The following information about this VA form comes from the VA forms database, and any changes are updated here nightly. Contact the form administration for further information.
Link to form
https://www.va.gov/vaforms/medical/pdf/vha-10-3542-fill.pdf
Form number
10-3542
Row ID
5318
Form title
VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EXPENSES
Issue date
Revision date
Form administration
VHA
Number of pages
2
Deleted
False
Form name
Veteran/Beneficiary Claim for Reimbursement of Travel Expenses
Form Language
English
Related to
Benefits
VA benefits for spouses, dependents, survivors, and family caregivers
VA health care
When to use

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.

Online tool
You can submit your request online instead of filling out and sending us the paper form.
https://eauth.va.gov/accessva/
Helpful links
VA travel pay reimbursement
Find out what travel expenses are covered and if you or your caregiver may be eligible for VA travel pay reimbursement.