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About VA Form 10-3542

Form name: Veteran/Beneficiary Claim for Reimbursement of Travel Expenses
Related to: Family member benefits, Health care
Form revision date: November 2024

When to use this form

Use this travel reimbursement form (VA Form 10-3542) when you want to ask us to pay you back for travel expenses related to your health care.

Downloadable PDF

Online tool

You can submit your request online instead of filling out and sending us the paper form.

  • Find out what travel expenses are covered and if you or your caregiver may be eligible for VA travel pay reimbursement.