Official VA Form

VA Form 10-583

Claim for Payment of Cost of Unauthorized Medical Services

VA Form 10-583 — Claim for Payment of Cost of Unauthorized Medical Services is an official U.S. Department of Veterans Affairs form used for health care. The current version was last revised 2010-12-15. 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: 2010-12-15
First issued: 2022-09-08
Pages: 2
Administered by: VHA

Health care

Frequently asked questions

What is VA Form 10-583 used for?

Claim for Payment of Cost of Unauthorized Medical Services. It is an official VA form in the Health care category, administered by VHA.

Where can I download the current VA Form 10-583?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/vha-10-583-fill.pdf (last revised 2010-12-15).

How long is VA Form 10-583?

VA Form 10-583 is 2 pages long, last revised 2010-12-15.

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

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