10-8678
Application for Annual Clothing Allowance (VA Form 10-8678)
VA Form 10-8678 is the U.S. Department of Veterans Affairs Application for Annual Clothing Allowance. VA's form page says it is used to apply for a clothing allowance by a Veteran with a service-connected disability who uses a prosthetic or orthopedic device or skin medication that damages clothing, and that the benefit provides an annual payment to help replace affected clothing.
VA's page lists three reasons to use the form: applying for the first time, requesting an additional allowance for new qualifying devices or skin medications, or stopping the allowance when a qualifying device or skin medication is no longer used. The one-page PDF holds the instructions, Items 1 to 8, a certification and the signature line. VA's page says you can also apply online.
You can fill out the PDF free in your browser on this page and download the result without an account.
The form says the prosthetic or orthopedic appliance must cause wear and tear, or the skin medication irreparable staining to outer garments. Shirts, blouses, pants, skirts and shorts are considered; shoes, hats, scarves, underwear and socks are not.
Name of the Veteran, the last 4 of the Social Security number, address and telephone number.
A box to elect to terminate the benefit when no qualifying device, orthopedic appliance or skin medication is used. The form says Sections 6, 7 and 8 are then not needed.
Up to four rows, each with the service-connected disability, the name of the device, appliance or skin medication, and the area of the body it impacts: upper or lower, left or right.
The application under 38 USC 1162, a certification of regular use, a note on notifying VA when items are no longer prescribed and used, and the signature in ink with the date.
The form explains eligibility, which clothing is included and where to file before the numbered items.
Enter the Veteran's name, the last 4 of the Social Security number, address and telephone number.
Complete Items 6 to 8 for each qualifying item, or check Item 5 instead to stop the benefit.
The form asks for the signature in ink and the date in MM/DD/YYYY format.
The form says to send it to the Prosthetic and Sensory Aids Service at your nearest VA Medical Center. VA's page says you can apply online instead.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says that if you have previously submitted a claim for disability compensation, send it to the Prosthetic and Sensory Aids Service (121) at your local VA Medical Center.
The instructions say the application should be submitted on or before August 1st of the benefit year for which you are applying.
VA's form page says you can apply online instead of filling out and sending the paper form.
The current edition is dated JUN 2026. It carries OMB Approval No. 2900-0198, which expires 06/30/2029.
21-526EZ
345 fields, 15 pages
10-10EZ
122 fields, 6 pages
10-1394
41 fields, 2 pages
10-0103
12 fields, 1 page
VA's form page and the form's instructions describe these cases.
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VA's form page says it is used to apply for a clothing allowance by a Veteran with a service-connected disability who uses a prosthetic or orthopedic device or skin medication that damages clothing.
The instructions say it should be submitted to the Prosthetic and Sensory Aids Service on or before August 1st of the benefit year for which you are applying.
The instructions say submission of an annual application is no longer needed if you are not changing your existing award(s).
The form lists shirts, blouses, pants, skirts, shorts and similar garments permanently damaged by qualifying appliances or skin medications. It says shoes, hats, scarves, underwear, socks and similar garments are not included.
Check Item 5 and sign the form. The form says all awards will then be terminated, Sections 6, 7 and 8 are not needed, and a new application is needed to receive recurring payments in the future.
Yes. VA's form page says you can apply online instead of filling out and sending the paper form.
The form says that if you have not made an application for disability compensation, complete VA Form 21-526 and send it to the VBA regional office nearest your home.