Exceptional Case Variation

Form ID
Registered Nurse
For providers

This form is used to notify the Department of Veterans’ Affairs (DVA) of a variation to a client’s Exceptional Case (EC) care. This form must be completed by a Registered Nurse (RN).

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?
Form file format