By housing these documents in one place, the TVB Forms Library ensures that Service Officers always have the correct version of each form readily available, reducing errors and improving efficiency in claim submissions.
In addition to serving as a reliable reference tool, the library also functions as a tracking mechanism, allowing TDVS to update and maintain an accurate record of all forms used within the TVB system. This helps streamline processes, ensure compliance with VA requirements, and enhance consistency across all field offices.
| Form Number |
Form Name |
Remote Sign |
Update Required |
Update Reported To Tyler |
Notes |
Foot Conditions, Including Flatfoot (Pes Planus) Disability Benefits Questionnaire Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) Application for VA Education Benefits VA 21-674 DD Form 149 SF 180 Request for Employment Information in Connection with Claim for Disability Benefits VA 10-8678 VA 21P-0516-1 VA 29-336 VA 40-1330UP VA 21-0960M-6 Notice of Disagreement Ischemic Heart Disease (IHD) Disability Benefits Questionnaire VA 21P-0517-1 VA 646 VA 9 Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (DIC) Plot Allowance - State Reimbursement VA 22-5281 VA 21P-535 VA 21P-0519S-1 Authorization for Disclosure of Medical or Dental Information Notice of Disagreement (PCAFC Decisions) VA 10-320 Application for Veterans Pension VA 21P-534EZ VA 21P-0519C-1 5103 Notice Response 9/2025 - Added Remote Sign; Mapped Service Number to Field 14B VA 21-0960M-9 VA 21P-0518-1 9/2025 - Allow More Text in Field 11 VA 1100 VA 29-4125 9/2025 - Added Form; TVB Tracking Sunset in July of 2025 and Will Schedule for Removal in Future VA 21-8951-2 Application for Exclusion of Children's Income VHA 10-7959a Supporting Statement Regarding Marriage VA 40-10007 VA 20-10206 VA 22-1990E VA 10-0103 Application for Comprehensive Assistance for Family Caregivers Program VA 21-22A VA 21P-8049 VA Fiduciary's Account Financial Status Report CHAMPVA-Other Health Insurance (OHI) Certification Prostate Cancer Disability Benefits Questionnaire Income, Net Worth, and Employment Statement Freedom of Information Act (FOIA) or Privacy Act (PA) Request VA 10-3542 Request for Information About Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions VA 21-4138 Withholding Certificate for Pension 9/2025 - Made Date Signed Field Editable VA 10-5345 Request for Nursing Home Information in Connection with Claim for Aid and Attendance VA 21-0960J-3 21P-530A Improved Pension Eligibility Verification Report (Child or Children) VA 21-0960L-2 Election of Compensation in Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation from Department of Veterans Affairs (38 U.S.C. 5304(a)-5305) Application for Dependecy and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child VA 29-4125a Request for Details of Expenses Application for Annual Clothing Allowance Alternate Signer Certification VA 10-10EZR Heart Conditions (Including Ischemic and Non=Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac Surgery) Disability Benefits Questionnaire Appointment of Individual As Claimant's Representative Muscle Injuries Disability Benefits Questionnaire Yes Instructions and Enrollment Application for Health Benefits Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC Chapter 31 Request for Assistance VA 21-8940 VA 21-0781 Improved Pension Eligibility Verification Report (Veteran With No Children) VA 21-674b VA 21-686c VA 21-0538 VA 21-0779 Pension Claim Questionnaire for Farm Income Application for the Review of Discharge VA 21P-534a Application for DIC, Survivors Pension, and/or Accrued Benefits Decision Review Request - Board Appeal (Notice of Disagreement) Medical Expense Report VHA 10-5345a Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire VA 21-0304 VA 21-0788 Application Request to Add an/or Remove Dependents VA 21P-0571 Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable) VA 20-0996 Request for Consent to Release Information from Individual's Records 9/2025 - Added Remote Sign Request for a Certificate of Eligibility VA 28-10212 Mandatory Verification of Dependents Review Post Traumatic Stress Disorder (PTSD) Disability Benefits Questionnaire Veteran's Application for Increased Compensation Based on Unemployability Statement of Accredited Representative in Appealed Case Request for Change of Program or Place of Training VA 21-4142a Dependents' Request for Change of Program or Place of Training Statement of Dependency of Parents 9/2025 - Added Remote Sign; Removed Date Signed Mapping VA 21P-601 VA 21P-4156 VA 20-572 Claim for Commemorative Urn or Plaque for Veterans' Cremains Not Interred VA 40-0247 VA 22-1995 VA 10-10EZ Application for Disability Compensation and Related Compensation Benefits VA 26-1880 VA 21-4170 Application for Family Member to Use Transferred Benefits VA 22-1990 Claim for Standard Government Headstone or Marker VA 20-0995 Decision Review Request - Supplemental Claim Sleep Apnea Disability Benefits Questionnaire Claim for Government Medallion for Placement in a Private Cemetery VA 5655 DD Form 2860 Examination for Housebound Status or Permanent Need for Regular Aid and Attendance VA 21-4140 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances Application for Benefits for a Qualifying Veteran's Child Born with Disabilities VA 27-2008 VA 21-4142 Application for Automobile or Other Conveyance and Adaptive Equipment (UNDER 38 U.S.C. 3901-3904) Employment Questionnaire VA 21-4706b VA 40-1330 VA 21-22 VA 21P-530EZ SF 1174 SF 1199A General Release for Medical Provider Information to the Department of Veterans Affairs VA 21-0960M-14 Claim for One Sum Payment Government Life Insurance VA 21-0960M-10 VA 10-10HS Presidential Memorial Certificate Request Form Separation Health Assessment-Medical History Questionnaire Agreement to Pay Indebtedness VA 21P-4171 NACVSO Release of Information Authorization Application for Adaptive Equipment Automobile or Other Conveyance Appointment of Veterans Service Organization as Claimant's Representative 9/2025 - Made an update so the Country is no longer cutoff on the 686C Field 14A. Report of Income from Property or Business DD Form 2870 Improved Pension Eligibility Verification Report (Veteran with No Children) VA 21-0960A-4 Request for Change of Address/Cancellation of Direct Deposit Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child-In-Service Death Only VA 21P-8416 VA 21P-527EZ VA 10-10CG Designation of Beneficiary - Government Life Insurance Knee and Lower Leg Conditions Disability Benefits Questionnaire Request for Authorization to Release Health Information CHAMPVA Claim Form Authorization to Disclose Information to the Department of Veterans Affairs (VA) Veteran/Beneficiary Claim for Reimbursement of Travel Expenses VA 10-1394 Decision Review Request - Higher-Level Review 9/2025 - Added Form VA 21-509 VA 28-1900 VA 21-0958 Application for Correction of Military Record 9/2025 - Updated Form Version Unreimbursed Medical/Prescription Expenses VA 21-0906A-1 VA 21P-0847 VA 21-526EZ VA 21P-0969 SHA Part A VA 10-7959C Authorization to Disclose Personal Information toa Third Party VA 21-0960P-3 Statement of Marital Relationship Request for Hardship Determination Request for Approval of School Attendance VA 10-10d VA 10-306 VA 10-307 VA 21-0972 VA 21P-527 Claim for Combat-Related Special Compensation (CRSC) Appeal to Board of Veterans' Appeals Request Pertaining to Military Records October 2025 Release Statement in Support of Claim Dependents' Application for VA Education Benefits Improved Pension Eligibility Verification Report (Veteran With Children) VA 26-4555 VA 21-0845 VA 21-0966 Application for United States Flag for Burial Purposes DD Form 2656-7 Individuals' Request for a Copy of Their Own Health Information Application for Refund of Educational Contributions (VEAP, Chapter 32, Title 38, U.S.C.) VA 21-10210 Application for Extended Care Services Direct Deposit Signup Form VA 21-4502 Claim for Unpaid Compensation VA 10182 VA 10-10EC VA 21-4185 School Attendance Report VA 21-2680 Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities VA 21-651 VA 21-534 Claim for Monthly Payments-National Service Life Insurance Verification for Survivor Annuity Lay/Witness Statement Application for Accrued Amounts Due a Deceased Beneficiary NACVSO ROI Request for Substitution of Claimant upon Death of Claimant VA 22-5490 No Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery Veterans Application for Assistance in Acquiring Home Improvements and Structural Alterations VA 3288 Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (Fillable) Information Regarding Apportionment of Beneficiary's Award Application for CHAMPVA Benefits Health Benefits Update Form VA 21-4192 VA 40-1330M Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant W-4P DD Form 293 VA 22-5495 Improved Pension Eligibility Verification Report (Surviving Spouse with Children)