Appointment Lines:
POP - 1.809.690.2738
Fax Number:
(321) 320-8776

Forms

FORM 10-7959F-1 Foreign Medical Program (FMP) Registration For

VA Foreign Medical Services Transportation Fee

VAFMS VA FORM 4138 STATEMENT-IN-SUPPORT-OF-CLAIM

VA Form -21-526EZ NOTICE TO VETERAN/SERVICE MEMBER OF EVIDENCE NECESSARY TO SUBSTANTIATE A CLAIM FOR VETERANS DISABILITY COMPENSATION AND RELATED COMPENSATION BENEFITS

VBA-20-0995-DECISION REVIEW REQUEST

VBA-20-0996-HIGHER-LEVEL-REVIEW

VA Form- 21-0845 INFORMATION AND INSTRUCTIONS TO HELP YOU COMPLETE THE AUTHORIZATION TO DISCLOSE PERSONAL INFORMATION TO A THIRD PARTY

VA Form 21-0781 SERVICE CONNECTION FOR POST-TRAUMATIC STRESS DISORDER (PTSD)

VA Form 21-0781a-MST-CLAIM POST-TRAUMATIC STRESS DISORDER (PTSD) SECONDARY TO PERSONAL ASSAULT

VA Form 21-4142 DECISION REVIEW REQUEST: BOARD APPEAL (NOTICE OF DISAGREEMENT)

standard-form-180-REQUEST-PERTAINING-TO-MILITARY-RECORDS

VA Form 10182 AUTHORIZATION TO DISCLOSE PERSONAL INFORMATION

VA Form -21-674-REQUEST-FOR-APPROVAL-OF-SCHOOL-ATTENDANCE

VA Form 21-674b SCHOOL ATTENDANCE REPORT

VA Form 21-686c-ADDITIONAL-BENEFITS-FOR-A-DEPENDENT-OR-TO-REMOVE

VA Form 21-2680 EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT NEED FOR REGULAR AID AND ATTENDANCE

VA Form-21p-509-areSTATEMENT OF DEPENDENCY OF PARENT(S)

VA Form 21-4138 STATEMENT IN SUPPORT OF CLAIM

VA-FORM-21-0845 AUTHORIZATION TO DISCLOSE INFORMATION TO THE DEPARTMENT OF VETERANS AFFAIRS (VA)

VA Form 21-4142a- GENERAL RELEASE FOR MEDICAL PROVIDER INFORMATION TO THE DEPARTMENT OF VETERANS AFFAIRS (VA)

VA Form 21-8940 VETERAN'S APPLICATION FOR INCREASED COMPENSATION BASED ON UNEMPLOYABILITY

Form 10-7959F-2 Foreign Medical Program (FMP) Claim Cover Sheet

VA Form-20-0995 INFORMATION AND INSTRUCTIONS FOR COMPLETING DECISION REVIEW REQUEST: SUPPLEMENTAL CLAIM

HELP US CONTINUE OUR MISSION

Your gift will ensure veterans and their families can access the full range of benefits they deserve, provide care and support during tough times.VAFMSF fights for Veterans outside the United States and will Continue to Move forward with care for Veterans and Family Members.