10-10152
Reimbursement Request for Qualifying Adoption Expenses
VA Form 10-10152 is the U.S. Department of Veterans Affairs Reimbursement Request for Qualifying Adoption Expenses. The form says it may be used by a covered veteran to request reimbursement of qualifying adoption expenses incurred in the adoption of a child under 18 years of age. It defines a covered veteran as a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment.
The form is five pages. Pages 1 and 2 hold Sections I to V: general information, spouse information, electronic fund transfer information, adoption information with the expenses incurred, and the affirmation and signature. Pages 2 to 5 hold the Privacy Act notice, processing instructions, definitions, filing deadlines, reimbursement limits and the required documentation.
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Name, Social Security number, date of birth, phone numbers, permanent address, email, marital status, whether you are a covered veteran and whether you claimed adoption reimbursement from VA earlier in the current calendar year.
Whether your spouse is a covered veteran, and if yes, the spouse's name and Social Security number.
A checking or savings account number, the financial institution's name and the routing or transit number, or a voided check or deposit slip. The section points people without a bank account to the Direct Express Debit MasterCard.
The child's name and date of birth, the dates of the home study, placement in the home and finalization, where the adoption was finalized and who arranged it.
Agency fees, placement fees, legal fees and court costs, medical expenses and temporary foster care charges, a subtotal, reimbursement from other government adoption programs and the total.
You affirm the information and expenses are true and correct and sign in ink. The affirmation says reimbursement is limited to $2,000.00 per adopted child with maximum reimbursement of $5,000.00 in any calendar year.
The form says to read the Privacy Act statement and Instructions on pages 2 and 3 before completing it.
Item 11 asks whether you are a covered veteran, as the form defines it. The form says if yes, complete the rest of the form.
Enter spouse details, direct deposit information, the adoption dates and the expenses incurred, with documentation attached.
The form lists copies, not originals, showing covered veteran status, that the adoption is final, the agency that handled it, the expenses paid and, for a foreign adoption, the child's U.S. citizenship. Foreign language documents need a full English translation with the translator's certification.
Sign and date Section V. The processing instructions say the completed form and claim package are submitted with the original signature of the veteran.
Send the application and any evidence to the Janesville, Wisconsin address printed under How To Submit.
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Department of Veterans Affairs, Evidence Intake Center, PO Box 4444, Janesville, WI 53547-4444.
The form says reimbursement must be requested no later than 2 years after the adoption is final, or in the case of adoption of a foreign child, no later than 2 years from the date the certificate of United States citizenship is issued.
The form says no more than $2,000 may be reimbursed per adopted child, and no more than $5,000 may be paid in any calendar year, to a covered veteran or to two covered veterans who are spouses of each other. Only one reimbursement claim per adoption is allowed.
If eligibility cannot be determined from the documents provided, VA requests more information. The form says it must be submitted within 90 days for the claim to be considered.
The form says approved reimbursement is paid by Electronic Fund Transfer to the applicant's EFT account, and that VA notifies the applicant in writing if the claim is denied.
The PDF footer reads VA FORM JUN 2026 10-10152, matching the June 2026 revision date on VA's page. It carries OMB Control No. 2900-0860, which expires 06/30/2029.
The form's purpose and definitions describe who it is for.
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The form says it may be used by a covered veteran, which it defines as a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment.
The form says no more than $2,000 may be reimbursed for the adoption of a child, and no more than $5,000 may be paid in any calendar year, to a covered veteran or to two covered veterans who are spouses of each other.
The form says no later than 2 years after the adoption is final, or for adoption of a foreign child, no later than 2 years from the date the certificate of United States citizenship is issued.
Reasonable and necessary expenses include public and private agency fees, placement fees, legal fees including court costs, medical expenses and temporary foster care charges. The form says the term does not include incidentals such as clothing, bedding and books, or travel by an adopting parent.
The form asks for a copy, not the original, of each required document, and says the veteran keeps copies of all paperwork until the claim is paid or denied. The completed form itself carries the veteran's original signature.
The form says reimbursement may be requested only for an adoption that became final after September 29, 2016, and for a foreign child only after United States citizenship has been granted.
The form lists Department of Veterans Affairs, Evidence Intake Center, PO Box 4444, Janesville, WI 53547-4444.
