[Code of Federal Regulations] [Title 38, Volume 2] [Revised as of July 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 38CFR58.12] [Page 872-873] TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PART 58--FORMS--Table of Contents Sec. 58.12 VA Form 10-10EZ--Application for Health Benefits [GRAPHIC] [TIFF OMITTED] TR06JA00.005 [[Page 873]] [GRAPHIC] [TIFF OMITTED] TR06JA00.006 [[Page 874]]