Application for Licence to Reproduce Department of Veterans' Affairs Card Images

Form ID
D9208
Audience
For providers
Pharmacist

This form is used to apply for Licence to Reproduce Department of Veterans' Affairs Card Images

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.

How can I access this form?
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Form (PDF or Word)