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VA Form 10-10EZR

Form name:Health Benefits Update Form
Form revision date: February 2025
Related to: Health care

When to use this form

Use VA Form 10-10EZR if you already receive VA health care benefits, and you need to update your personal, insurance, financial, or military service history information.

Downloadable PDF

Online tool

You can apply online instead of filling out and sending us the paper form.