VA Form 10-10EZ, Application for Health Benefits

The fastest and easiest way to apply for
enrollment and health benefits is online.

You will need Adobe Reader 9.2 or newer to open the 10-10EZ form.

Other ways you can apply for enrollment & health benefits in VA's Health Care System are by phone, mail, or in person.

Need Help?
1-877-222-VETS (8387)