VA Form 10-0103: HISA Grant Application (2025)

VA Form 10-0103: HISA Grant Application (2025) – VA Form 10-0103 is the official application used by eligible U.S. veterans to request funding for medically necessary home modifications through the VA’s Home Improvements and Structural Alterations (HISA) program. This grant helps veterans make their homes more accessible and safer, particularly for those with disabilities.

What Is VA Form 10-0103 Used For?

VA Form 10-0103 serves as the primary application for the HISA grant. It allows veterans to seek financial assistance for home improvements and structural changes that support continued medical treatment, provide access to the home, or enable use of essential sanitary facilities.

Common approved modifications include:

  • Installing ramps for wheelchair access
  • Modifying bathrooms (e.g., roll-in showers, grab bars, lowered sinks)
  • Adjusting kitchen counters or fixtures
  • Improving entrance paths or driveways near the home
  • Necessary plumbing or electrical upgrades tied to medical equipment

Note: HISA does not cover new construction, exterior decking, hot tubs, routine maintenance, or non-medically necessary items.

Who Qualifies for the HISA Grant via VA Form 10-0103?

To be eligible, veterans generally must:

  • Be enrolled in VA health care
  • Have a medical need justified by a VA physician prescription

Funding Limits (Lifetime Benefit):

  • Up to $6,800 for veterans with a service-connected disability, those treated as service-connected under specific provisions, or those with a service-connected rating of at least 50% (even for non-service-connected conditions)
  • Up to $2,000 for other eligible veterans with non-service-connected disabilities meeting medical necessity criteria

These amounts are current as of recent VA guidelines and represent a one-time lifetime cap across all projects.

Step-by-Step Guide: How to Apply Using VA Form 10-0103?

  1. Obtain a VA Physician Prescription — A VA doctor must prescribe the specific improvements, including diagnosis and medical justification.
  2. Complete VA Form 10-0103 — Fill out the form accurately. Indicate if requesting an advance payment (up to 50% of the approved amount).
  3. Gather Supporting Documents:
    • Itemized contractor estimates (labor, materials, permits)
    • Color photos of the area before modifications
    • If renting: Notarized landlord authorization
  4. Submit the Package — Send to the Prosthetic and Sensory Aids Service (PSAS) at your nearest VA medical center. A site inspection may be required.

Download the latest VA Form 10-0103 (Revised February/March 2025): Download VA Form 10-0103 PDF

Required Documents for a Complete HISA Application

A strong application package typically includes:

  • Completed and signed VA Form 10-0103
  • VA physician prescription with detailed justification
  • Itemized cost estimates
  • Before photos
  • Landlord consent (if applicable)
  • Proof of veteran status and VA enrollment (as needed)

Processing times vary by facility; contact your local PSAS for status.

HISA Grant vs. Other VA Housing Grants

HISA is distinct from larger programs like Specially Adapted Housing (SAH) or Special Home Adaptation (SHA) grants, which offer significantly higher amounts for more extensive adaptations (e.g., up to $126,000+ for SAH in FY 2026). HISA is often faster for smaller, targeted modifications and is administered through VA medical centers.

Tips for a Successful VA Form 10-0103 Application

  • Work closely with your VA healthcare team for the prescription.
  • Get multiple contractor bids to ensure reasonable costs.
  • Clearly document medical necessity.
  • Keep records of all communications.
  • Follow up with your local VA facility’s Prosthetic and Sensory Aids Service.

For location-specific help, use the VA Facility Locator.

Frequently Asked Questions About VA Form 10-0103

Can I apply if I rent my home?
Yes, with written, notarized approval from your landlord.

Is there an advance payment option?
Yes — request it on the form; up to 50% may be approved upon project authorization.

How long does it take?
Timelines vary, but preparation takes 1-2 weeks, with VA review following submission.

Is HISA available nationwide?
Yes, within the U.S., territories, and Puerto Rico.

Veterans seeking home accessibility support should start by contacting their local VA medical center. Always verify the latest details on official VA websites, as policies can update.

This program provides valuable assistance to help veterans live independently and safely in their homes. If you or a veteran you know needs modifications, downloading and submitting VA Form 10-0103 is the key first step.