Official VA Form

VA Form 10-304

Waiver Statement

VA Form 10-304 — Waiver Statement is an official U.S. Department of Veterans Affairs form. The current version was last revised 2021-09-10. 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: 2021-09-10
First issued: 2022-06-10
Pages: 1
Administered by: VHA

Frequently asked questions

What is VA Form 10-304 used for?

Waiver Statement. It is an official VA form, administered by VHA.

Where can I download the current VA Form 10-304?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/VA-Form%2010-304.pdf (last revised 2021-09-10).

How long is VA Form 10-304?

VA Form 10-304 is 1 page long, last revised 2021-09-10.

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 10-302 — IRS/SSA Spouse Reported Income

VA Form 10-302a — Spouse Additional Income Information

VA Form 10-303 — Declaration of Representative

VA Form 10-305 — VA Form 10-305 Your Rights to Seek Further Review of PCAFC Decisions

VA Form 10-305(s) — Your Rights To Seek Further Review of Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decisions – Spanish

VA Form 10-306 — Request for Information (PCAFC Decisions)