About VA Form 10-320
- Form name: Veteran Reimbursement Claim Form
- Related to: Health care
- Form revision date: September 2024
When to use this form
Use this form to request reimbursement for these expenses:
- Out-of-pocket emergency prescription expenses from a pharmacy that’s not in VA’s network, and
- Out-of-pocket expenses for unauthorized emergency care at non-VA facilities
Downloadable PDF
Helpful links
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Find out how to update your direct deposit information online for disability compensation, pension, or education benefits.
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Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits.
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Submit an online request to get your DD214 or other military service records through the milConnect website.
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Learn how to access your VA records, benefit letters, and documents online.