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Get Va Form 10 0500

Estimated Burden: 10 min. OMB Number 29000770VADepartment of Veterans AffairsForm Instructions: 1. Fill out as much information as possible 2. Attach all relevant documents 3. Submit form to Program.

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Veterans scheduled for a claim exam or C&P exam with a contract vendor will receive mileage reimbursement from the contract vendor. You should expect to receive reimbursement within 14 days of the completed appointment. The current mileage reimbursement rate is 41.5 cents per mile.

Call your VA health facility's Beneficiary Travel contact. Or call our BTSSS toll-free call center at 855-574-7292 (TTY: 711). We're here Monday through Friday, 8:00 a.m. to 8:00 p.m. ET.

You'll need to fill out an Individuals' Request for a Copy of Their Own Health Information (VA Form 10-5345a). Submit your completed form to your VA health facility's medical records office. This office is also called a Release of Information Office. You can submit your form by mail, by fax, or in person.

45 days … or longer.

As of 2022, the VA will reimburse round-trip mileage at 41.5 cents per mile if the travel is related to approved healthcare expenses.

You should receive your payment within 3 to 5 business days. Need time to gather receipts or other information? You can choose to save your claim and come back later to edit it. But you'll still need to submit it within 30 days of your appointment.

The VA requires a small deductible before reimbursing you for travel-related expenses. The current (2022) deductible is $3 one-way or $6 round-trip, up to $18 per month. If you surpass the $18 deductible, the VA will pay the full cost of your travel for the remainder of the month.

Use VA Form 10-5345 to authorize us to share your health information with a non-VA (or third-party) individual or organization.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232