Drive a Vehicle Form

Our nation’s heroes travel around the globe to protect our freedoms—it’s only right that we return their dedication. Volunteering to drive a vehicle ensures that even those living remotely from VA hospitals can make their appointments and never go without the treatment they need.

If you are interested in becoming a volunteer driver, please complete the form below and one of our staff will reach out to you. Thank you.

Driver Form
Name
Name
First
Middle
Last

Address
Address
City
State/Province
Zip/Postal