Information about D800 form (Claim for travelling expenses)

Note: This form is available electronically or may be obtained from any DVA State office, or Veterans’ Affairs Network (VAN) office. Please note that there have been significant changes to this form and Health Providers are no longer required to complete this form.

Sample image of d800 form page 1. 
The image above is the front page of the D800 form.
The veteran is required to complete this page.
 

 

Sample image of d800 form page 2 

The image above shows the second page of the D800 form. 
The veteran is also required to complete this page.