src/applications/find-forms/constants/stub.json
{
"data": [
{
"id": "10-252",
"type": "va_form",
"attributes": {
"formName": "10-252",
"url": "https://www.va.gov/vaforms/medical/pdf/10-252%20Authorization%20To%20Release%20Protected%20Health%20Information%20To%20State%20Local%20Public%20Authorities.pdf",
"title": "Authorization to Release Protected Health Information to State/Local Public Health Authorities",
"firstIssuedOn": "2019-12-01",
"lastRevisionOn": "2020-11-26",
"pages": 1,
"sha256": "56906cc97922558b6e4d42fcd13b8d5ce1eb4e3d9df8128fb491acc6c2ce0b3f",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-252",
"formType": "benefit",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [
{ "name": "Health care", "description": "VA health care" },
{ "name": "Records", "description": "VA records" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-2850C",
"type": "va_form",
"attributes": {
"formName": "10-2850C",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf",
"title": "Application for Associated Health Occupations",
"firstIssuedOn": "2004-09-15",
"lastRevisionOn": "2016-11-17",
"pages": 4,
"sha256": "36ddb412bdf5e4cc8c27469b8feadc369216e3afc27437d30897f2140855e9d2",
"lastSha256Change": null,
"validPdf": true,
"formUsage": "<p>Use VA Form 10-2850C if you’re seeking employment with VA as a respiratory therapy technician, physical therapist, pharmacist, physician’s assistant, or other health professional.</p>",
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-2850c",
"formType": "employment",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-493b",
"type": "va_form",
"attributes": {
"formName": "10-493b",
"url": "https://www.va.gov/vaforms/medical/pdf/VHA%2010-493b%20CHAMP%20Benefits%20Election%20Affirmation-espanol.pdf",
"title": "CHAMPVA Benefits Election Affirmation",
"firstIssuedOn": "2021-03-11",
"lastRevisionOn": "2021-03-11",
"pages": 1,
"sha256": "168fbaf9086696979ca33fe64e06aea00de5c60675a51c892f95697783700965",
"lastSha256Change": null,
"validPdf": false,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "",
"formType": "VHA",
"language": "en",
"deletedAt": "2021-03-11T00:00:00.000Z",
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0094f",
"type": "va_form",
"attributes": {
"formName": "10-0094f",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-0094f-fill.pdf",
"title": "Dental Education Affiliation Agreement Between Department of Veterans Affairs (VA) and Institutions Sponsoring Dental Education",
"firstIssuedOn": "2004-11-19",
"lastRevisionOn": "2004-11-19",
"pages": 5,
"sha256": "58820816e79309ac70a889e17f60664f09fecf8a65823c5eaf0d1d55b41b3d1b",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-0094f",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-10163",
"type": "va_form",
"attributes": {
"formName": "10-10163",
"url": "https://www.va.gov/vaforms/medical/pdf/10-10163-fill.pdf",
"title": "Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges",
"firstIssuedOn": "2019-09-26",
"lastRevisionOn": "2019-09-17",
"pages": 1,
"sha256": "3f98ce68c4c82ddecaaa32e79b2bdc423d34f8201d042afda3f59d4c9485a694",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-10163",
"formType": "benefit",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [
{ "name": "Health care", "description": "VA health care" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0493",
"type": "va_form",
"attributes": {
"formName": "10-0493",
"url": "https://www.va.gov/vaforms/medical/pdf/10-0493-fill.pdf",
"title": "Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research",
"firstIssuedOn": "2014-05-25",
"lastRevisionOn": "2015-09-06",
"pages": 1,
"sha256": "58e987916fd1534ad9f4878c312c9631c47ae28ba29467b32aa2f55df6c3824a",
"lastSha256Change": "2021-04-14",
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "",
"formType": "VHA",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-10116",
"type": "va_form",
"attributes": {
"formName": "10-10116",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-10116.pdf",
"title": "Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research",
"firstIssuedOn": "2014-04-25",
"lastRevisionOn": "2015-08-06",
"pages": 1,
"sha256": "d340e296a5c184f54fcdaae69b9f54913ceabb50bd3f295e42f164bf6008d377",
"lastSha256Change": "2021-04-14",
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "",
"formType": "VHA",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-10164",
"type": "va_form",
"attributes": {
"formName": "10-10164",
"url": "https://www.va.gov/vaforms/medical/pdf/10-10164-fill.pdf",
"title": "Opt-Out of Sharing Protected Health Information Through Health Information Exchanges",
"firstIssuedOn": "2019-09-23",
"lastRevisionOn": "2020-04-17",
"pages": 1,
"sha256": "1d8a6dbdba538b6fdc16e6d2fb81a5d221c7133b106e0b5355a776fa749e508f",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-10164",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-10EZ",
"type": "va_form",
"attributes": {
"formName": "10-10EZ",
"url": "https://www.va.gov/vaforms/medical/pdf/10-10EZ-fillable.pdf",
"title": "Instructions and Enrollment Application for Health Benefits",
"firstIssuedOn": "2016-07-10",
"lastRevisionOn": "2020-01-17",
"pages": 5,
"sha256": "6e6465e2e1c89225871daa9b6d86b92d1c263c7b02f98541212af7b35272372b",
"lastSha256Change": null,
"validPdf": true,
"formUsage": "<p>Use VA Form 10-10EZ if you’re a Veteran and want to apply for VA health care. You must be enrolled in VA health care to get care at VA health facilities or to have us cover your care at a community care provider (an approved non-VA provider). </p>",
"formToolIntro": "You can apply online instead of filling out and sending us the paper form.",
"formToolUrl": "https://www.va.gov/health-care/apply-for-health-care-form-10-10ez/",
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-10ez",
"formType": "benefit",
"language": "en",
"deletedAt": null,
"relatedForms": ["10-10EZ (esp)", "10-10EZR"],
"benefitCategories": [
{ "name": "Health care", "description": "VA health care" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-7959C",
"type": "va_form",
"attributes": {
"formName": "10-7959C",
"url": "https://www.va.gov/vaforms/medical/pdf/VA%20Form%2010-7959c.pdf",
"title": "CHAMPVA—Other Health Insurance (OHI) Certification",
"firstIssuedOn": "2004-09-15",
"lastRevisionOn": "2020-09-17",
"pages": 2,
"sha256": "2ef493b6e41419d189c65cdf2de93a0d2e05ac3db68945db57d5cc6c964ea145",
"lastSha256Change": null,
"validPdf": true,
"formUsage": "<p>Use VA Form 10-7959C or <a href=\"https://www.va.gov/COMMUNITYCARE/docs/pubfiles/forms/va-S10-7959c-fill.pdf\">Formulario VA 10-7959c (español)</a> when: </p>\n\n<ul><li>You’re applying for CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs), and have other health insurance to declare as part of your VA Form 10-10d application. </li>\n\t<li>Or you need to report changes in your other non-VA health insurance, such as new beneficiaries or coverage changes.</li>\n</ul>",
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-7959c",
"formType": "benefit",
"language": "en",
"deletedAt": null,
"relatedForms": ["10-10d"],
"benefitCategories": [
{
"name": "Family member benefits",
"description": "VA benefits for spouses, dependents, survivors, and family caregivers"
},
{ "name": "Health care", "description": "VA health care" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-5345a",
"type": "va_form",
"attributes": {
"formName": "10-5345a",
"url": "https://www.va.gov/vaforms/medical/pdf/VHA%20Form%2010-5345a%20Fill-revision.pdf",
"title": "Individuals' Request for a Copy of Their Own Health Information",
"firstIssuedOn": "2005-05-06",
"lastRevisionOn": "2020-12-17",
"pages": 1,
"sha256": "1f16a851bbe7d9d77920f9016dd414ec4ec612da81330fbbbdb505cfd0eb5151",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-5345a",
"formType": "benefit",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [
{ "name": "Health care", "description": "VA health care" },
{ "name": "Records", "description": "VA records" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-10EZR",
"type": "va_form",
"attributes": {
"formName": "10-10EZR",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-10ezrfill.pdf",
"title": "Health Benefits Update Form ",
"firstIssuedOn": "2004-11-01",
"lastRevisionOn": "2020-01-17",
"pages": 4,
"sha256": "ce38ed58eefe81aed9137a135299c0d2eb5320591fca690826dee39e2261c6d2",
"lastSha256Change": null,
"validPdf": true,
"formUsage": "<p>Use VA Form 10-10EZR if you already receive VA health care benefits, and you need to update your personal, insurance, or financial information.</p>",
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-10ezr",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [
{ "name": "Health care", "description": "VA health care" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0137",
"type": "va_form",
"attributes": {
"formName": "10-0137",
"url": "https://www.va.gov/vaforms/medical/pdf/VA%20Form%2010-0137%20FILL.pdf",
"title": "VA Advance Directive: Durable Power of Attorney for Health Care and Living Will",
"firstIssuedOn": "2003-06-05",
"lastRevisionOn": "2020-07-17",
"pages": 6,
"sha256": "85628bcae0c9fdfd2111999c1235f314ec66e5ac3eeb9e991c83009b6fe9ceb8",
"lastSha256Change": null,
"validPdf": true,
"formUsage": "<p>Use VA Form 10-0137 to give specific people permission to make health care decisions for you, and to let VA health care providers know your wishes for medical, mental health, long-term, and other types of care.</p>",
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-0137",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": ["10-0137 (espanol)", "10-0137A"],
"benefitCategories": [
{ "name": "Health care", "description": "VA health care" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-9050",
"type": "va_form",
"attributes": {
"formName": "10-9050",
"url": "https://www.va.gov/vaforms/medical/pdf/VA%20Form%2010-9050%20-Health%20Care%20Personnel%20Influenza%20Vaccination%20Form%20Appendix%20B.pdf",
"title": "Health Care Personnel Influenza Vaccination Form Appendix B",
"firstIssuedOn": "2020-08-18",
"lastRevisionOn": "2020-08-17",
"pages": 1,
"sha256": "0c78e6a5073cb93c954d970bd895bf6d575dd0cedd1657c97923a5befacb611f",
"lastSha256Change": "2020-08-20",
"validPdf": false,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "",
"formType": "VHA",
"language": "en",
"deletedAt": "2020-08-18T00:00:00.000Z",
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0491J",
"type": "va_form",
"attributes": {
"formName": "10-0491J",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-0491j-fill%20(Deferment).pdf",
"title": "Request for Deferment for Advanced Education—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)",
"firstIssuedOn": "2013-12-01",
"lastRevisionOn": "2020-04-17",
"pages": 1,
"sha256": "efd660178bf9fb68bc0632a97cb4127729432eeadf9d821eaa47c6bb14db7db6",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-0491j",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0491K",
"type": "va_form",
"attributes": {
"formName": "10-0491K",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-0491k-fill%20(Offer%20Response).pdf",
"title": "VA Scholarship Offer Response—Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)",
"firstIssuedOn": "2013-12-01",
"lastRevisionOn": "2020-04-17",
"pages": 1,
"sha256": "db8a2a8a965bd49468b7b69e40097d33f40c177fd1d5c726d1099e9a1d8df2a7",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-0491k",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0525a",
"type": "va_form",
"attributes": {
"formName": "10-0525a",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-0525a-fill.pdf",
"title": "Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange",
"firstIssuedOn": "2013-06-01",
"lastRevisionOn": "2013-06-17",
"pages": 2,
"sha256": "f2fe5f8b6bc2ac26c41ede2a46ce4b81ac1c34bd47ce3250fe55d645be27021f",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-0525a",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-2850D",
"type": "va_form",
"attributes": {
"formName": "10-2850D",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-2850d-fill.pdf",
"title": "Application for Health Professions Trainees",
"firstIssuedOn": "2009-03-01",
"lastRevisionOn": "2011-11-17",
"pages": 4,
"sha256": "e7c2c1b7730a8e19fef754e429fad551c3181d381e6424a8fa12ad4249e32841",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-2850d",
"formType": "employment",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0527",
"type": "va_form",
"attributes": {
"formName": "10-0527",
"url": "https://www.va.gov/vaforms/medical/pdf/10-0527_Choice_fill.pdf",
"title": "Request and Authorization to Release Protected Health Information to the Choice/PC3 Program",
"firstIssuedOn": "2015-02-01",
"lastRevisionOn": "2015-10-17",
"pages": 1,
"sha256": "150e84c94a8e0d43fa9e3278eeb86b42111df9bf1c5b8ffd36c1f22a73279078",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-0527",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-259",
"type": "va_form",
"attributes": {
"formName": "10-259",
"url": "https://www.va.gov/vaforms/medical/pdf/10-259%20Revocation%20of%20Authorization%20for%20Release%20of%20Release%20of%20Individually-Idenrifiable%20Health%20Information.pdf",
"title": "Revocation of Authorization for Release of Release of Individually-Identifiable Health Information",
"firstIssuedOn": "2021-04-01",
"lastRevisionOn": "2021-04-01",
"pages": 1,
"sha256": "60539779047ae881bbacc967f68d23d8acf32a5e3495f7ca2d0d9b33f68d8449",
"lastSha256Change": "2021-04-14",
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-259",
"formType": "benefit",
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [
{ "name": "Health care", "description": "VA health care" },
{ "name": "Records", "description": "VA records" }
],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-1314",
"type": "va_form",
"attributes": {
"formName": "10-1314",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-1314-fill.pdf",
"title": "Health Services Research and Development Service Career Development Awardee—Annual Progress Report",
"firstIssuedOn": "2002-10-18",
"lastRevisionOn": "2002-10-18",
"pages": 2,
"sha256": "57b64462006dc0dfc70e229e43f06f86349bc50fa4e80b62dcc74480b4cc423c",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-1314",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "10-0491",
"type": "va_form",
"attributes": {
"formName": "10-0491",
"url": "https://www.va.gov/vaforms/medical/pdf/vha-10-0491-fill%20(Academic%20Verification).pdf",
"title": "Academic Verification—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)",
"firstIssuedOn": "2013-12-01",
"lastRevisionOn": "2020-04-17",
"pages": 5,
"sha256": "961c479fd72ac77655687ba70d57952ecf637e59f0d57f605b30b43dedf7c2e9",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "https://www.va.gov/find-forms/about-form-10-0491",
"formType": null,
"language": "en",
"deletedAt": null,
"relatedForms": [],
"benefitCategories": [],
"vaFormAdministration": "Veterans Health Administration"
}
},
{
"id": "SF2809",
"type": "va_form",
"attributes": {
"formName": "SF2809",
"url": "https://www.opm.gov/Forms/pdf_fill/SF2809.pdf",
"title": "Health Benefits Election Form",
"firstIssuedOn": "2017-08-30",
"lastRevisionOn": "2015-11-17",
"pages": 15,
"sha256": "10ba6030b6f853c6e205e70b1d3bfee6a6d242e804e5c2fe930bc421a19ccbd6",
"lastSha256Change": null,
"validPdf": true,
"formUsage": null,
"formToolIntro": null,
"formToolUrl": null,
"formDetailsUrl": "",
"formType": "non-va",
"language": "en",
"deletedAt": null,
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