VA Form 1107: Request Repairs & Accessories Guide

VA Form 1107: Request Repairs & Accessories Guide – Veterans with VA-authorized hearing aids or related devices often need repairs or replacement accessories. VA Form 1107, officially titled Request for Repairs, and/or Accessories, streamlines this process. This guide covers eligibility, how to fill it out, submission steps, and tips for a smooth experience.

What Is VA Form 1107?

VA Form 1107 is a Department of Veterans Affairs document used by eligible veterans to request repairs for defective devices (primarily hearing aids) or replacement accessories such as cords, tubing, wax guards, or ear hooks.

The form, last revised in October 2006, is managed through the VA Denver Logistics Center (DLC, formerly DALC). It ensures veterans receive timely maintenance for devices provided under VA prosthetic and sensory aids programs.

Who Should Use VA Form 1107?

Eligible users include veterans who have received VA-authorized hearing aids or similar devices. You can use it if your device is:

  • Not working properly (e.g., dead, weak, noisy, feedback issues)
  • In need of accessories like tubing, cords, or wax guards

This service is available to veterans enrolled in VA health care with prior authorization for the device.

Note: Separate forms exist for batteries and some accessories (e.g., VA Form 2346 or 2346a). Use Form 1107 specifically for repairs and certain non-battery accessories.

Benefits of Using VA Form 1107

  • No-cost repairs and shipping — VA covers eligible repairs and provides postage-paid labels.
  • Quick processing — The Denver Logistics Center handles diagnosis, repair, programming retrieval, and quality control.
  • Convenience — Mail your device and form; no in-person visit required in most cases.
  • Accessories support — Request replacement parts to keep your device functioning optimally.

How to Download VA Form 1107?

Download the official PDF directly from the VA website:

Download VA Form 1107 (PDF)

Always use the latest version from va.gov to ensure compatibility.

Step-by-Step: How to Fill Out VA Form 1107?

  1. Complete the top section — Provide your last name, first name, middle initial, date of birth, last four digits of SSN, date mailed, and home mailing address.
  2. Device information — Enter make, model, and serial number(s).
  3. For repairs (Section I) — Check the appropriate boxes describing defects (e.g., Dead, Noisy, Weak, Feedback, Excessive Battery Drain, etc.).
  4. For accessories (Section II) — List needed items (e.g., cords, tubing – specify length) and add remarks.
  5. Follow instructions — For repairs, include the complete device (transmitter, receiver, cords, etc.). Do not send presentation cases or earmolds unless specified.

Print clearly and include the form with your device or accessories.

How to Submit VA Form 1107 and Your Device?

Mailing Address: VA Denver Logistics Center
PO Box 25166
Denver, CO 80225-0166

  • For repairs: Pack your hearing aid securely with the completed form. Use provided protective materials or request a shipping kit.
  • For accessories only: Include the form and any defective parts if applicable.
  • Use the postage-paid return label provided by VA when possible (no postage or insurance required for eligible repairs).

Contact the DLC if you need a shipping box: [email protected] or call (303) 273-6200 / customer service numbers listed on va.gov.

What to Expect After Submission?

The Denver Logistics Center verifies eligibility, diagnoses the issue, performs repairs or fulfills accessory requests, and returns the item(s). Processing times vary but aim for efficiency through their specialized program.

Track status by contacting customer service if needed.

Common Issues and Troubleshooting

  • Device not covered — Confirm prior VA authorization.
  • Missing information — Incomplete forms may delay processing.
  • Accessories vs. Batteries — Use the correct form (1107 for repairs/accessories; check 2346 series for batteries).
  • Shipping — Always use protective packaging and the official label.

For questions, visit the official repair page or contact VA support.

Additional Resources for Veterans

Conclusion

VA Form 1107 provides a straightforward, no-cost way for eligible veterans to maintain their hearing aids and accessories. By following official instructions and using the correct mailing process, you can quickly restore functionality to important devices. Always download the form from the official VA site and contact support with questions.

This article is for informational purposes. For personalized assistance, reach out to the VA directly.