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VA forms in the LAVATS program

NAMEDESCRIPTIONRevision
10-10DApplication for Medical Benefits for DependentsApr-79
10-10EZApplication for Health BenefitsApr-98
10-10TApplication for Medical BenefitsMay-95
21-0515EVR Veteran NO Dependents (5)Jun-04
21-0516EVR Veteran NO Children (6)Jun-04
21-0517EVR Veteran WITH Children (7)Jun-04
21-0518EVR Surviving Spouse with NO Children (8)Jun-04
21-0519EVR Surviving Spouse and/or Children (9)Jun-04
21-22Veteran Service OrganizationJun-03
21-4138Statement in Support of ClaimJun-00
21-4142Authorization for Release of InformationMay-04
21-526Application for Compensation or PensionApr-93
21-526 Part AVeterans General InformationJan-04
21-526 Part BVeterans CompensationJan-04
21-526 Part CVeterans DependencyJan-04
21-526 Part DVeterans PensionJan-04
21-527Income Net Worth & Employment StatementJul-92
21-530Application for Burial BenefitsFeb-90
21-534Application for Dependency and Indemnity Comp.Jun-98
21-686CDeclaration of Status of DependentsDec-99
21-8416Medical Expense ReportJan-94
21-8940Application for Increased CompensationMar-00
22-1990Application for Education BenefitsMar-97
26-1880Certification for VA Home LoanMar-99
28-1900Application for Vocational RehabilitationAug-87
40-1330Headstone RequestJust Logs usage
5655Financial Status ReportMay 2001 (RS)
572Change of Address/Cancel Direct DepositApr-84
Income InfoIncome VerificationLocal
Record CheckSheriff's Office Record CheckLocal
SCRC-2860Special Combat Related CompensationApr 2004
SF-180Request Pertaining to Military RecordsRev.7-86
VA-9Appeal to Board of Veterans' AppealsJAN 1998(RS)
Vet CallsCall Log and Topic of CallLocal