10-252
Authorization to Release Protected Health Information to State/Local Public Health Authorities
Veterans Affairs
10-253
Ecclesiastical Endorsement for Veterans Affairs Chaplaincy
Veterans Affairs
10-259
Revocation of Authorization for Release of Release of Individually-Identifiable Health Information
Veterans Affairs
10-262
CATEGORY RATING – RATING CRITERIA SUMMARY (RCS) FORM VHA DELEGATED EXAMINING OFFICE (DEO)
Veterans Affairs
10-263
VA Form COVID-19 Vaccination
Veterans Affairs
10-301
IRS/SSA Veteran Reported Income
Veterans Affairs
10-302
IRS/SSA Spouse Reported Income
Veterans Affairs
10-302a
Spouse Additional Income Information
Veterans Affairs
10-303
Declaration of Representative
Veterans Affairs
10-304
Waiver Statement
Veterans Affairs
10-305
VA Form 10-305 Your Rights to Seek Further Review of PCAFC Decisions
Veterans Affairs
10-305(s)
Your Rights To Seek Further Review of Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions – Spanish
Veterans Affairs
10-306
Request for Information (PCAFC Decisions)
Veterans Affairs
10-307
Notice of Disagreement (PCAFC Decisions)
Veterans Affairs
10-313
VHA NATIONAL FORMULARY REQUEST FOR FORMULARY REVIEW FORM FOR ADDITION OR REMOVAL REQUESTS BY VHA LEADERSHIP
Veterans Affairs
10-314
REQUEST FOR PAYMENT OF BOWEL AND BLADDER SERVICES
Veterans Affairs
10-318a
Legal Services for Homeless Veterans and Veterans At-Risk for Homelessness (LSV) Grant Program APPLICATION FOR LEGAL SERVICES GRANT
Veterans Affairs
10-318b
Legal Services for Homeless Veterans and Veterans At-Risk for Homelessness (LSV) Grant Program RENEWAL APPLICATION FOR LEGAL SERVICES GRANT
Veterans Affairs
10-319a
Legal Services for Homeless Veterans and Veterans At-Risk for Homelessness (LSV) Grant Program QUARTERLY GRANTEE PERFORMANCE REPORT
Veterans Affairs
10-320
Veteran Reimbursement Claim Form
Veterans Affairs
10-322
Clinical Determinations and Indications Question Submission Form
Veterans Affairs
10-322
Clinical Determinations and Indications Question Submission Form (VA Form 10-322)
Veterans Affairs
10-323
Veteran Repayment Plan (RPP) Agreement
Veterans Affairs
10-328
REASONABLE ACCOMMODATION COORDINATOR (RAC) INTAKE & TRACKING FORM PROCESSING NOTIFICATIONS AND REQUESTS FOR OPTING OUT OF FUNCTIONS RELATED TO REPRODUCTIVE HEALTH CARE
Veterans Affairs
10-329
COATS-SNOWE NOTIFICATION OF OPT OUT FORM PROCESSING OPTING OUT OF FUNCTIONS RELATED TO INDUCED ABORTIONS
Veterans Affairs
10-330
EXEMPTION AND ACCOMMODATION FORM EMPLOYEE REQUEST TO BE EXCUSED FROM AN ASPECT OF REPRODUCTIVE HEALTH
Veterans Affairs
10-334
VA Form - Tribal Documentation Form
Veterans Affairs
10-356
Payment of Aid to State Homes by VA
Veterans Affairs
10-376
CARDIAC PRE-OPERATIVE EVALUATION/RISK STRATIFICATION REQUEST
Veterans Affairs
10-0376a
Credentials Transfer Brief
Veterans Affairs
10-0379
Ecclesiastical Endorsing Organization Request to Designate Ecclesiastical Endorsing Official
Veterans Affairs
10-379
Consent and Authorization for Autopsy
Veterans Affairs
10-380
VCAP Child Registration Intake Form
Veterans Affairs
10-0381
Civil Rights Discrimination Complaint
Veterans Affairs
10-381
VCAP Appointment Certification Form
Veterans Affairs
10-0383
Catastrophically Disabled Veteran Evaluation and Approval
Veterans Affairs
10-0386
VHA Choice Approval for Medical Care
Veterans Affairs
10-387
Medical Foster Home Caregiver Application
Veterans Affairs
10-0388
Documents and Information Required for State Home Construction and Acquisition Grant
Veterans Affairs
10-0388-1
Documents and Information Required for State Home Construction and Acquisition Grants Initial Application
Veterans Affairs
10-0388-2
Certification of Compliance with the Provisions of Davis-Bacon Act (40 USC 276a to 276a-7)
Veterans Affairs
10-0388-3
State Home Construction Grant Program Space Program Analysis—Nursing Home & Domiciliary
Veterans Affairs
10-0388-4
State Home Construction Grant Program Space Analysis—Adult Day Health Care
Veterans Affairs
10-0388-5
Additional Documents and Information Required for State Home Construction and Acquisition Grants Application
Veterans Affairs
10-0388-6
Certification of State Matching Funds to Qualify for Group 1 on Priority List
Veterans Affairs
10-0388-7
Certification Regarding Debarment, Suspension, and Other Responsibility Matters—Primarily Covered Transactions
Veterans Affairs
10-0388-8
Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals
Veterans Affairs
10-0388-9
Certification Regarding Lobbying
Veterans Affairs
10-0388-10
Certification of Compliance with Federal Requirements—State Home Construction Grant
Veterans Affairs
10-0388-12
Certification Regarding Debarment, Suspension, Ineligibility, Voluntary Exclusion—Lower Tier Transactions
Veterans Affairs
10-0388-13
Documents and Information Required for State Home Construction and Acquisition Grants—Post-Grant Requirements
Veterans Affairs
10-0388-14
Checklist of Major Requirements for State Home Construction/Acquisition Grants
Veterans Affairs
10-0389a
DSS (Decision Support System) Privacy Statement
Veterans Affairs
10-390
VHA Fraud, Waste, and Abuse Complaint Form
Veterans Affairs
10-0394
Education Debt Reduction Program (EDRP) Application - Fillable
Veterans Affairs
10-394
Subcutaneous Insulin Infusion (SCII) Pump Patient Log
Veterans Affairs
10-0394A
Education Debt Reduction Program (EDRP) Education Loan Verification - Fillable
Veterans Affairs
10-0394b
EDRP Acceptance of Conditions - Fillable
Veterans Affairs
10-0395
Telemedicine Credentials Transfer Brief
Veterans Affairs
10-0396
Special Rates Evaluation Worksheet
Veterans Affairs
10-0397A
Virtual Learning Center Personal Profiles
Veterans Affairs
10-0398
Research Protocol Safety Survey
Veterans Affairs
10-399
ATTESTATION REGARDING A REQUESTED USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION POTENTIALLY RELATED TO REPRODUCTIVE HEALTH CARE
Veterans Affairs
10-0400
Request for Veterans Service Organization (VSO) Access to Computer Patient Record System (CPRS) Read Only
Veterans Affairs
10-0400a
Computer Patient Record System (CPRS) Read Only Rules of Behavior for Veterans Service Organization (VSO)
Veterans Affairs
10-0403
Responsible Requestor and Project Information Sheet- Fillable
Veterans Affairs
10-0403a
Data Use Agreement
Veterans Affairs
10-0403b
Medical Record Data Access List
Veterans Affairs
10-0408
VHA Fisher House Application
Veterans Affairs
10-0408A
VHA Fisher House or Other Temporary Lodging Application
Veterans Affairs
10-0415
VA Geriatrics and Extended Care (GEC) Referral
Veterans Affairs
10-0422
VAMC Checklist for Waiver Requests (Fillable)
Veterans Affairs
10-0426
Meds by Mail Order Form
Veterans Affairs
10-0430
Application for Assistance for Hiring and Retaining Nurses at State Homes
Veterans Affairs
10-0432a
Market Pay Review and Approval Form
Veterans Affairs
10-0436
Application for an Off-Site Tissue Banking Waiver at a Non-Profit or Academic Institution
Veterans Affairs
10-0440
Weekly Pressure Ulcer Report - fillable
Veterans Affairs
10-0445
Occupational and Environment Exposure History
Veterans Affairs
10-0451
CONFLICT OF INTEREST DISCLOSURE FORM
Veterans Affairs
10-0453
Screening Checklist (Appointee)- fillable
Veterans Affairs
10-0454
Military Treatment Facility Referral to VA Liaison
Veterans Affairs
10-0455
Clinical Trial Annual Progress Report
Veterans Affairs
10-0455a
Clinical Trial Inclusion/Enrollment Report
Veterans Affairs
10-0459
Credentialing Release of Information Authorization
Veterans Affairs
10-0460
Request for Prescription Drugs from an Eligible Veteran in a State Home
Veterans Affairs
10-0462
Political Activities Fact Sheet and Certification
Veterans Affairs
10-0464a
Toxic Embedded Surveillance Center Fragment Collection Form Checklist
Veterans Affairs
10-0474
Application for Biospecimen Storage at a For-Profit Institution
Veterans Affairs
10-0477
EEO Program Manager Designation Form
Veterans Affairs
10-0483
Acknowledgement of the Notice of Privacy Practices
Veterans Affairs
10-0491
Academic Verification—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491A
Addendum to Application for Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491C
Annual VA Employment or Deferment Verification—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491D
Education Program Completion Notice/Service Obligation Placement—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491E
Evaluation & Recommendation Form—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491f
Health Professional Scholarship Program (HPSP) Agreement
Veterans Affairs
10-0491G
Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), & Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)
Veterans Affairs
10-0491H
Notice of Approaching Graduation—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491I
Notice of Change and/or Annual Academic Status—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491J
Request for Deferment for Advanced Education—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Veterans Affairs
10-0491K
VA Scholarship Offer Response—Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)
Veterans Affairs
10-0491L
VA Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) Agreement
Veterans Affairs
10-0491n
Veterans Healing Veterans Medical Access and Education Program Agreement
Veterans Affairs
10-0493
Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research
Veterans Affairs
10-493
TRICARE Affirmation
Veterans Affairs
10-493
TRICARE Affirmation Espanol
Veterans Affairs
10-493a
TRICARE For Life Affirmation-Spanish
Veterans Affairs
10-493a
TRICARE for Life Affirmation
Veterans Affairs
10-493b
CHAMPVA Benefits Election Affirmation Espanol
Veterans Affairs
10-493b
CHAMPVA Benefits Election Affirmation
Veterans Affairs
10-0525
Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange
Veterans Affairs
10-0525a
Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange
Veterans Affairs
10-0527
Request and Authorization to Release Protected Health Information to the Choice/PC3 Program
Veterans Affairs
10-0539
Assignment of Functional Categories
Veterans Affairs
10-583
Claim for Payment of Cost of Unauthorized Medical Services
Veterans Affairs
10-0708
Employees Records Clearance
Veterans Affairs
10-0998
Your Rights to Seek Further Review of Our Healthcare Benefits Decision
Veterans Affairs
10-1023
Information Regarding Possible Claim Against Third Party
Veterans Affairs
10-1054c
Selective Menu-Modified Diet
Veterans Affairs
10-1054g
Selective Menu-Modified Diet (Gray)
Veterans Affairs
10-1086
Research Consent Form
Veterans Affairs
10-1170
Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs
Veterans Affairs
10-1223
Report of Subcommittee on Human Studies
Veterans Affairs
10-1245C
VA/Department of Defense Sharing Agreement
Veterans Affairs
10-1274A
Inquiry On Availability Of An Instrument From VA Research Equipment Quick Use In
Veterans Affairs
10-1313-1
Merit Review Application
Veterans Affairs
10-1313-2
Research and Development Program
Veterans Affairs
10-1313-3
Research and Development Program—Current Funds and First Year Request
Veterans Affairs
10-1313-4
Research and Development Program—Estimated Expenses
Veterans Affairs
10-1313-5
Research and Development Program—Investigator's Biographic Sketch
Veterans Affairs
10-1313-6
Research and Development Program—Investigator's Biographic Sketch
Veterans Affairs
10-1313-7
VA Research and Development Program—Investigator's Total VA and Non-VA Research Support (Current and Pending)
Veterans Affairs
10-1313-8
Research and Development Program—Investigator's Total VA and Non-VA Research/Development Support
Veterans Affairs
10-1313-10
Research Advisory Group Summary Statement
Veterans Affairs
10-1313-11
Rehabilitation Research and Development Service—Scientific Merit Review Board Summary Statement
Veterans Affairs
10-1313-13
VHA Research & Development Letter of Intent Cover Page
Veterans Affairs
10-1313A
Merit Review Board Summary Sheet
Veterans Affairs
10-1314
Health Services Research and Development Service Career Development Awardee—Annual Progress Report
Veterans Affairs
10-1349
Social Work Service - Reports and Summaries
Veterans Affairs
10-1371
Visual Impairment Services Team Record (FILLABLE)
Veterans Affairs
10-1388
Medical Media Production Service Daybook
Veterans Affairs
10-1394
Application for Adaptive Equipment—Motor Vehicle
Veterans Affairs
10-1436
Research and Development Information System—Project Data Sheet
Veterans Affairs
10-1450
Sickle Cell Identification Card (FILLABLE)
Veterans Affairs
10-2065
Funeral Arrangements
Veterans Affairs
10-2068a
Inspection of Services & Merchandise Furnished
Veterans Affairs
10-2320
Schedule II, Schedule III Narcotics & Alcoholics Register fillable
