Official VA Form

VA Form 10-0491E

Evaluation & Recommendation Form—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)

VA Form 10-0491E — Evaluation & Recommendation Form—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) is an official U.S. Department of Veterans Affairs form. The current version was last revised 2020-02-23. It is 1 page 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: 2020-02-23
First issued: 2022-03-23
Pages: 1
Administered by: VHA

Frequently asked questions

What is VA Form 10-0491E used for?

Evaluation & Recommendation Form—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP). It is an official VA form, administered by VHA.

Where can I download the current VA Form 10-0491E?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/vha-10-0491e-fill%20(Evaluation%20and%20Recommendation)%20(1).pdf (last revised 2020-02-23).

How long is VA Form 10-0491E?

VA Form 10-0491E is 1 page long, last revised 2020-02-23.

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

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Nearby form numbers

VA Form 10-0491A — Addendum to Application for Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
VA Form 10-0491C — Annual VA Employment or Deferment Verification—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
VA Form 10-0491D — Education Program Completion Notice/Service Obligation Placement—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
VA Form 10-0491F — Health Professional Scholarship Program (HPSP) Agreement
VA Form 10-0491G — Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), & Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)
VA Form 10-0491H — Notice of Approaching Graduation—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)