2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
Easily complete & submit your VA 10-0103 form
Follow these simple steps to fill, sign, and send your VA 10-0103 form online.
Fill out your form
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Sign the form
Add your electronic signature to the fillable VA 10-0103 form to certify it came directly from you.
Send it to the requester
Download and instantly print or share your signed VA 10-0103 with the requester.
What is a VA 10-0103 used for?
VA Form 10-0103 is used by veterans to apply for the Home Improvement and Structural Alterations (HISA) grant, which provides financial assistance for medically necessary home improvements and structural alterations to veterans' primary residences.
Who needs to fill out a VA 10-0103 form
Veterans with service-connected disabilities or veterans with non-service-connected disabilities who require medically necessary home improvements.
How to fill out a VA 10-0103 online?
Follow these steps to complete your VA 10-0103 form online.
Frequently Asked Questions
Find quick answers to common questions about our PDF editor.
It is an application for veterans to request the HISA grant for medically necessary home improvements related to disabilities.
It is not required for veterans who do not need medically necessary home modifications or have already received the maximum grant amount.
The form can be submitted to the Department of Veterans Affairs through the appropriate VA medical center.
