VA Form 10182 Example: Board Appeal Filled In (June 2026 Form)

Short answer: VA Form 10182 is the Board Appeal form (Notice of Disagreement), which asks a Veterans Law Judge at the Board of Veterans' Appeals to review issues VA decided. The current edition is dated June 2026; get it from VA's form page or download the official PDF, or request a Board Appeal online. Below are two complete fictional examples, plus the deadline, the evidence rules for each docket and the rule for switching dockets.

Its key choice is in Part II, Item 10: Direct Review uses only the record VA already had, Evidence Submission gives you 90 days to add evidence, and Hearing adds a hearing with a judge plus 90 days after it for evidence. Decide what you need the Board to see before you check a box, because the docket controls what the judge may consider.

The Board announced on its contact and notices page that it revised the form on May 31, 2026. Download a fresh copy rather than following a screenshot of an older layout; the June 2026 edition includes a box asking the Board to decide as soon as possible.

Part I: Personal information (Items 1 to 9)

Items 1 to 3 are the veteran's name, VA file number and date of birth. Items 4 and 5 are for an appellant who is not the veteran. Item 6 is your preferred mailing address, with a box if you are homeless. Items 7 and 8 are your phone and email, and Item 9 is your representative's name. If you want a virtual hearing, the form tells you to give your email and representative in Part I.

Part II: Board review option (Item 10)

Check exactly one box.

If you check 10C, choose one hearing type: a Central Office hearing, which you attend in person at the Board in Washington, DC; a videoconference hearing, which you attend from a VA regional office; or a virtual telehearing, which you attend from your own internet-connected device. VA's Board Appeal page notes that you pay your own travel costs for an in-person hearing in Washington. The instructions add two rules for the hearing docket: if you miss the hearing, you have 90 days from the scheduled date to send evidence, and if you withdraw the hearing request, you have 90 days from when the Board receives the withdrawal.

VA's page lists the Board's goals as 365 days for Direct Review, 550 days for Evidence Submission and 730 days for a hearing. Those are goals, not deadlines for a particular appeal; the 2025 comparison of appeal lanes shows what timing looked like across lanes, and Claim Raven's Board wait time checker lets you enter your docket number or receipt date to see where your appeal sits in the Board's line.

The evidence rules for each docket

The form's three boxes come from 38 C.F.R. 20.202(b), and the box you check sets the evidence the judge may consider (20.202(c)(1)). Each docket has its own rule:

Evidence that arrives outside the window for your docket is not considered. Under 38 C.F.R. 20.801(b)(3), the Board's decision must tell you if it received evidence it could not consider and what your options are for having VA review it. On the Evidence Submission docket, the form's instructions add that evidence added after the 90 days will not be considered by the Board.

Choose by asking what the judge needs. If VA misread a record it already had, Direct Review keeps the record the same. If a missing record or medical opinion is the problem, Evidence Submission gives you the 90 days. If your own account of symptoms or events is the strongest evidence, a hearing lets the judge hear it, and VA's Board Appeal page says the hearing is transcribed and added to your file.

Part III: Issues to appeal (Item 11)

Fictional appellant Sam Taylor has a decision notice dated July 8, 2026 that denied service connection for a wrist condition and decided the rating for an already service-connected knee. Sam wants the Board to review only the wrist.

The knee issue is not appealed because Sam did not list it; the Board considers only the issues on the form. Item 11 also has two checkboxes above the issue lines:

• Decide as soon as possible. Normally the Board does not decide until the period to switch dockets has passed. Checking this box tells the Board not to wait for that period. It does not move your place in line, and once the Board decides, you cannot change your review option. Sam leaves it blank because Sam may want to add evidence.
• Good-cause extension. Check it only if you are asking for more time to file the form, and attach sheets explaining the good cause. Checking it does not grant the extension.

If different issues need different dockets, the instructions say to file a separate Form 10182 for each review option and list the matching issues on each.

Part IV: Signature (Items 12 and 13)

Sam signs Item 12 in ink and dates Item 13. An appointed representative may sign for the appellant.

You can still switch dockets for a limited time

The instructions let you change your Board review option by filing a new, complete Form 10182 with the new choice in Part II. The deadline is one year from the date VA mailed the decision you are appealing, or 60 days after the Board receives your first Form 10182, whichever is later. You cannot switch once you have submitted evidence to the Board or testified at a hearing. This is the window the "decide as soon as possible" box refers to.

The regulation behind it is 38 C.F.R. 20.202(c)(2), which sets the same deadline and the same bar once you have sent evidence or testimony. Two related rules help if you switch:

• An appeal moved to another docket keeps its original docket date (38 C.F.R. 20.800(a)(2)).
• If you move to the Evidence Submission docket after filing, your 90 days run from VA's notice that the appeal was moved to that docket (38 C.F.R. 20.303(b)(2)).

The Board can also extend the time to ask for a docket change for good cause, if you ask in writing (38 C.F.R. 20.203(c)).

Second example: switching from Direct Review to Evidence Submission

Fictional veteran Riley Chen received a Higher-Level Review decision dated May 20, 2026 that denied service connection for obstructive sleep apnea. Riley filed a Form 10182 choosing Direct Review, and the Board received it on July 6, 2026. In August, Riley's private sleep physician wrote a medical opinion that VA has never seen. Riley has not sent the Board any evidence or testified, so Riley can still switch. The deadline is the later of May 20, 2027 (one year from the decision) or September 4, 2026 (60 days after the Board received the first form), which is May 20, 2027. These facts are invented.

Riley files a new, complete Form 10182:

Riley then waits for VA's notice that the appeal moved to the Evidence Submission docket, logs its date, and sends the private opinion within 90 days of that notice (20.303(b)(2)). The appeal keeps its original July 6, 2026 docket date. If Riley had already sent evidence while on Direct Review, the switch would not be allowed.

Deadlines and where to send it

For most modernized appeals, the Board must receive the form, or it must be postmarked, within one year from the date VA mailed the decision. A contested claim, where two people claim the same benefit, has 60 days. If you are opting in from a Statement of the Case or Supplemental Statement of the Case in the legacy system, the deadline is 60 days from that statement or one year from the original decision, whichever is later. You cannot request two Board Appeals in a row on the same claim.

The one-year rule is in 38 C.F.R. 20.203(b), which presumes the mailing date is the date on the decision letter. A form postmarked before the deadline counts as on time (38 C.F.R. 20.110(a)), and the Board may extend the deadline for good cause if you ask in writing (20.203(c)). The 60-day rule for contested claims appears in 38 C.F.R. 3.2500(g). Filing a different form does not stop the clock (20.202(e)).

You can file online, by mail to Board of Veterans' Appeals, PO Box 27063, Washington, DC 20038, in person at a VA regional office, or by fax, as listed on VA's Board Appeal page. Keep the signed form, your chosen docket, each issue and date, your attachments and your confirmation. On the Evidence Submission docket, log the date the Board received the form as the start of your 90 days.

What the Board can do with each issue

The Board decides each issue separately and can grant it, deny it or send it back to VA for more work. In Claim Raven's analysis of 2024 to 2025 Board decisions, condition records split 29.5% granted, 40.8% denied, 26.6% remanded and 2.8% dismissed. These are appeals of already-disputed claims, so the split describes the Board's pattern, not your odds; the full breakdown is on Claim Raven's VA disability statistics page. If you want a written argument to attach to the form, Sample 3 in the appeal letter samples is written for the Evidence Submission docket.

How Board Appeals compare with Supplemental Claims and Higher-Level Reviews is on Claim Raven's VA decision review statistics page, and the VA Form 20-0995 example and VA Form 20-0996 example walk through the other two forms. To pin down the reason VA gave before you choose a docket, Claim Raven's Raven Eye reads a VA decision letter or Disability Benefits Questionnaire and shows the reason VA gave, the dates, and the gaps to address. Each account gets one free starter analysis. Claim Raven sells this tool. It does not file anything or decide whether VA is right. Accredited Veterans Service Organizations help at no charge: Find a VSO.

Sources and scope

Checked November 8, 2026: VA Form 10182 (VA's form page lists the June 2026 revision; the PDF is marked June 2026) and its printed instructions, VA's Board Appeal page, the Board's notice of the revised form, VA's guide to opening VA PDF forms, and 38 C.F.R. 20.110, 20.202, 20.203, 20.301, 20.302, 20.303, 20.800, 20.801 and 3.2500 on eCFR. Board figures come from Claim Raven's analysis of 2024 to 2025 decisions and count condition records. Sam Taylor, Riley Chen and every entry above are fictional.

VA Form 10182 questions