VA Form 10-5392: Download Occasional Volunteer Time Sheet

VA Form 10-5392: Download Occasional Volunteer Time SheetVolunteering with the U.S. Department of Veterans Affairs (VA) is a meaningful way to support veterans and their families. One essential document for occasional volunteers is VA Form 10-5392, the Occasional Volunteer Time Sheet. This guide covers everything you need to know about the form, including how to download, fill it out, and why it’s important.

What Is VA Form 10-5392?

VA Form 10-5392 is the official Occasional Volunteer Time Sheet used by the VA Voluntary Service (VAVS) program. It tracks hours served by occasional (non-regularly scheduled) volunteers at VA facilities.

The form includes a built-in Waiver of Claims to Remuneration Agreement. By signing, volunteers agree they are serving without compensation and waive claims to monetary benefits for their volunteer services. This waiver applies specifically to VAVS activities and does not affect other VA benefits or services you may receive.

The current version is dated June 2016 and remains the active form for occasional volunteers.

Who Should Use VA Form 10-5392?

  • Occasional or one-time volunteers at VA medical centers, clinics, or other facilities.
  • Members of partnering organizations (e.g., American Legion, DAV, or other veteran service groups) who volunteer sporadically.
  • Individuals who do not meet the requirements for regularly scheduled volunteers.

Regularly scheduled volunteers typically use different tracking methods or applications through the VA’s Center for Development and Civic Engagement (CDCE) portal.

Why Is the Occasional Volunteer Time Sheet Important?

Accurate time tracking:

  • Helps VA facilities document volunteer contributions.
  • Supports program reporting and recognition.
  • Ensures compliance with federal volunteer service regulations (under 38 U.S.C.).
  • Provides a simple record for volunteers and supervisors.

Volunteer hours contribute significantly to VA operations. In recent fiscal years, tens of thousands of volunteers have donated millions of hours of service.

How to Download VA Form 10-5392?

Official Download Link:
Download VA Form 10-5392 (PDF) Download Here

You can also access it directly from the VA forms page: VA Form 10-5392 on VA.gov.

The form is fillable PDF, making it easy to complete digitally or by hand.

Step-by-Step: How to Fill Out VA Form 10-5392?

  1. Read the Waiver Statement — Understand the agreement before signing.
  2. Print Your Individual Name — Clearly write your full name.
  3. Sign and Date — Provide your signature and the date of service.
  4. Organization Name — If volunteering through a group (e.g., American Legion), enter the organization name. Otherwise, leave blank or note “Individual Volunteer.”
  5. VA Service Assignment — Describe your role or assignment (e.g., “Patient escort,” “Ward visitor,” “Administrative support”).
  6. Hours — Record the total hours volunteered for the listed date(s).
  7. Submit — Give the completed form to your VA Volunteer Service supervisor or coordinator.

Tip: Print neatly or use the fillable PDF fields for clarity. Multiple dates can often be listed on one form depending on facility policy.

Differences Between Occasional and Regular Volunteers

Occasional volunteers use VA Form 10-5392 and typically have lighter screening requirements. Regularly scheduled volunteers often complete VA Form 10-7055 (Application for Voluntary Service), undergo background checks, and commit to more consistent hours.

How to Get Started as a VA Volunteer

  • Visit your local VA facility’s Voluntary Service office or the national VA Volunteer portal.
  • Contact the Center for Development and Civic Engagement (CDCE) at your preferred VA medical center.
  • Prepare identification and be ready to discuss your interests and availability.

Many facilities welcome occasional volunteers for special events, holidays, or short-term needs.

Benefits of Volunteering with the VA

  • Make a direct impact on veterans’ lives.
  • Gain valuable experience in healthcare and public service.
  • Receive recognition and appreciation from the VA community.
  • Potential for tax deductions (consult a tax professional for details on volunteer expenses).

Common Questions About VA Form 10-5392

Is the form still current?
Yes, the June 2016 version is the official form listed on VA.gov.

Can I submit hours electronically?
Occasional volunteers typically use the paper/PDF form, while registered regular volunteers may use the CDCE portal for time entry.

Where do I submit the completed form?
Return it to your assigned VA Volunteer Coordinator or supervisor at the facility.

Need More Help?

For questions about volunteering or this form, contact the Voluntary Service office at your nearest VA health care facility. You can find contact information on VA.gov or through the national volunteer resources.

Volunteering is a powerful way to give back. Download VA Form 10-5392 today and start making a difference:
Download VA Form 10-5392 PDF Download Official Form

This article is for informational purposes only and is based on official VA sources. Always verify the latest requirements directly with your local VA facility.