Official VA Form

VA Form FL-10-55

Authorization to Repair Prosthetic Appliance

VA Form FL-10-55 — Authorization to Repair Prosthetic Appliance is an official U.S. Department of Veterans Affairs form. The current version was last revised 1987-05-13. 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: 1987-05-13
First issued: 2022-10-13
Pages: 1
Administered by: VHA

Frequently asked questions

What is VA Form FL-10-55 used for?

Authorization to Repair Prosthetic Appliance. It is an official VA form, administered by VHA.

Where can I download the current VA Form FL-10-55?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/FL1055NC.pdf (last revised 1987-05-13).

How long is VA Form FL-10-55?

VA Form FL-10-55 is 1 page long, last revised 1987-05-13.

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-10-439 — Component Research Identification

VA Form FL-10-469 — Canteen Management Position Notice of Rating

VA Form FL-10-486 — Entitlement for Survivors and Dependents

VA Form FL-10-78 — Recommendation of Prosthetics Clinic Team

VA Form FL-10-88 — Request for Disposition Decision Regarding Veteran's Belongings

VA Form FL-10-90 — Request to Submit Quotation