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Use VA Form 10-10EZ if you're a Veteran and want to apply for VA health care. You must be enrolled in VA health care to get care at VA health facilities or to have us cover your care at a community care provider (an approved non-VA provider).
Resources and support. Call us. 800-698-2411. Visit a medical center or regional office. Find a VA location.
0:38 2:21 Learn How to Fill the VA Form 21 526 Veteran's Application for ... - YouTube YouTube Start of suggested clip End of suggested clip You should provide a detailed history of all medical events that occurred during your militaryMoreYou should provide a detailed history of all medical events that occurred during your military service ensure. That you give as much specific information as possible in box 11.
You may use ANY of the following to request assistance: \u2022 Ask VA to help you fill out the form by calling us at 1-877-222-VETS (8387). Go to for information about VA health benefits. Contact the Enrollment Coordinator at your local VA health care facility.
VA Form 10-10EZR is used by VA to update your personal, insurance, or financial information after you are enrolled.
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Visit the Veteran Readiness and Employment (VR&E) website. The best way to file for disability compensation is to apply online at Or, you can fax it to: (844) 531-7818 (inside the U.S.)

va form 1010ez