Get Va 10-10068 2015-2026

Filling out the VA 10-10068 form online can be straightforward if you follow the right steps. This guide aims to provide clear and supportive instructions to help users complete the application for the Camp Lejeune Family Member Program effectively.

Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. Fill out the applicant information section. This includes providing your last name, first name, social security number, date of birth, mailing address, email address, gender, and contact numbers. Ensure all information is accurate and matches your legal documents.
3. In the residency information section, indicate whether you resided on Camp Lejeune for 30 days or more between August 1, 1953 and December 31, 1987. If yes, provide the dates and address if known. You may also need to provide documentation verifying your residency.
4. For the conditions/illnesses section, check any boxes next to conditions you have been diagnosed with that may relate to your exposure to contaminated water at Camp Lejeune. If applicable, be prepared to provide documentation.
5. In the health care coverage section, indicate whether you have health care coverage. If yes, specify the type of coverage and its effective date.
6. Complete the veteran information section. If known, provide the veteran's last name, first name, social security number, dates stationed at Camp Lejeune, and contact information.
7. In the certification section, read the statement carefully, then sign and date the form. If someone else completes this section for you, ensure that they provide their own information as well.
8. Once all sections are completed, review the form for accuracy. You can then save changes, download, print, or share the form as required.

Complete your VA 10-10068 application online for a smoother processing experience.