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Form to update your information for VA healthcare

Form name:Health Benefits Update Form (VA Form 10-10EZR)
Form revision date: February 2025
Related to: Health care

When to use this form

If you’re currently enrolled in VA healthcare, use VA Form 10-10EZR to update your personal (like your emergency contact), health insurance, financial, or military service history information.

Downloadable PDF

Online tool

You can apply online instead of filling out and sending us the paper form.

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.

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