Veterans Law Forms

• Career Development Application
  Use this form to apply for funding for research in your career field. (VA FORM 10-0102 MAR 2005 )
• VA Advance Directive: Durable Power of Attorney for Health Care and Living Will
  This advance directive form is an official document where you can write down your preferences about your medical care. (VA FORM 10-0137 DEC 2006 (RS)
• Civil Rights Discrimination Complaint
  Complete this form if you wish to file a complaint that your civil rights have been violated. (VA FORM 10-0381 NOV 2005)
• Request for Veterans Service Organization (VSO) Access to Computer Patient Record System (CPRS) Read Only
  Use this form to request access to CPRS Read Only in order to assist a veteran in the preparation of the veteran's claim. (VA FORM 10-0400 JUL 2002)
• VHA Fisher House or Other Temporary Lodging Application
  Use this form to apply for admission to the Fisher House or other veterans facility. (VA FORM 10-0408A SEP 2008)
• Meds by Mail Order Form
  Use this form if you wish to have your medication prescriptions filled by mail order. (VA FORM 10-0426 AUG 2010)
• Occupational and Environmental Exposure History
  Use this form to list all jobs you held in the military in order to review factors that may be relevant to your disease. (VA FORM 10-0445 DEC 2006)
• Request for Prescription Drugs from an Eligible Veteran in a State Home
  Use this form to request prescription drugs from the military if you are a resident in a state home. (VA FORM 10-0460 FEB 2008)
• Application for Health Benefits
  Use this form to apply for health benefits from the Veterans Administration. (VA FORM 10-10EZ FEB 2011)
• Revocation for Release of Individually-Identifiable Health Information
  Use this form to request to discontinue your participation in the electronic exchange of your health information. (VA FORM 10-0484 JAN 2011)