Official VA Form

VA Form 10-0453

Screening Checklist (Appointee)- fillable

VA Form 10-0453 — Screening Checklist (Appointee)- fillable is an official U.S. Department of Veterans Affairs form. The current version was last revised 2018-10-14. It is 2 pages long. Download the up-to-date PDF below — BaseNeed syncs form data directly from VA.gov so you always get the current edition.

Download the official PDF (VA.gov) →

Last revised: 2018-10-14
First issued: 2022-10-13
Pages: 2
Administered by: VHA

Frequently asked questions

What is VA Form 10-0453 used for?

Screening Checklist (Appointee)- fillable. It is an official VA form, administered by VHA.

Where can I download the current VA Form 10-0453?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/10-0453.pdf (last revised 2018-10-14).

How long is VA Form 10-0453?

VA Form 10-0453 is 2 pages long, last revised 2018-10-14.

Always the current version — synced from VA.gov. BaseNeed is not affiliated with the U.S. Department of Veterans Affairs.

You are not the first person to deal with this

BaseNeed is a members-only community for service members, veterans, spouses and their families. Nothing posted inside is public — not on Google, not on Facebook. That is the point: people talk about moves, money and paperwork there, and that only works behind a door.

Nearby form numbers

VA Form 10-0440 — Weekly Pressure Ulcer Report - fillable

VA Form 10-0445 — Occupational and Environment Exposure History

VA Form 10-0451 — CONFLICT OF INTEREST DISCLOSURE FORM

VA Form 10-0454 — Military Treatment Facility Referral to VA Liaison

VA Form 10-0455 — Clinical Trial Annual Progress Report

VA Form 10-0455a — Clinical Trial Inclusion/Enrollment Report