To submit the Application for Annual Clothing Allowance, complete all required fields and ensure the information is accurate. You can submit the form electronically via the PrintFriendly application by editing, signing, and sharing the completed PDF. Additionally, you can mail it to the Prosthetic and Sensory Aids Service at your local VA Medical Center or the nearest VA regional office. For any questions related to the form submission process, contact the VA help line at 1-877-222-8387.

Important dates for this form in 2024 and 2025 include the eligibility establishment date of August 1 and the annual application submission deadlines.

The purpose of the Application for Annual Clothing Allowance is to provide eligible veterans with a financial benefit to compensate for wear and tear or irreparable damage to their clothing caused by the use of prosthetic or orthopedic appliances, or prescribed medications for service-connected skin conditions. The Department of Veterans Affairs offers this allowance to ensure veterans do not incur additional expenses related to their service-connected disabilities. The form collects the necessary information to validate the veteran's eligibility for the allowance, ensuring that they receive the appropriate financial support. This program underscores the VA's commitment to supporting veterans in managing the costs associated with their medical needs incurred due to their service.

• 1. First Name, Middle Name, Last Name of Veteran: Enter your complete name as recorded in your VA records.
• 2. VA Claim/File Number: Provide your VA claim or file number to identify your records.
• 3. Social Security Number: Enter your Social Security Number for identification purposes.
• 4. Address of Veteran: Provide your current address; check the box if it is a new address.
• 5. Type of Appliance or Name of Medication: Specify the prosthetic, orthopedic appliance, or medication you are using.
• 6. Month and Year Issued: Indicate the month and year when the appliance or medication was issued.
• 7. Disability Requiring Use of Appliance or Medication: Describe the service-connected disability that necessitates the use of the appliance or medication.
• 8. Name and Location of Issuing VA Medical Center or Institution: Provide the name and location of the VA Medical Center or institution that issued the appliance or medication.
• 9. Power of Attorney: Indicate if you have a Power of Attorney, along with the name and organization, if applicable.
• 10. Signature of Veteran: Sign the form to certify the information is accurate.
• 11. Date: Provide the date when you signed the form.

Failing to submit this form may result in the denial of the annual clothing allowance benefit.

• Loss of Benefit: You may not receive the annual clothing allowance if the form is not submitted.
• Financial Burden: You may incur out-of-pocket expenses for clothing worn out by service-connected conditions.

• 1. Applying for Clothing Allowance: Submit the form to claim the annual clothing allowance benefit.
• 2. Updating Information: Use the form to update information on a previously submitted application.