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 2013
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.
Helpful links related to VA Form 10-3542
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Find out what travel expenses are covered and if you or your caregiver may be eligible for VA travel pay reimbursement.