Official VA Form

VA Form FL-10-407

Acknowledgement of Application for Outpatient Dental Care

VA Form FL-10-407 — Acknowledgement of Application for Outpatient Dental Care is an official U.S. Department of Veterans Affairs form. The current version was last revised 1976-07-12. 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: 1976-07-12
First issued: 2022-10-12
Pages: 1
Administered by: VHA

Frequently asked questions

What is VA Form FL-10-407 used for?

Acknowledgement of Application for Outpatient Dental Care. It is an official VA form, administered by VHA.

Where can I download the current VA Form FL-10-407?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/FL_10-407.pdf (last revised 1976-07-12).

How long is VA Form FL-10-407?

VA Form FL-10-407 is 1 page long, last revised 1976-07-12.

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 FL-10-341a — Employment Reference for Title 38 Employee

VA Form FL-10-356 — Payment of Aid to State Homes

VA Form FL-10-400 — Request for Reprints of Professional Articles

VA Form FL-10-414 — Solicitation of Proposal for Service Activity

VA Form FL-10-424 — Denial Letter for Outpatient Dental Treatment

VA Form FL-10-425a — Authorization for Dental Treatment