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  • Va 10-10068 2013

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Submit your application online at: https://clfamilymembers.fsc.va.gov or for standard processing, mail the completed form to: Department of Veterans Affairs, Financial Services Center PO Box 149200 Austin, TX 78714-9200 1. Applicant Information Last Name First Name Social Security Number Date of Birth (MMDDYYYY) Mailing Address MI City State Zip Code If you reside outside the United States enter address below Email Address Gender Please indicate if you would like to receive correspon.

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U.S. military veterans, reservists, and guardsmen who lived or worked on base for at least 30 days between August 1953 and December 1987 may be eligible for VA compensation for Camp Lejeune water contamination if they have one of these presumptive conditions: Adult leukemia.

Your VA compensation benefits or health care services will not be impacted if you file a lawsuit. If you are awarded relief from a CLJA lawsuit, your VA benefits will not be reduced, and your eligibility for other VA benefits or services will not be affected.

Camp Lejeune water contamination settlement amounts could be between $10,000 and potentially over $1,000,000 depending on the strength of your case. These estimates for Camp Lejeune settlement amounts are only estimations based on the Congressional Budget Office (CBO) budget for Camp Lejeune claims.

You might qualify for a Camp Lejeune water contamination lawsuit if: You resided at Camp Lejeune for at least 30 days between August 1953 to December 1987. You weren't dishonorably discharged from the military.

Will I lose my VA benefits if I file a Camp Lejeune Lawsuit? As attorneys in these cases, one of the most common questions we receive from our clients is: “If I file this lawsuit, will I lose my VA benefits?” The short answer is no.

veterans must have lived at Camp Lejeune between August 1, 1953, and December 31, 1987. they must have spent at least 30 consecutive days at the military base during that period. they must have one of the diagnoses or one of the presumptive diagnoses on this page.

How can I file a claim for reimbursement? For each claim, you'll need to fill out a Camp Lejeune Family Member Program Claim Form (VA Form 10-10068a). You must provide an itemized billing statement from your health care provider with your claim.

If you lived on a military base with PFAs-contaminated groundwater and you have been diagnosed with a condition you believe was caused by these contaminants, you may be eligible for compensation from the VA.

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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