About VA Form 10-10172 | Veterans Affairs
About VA Form 10-10172 | Veterans Affairs"
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About VA Form 10-10172 Form name: Community Care Provider—Request for Service Form revision date: May 2025 Related to: VHA Downloadable PDF Download VA Form 10-10172 (PDF) Helpful links Find
out how to update your direct deposit information online for disability compensation, pension, or education benefits.
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.
Submit an online request to get your DD214 or other military service records through the milConnect website.
Learn how to access your VA records, benefit letters, and documents online.
Last updated: May 31, 2025
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