VA Form 10-3203: Consent for VA Photos & Recordings – Veterans and their families often encounter VA Form 10-3203 when participating in VA programs, events, research, training, or promotional activities. This form ensures your voluntary consent for the Department of Veterans Affairs (VA) to produce and use your verbal or written statements, photographs, digital images, video, or audio recordings.
Understanding this form protects your privacy while allowing the VA to document and share valuable stories that support veterans.
Download VA Form 10-3203
Download the latest VA Form 10-3203 (PDF)
What Is VA Form 10-3203?
VA Form 10-3203 is officially titled “Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and/or Video or Audio Recordings by VA.” The current revision is January 2026.
It serves as official documentation of your permission for the VA to capture and use your likeness, voice, or statements. Consent is voluntary and refusing to sign will not affect your VA benefits.
Purpose of VA Form 10-3203
The form allows the VA to use your materials for authorized purposes such as:
- Education of VA personnel
- Research activities
- Promotional efforts
- Training materials
- Publications (internal or external)
- Quality improvement and health care operations
VA staff must clearly specify the activity and whether the use is internal or external.
When Is VA Form 10-3203 Required?
Common situations include:
- Patient stories and testimonials
- Photography or videography at VA events and ceremonies
- Research studies involving recordings
- Educational and training materials
- Promotional content for VA programs
Note: Separate authorization (VA Form 10-5345) is needed for releasing protected health information outside the VA.
Key Features and Protections
- No compensation or royalties
- Right to withdraw consent at any time
- Consent is limited to the specific purposes checked
- Compliant with VA privacy policies and HIPAA
How to Fill Out VA Form 10-3203?
- VA staff completes the facility, activity, and purpose sections.
- Review all checked purposes carefully.
- Sign and date the form.
- VA representative also signs.
The form is a fillable PDF for easy completion.
Who Should Use VA Form 10-3203?
- Veterans receiving VA care
- Family members and authorized representatives
- VA employees or volunteers
Parents or legal guardians can sign for minors or incapacitated individuals.
Related VA Forms
- VA Form 10-3203a (Third-party production)
- VA Form 10-5345 (Authorization to release medical records)
For questions, contact your local VA facility’s Public Affairs Office.
Download VA Form 10-3203
Download the Official VA Form 10-3203 PDF Here
This article is for informational purposes only. Consult VA staff for official guidance.