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  • Va 10-10068 2013

Get Va 10-10068 2013-2026

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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How to fill out the VA 10-10068 online

The VA 10-10068 form is essential for applying to the Camp Lejeune Family Member Program. Completing this application accurately online can streamline your eligibility determination process.

Follow the steps to complete the form effectively.

  1. Click ‘Get Form’ button to obtain the form and open it for filling out.
  2. Provide your applicant information in the first section, including your last name, first name, social security number, date of birth, and mailing address. Ensure that the information is accurate to facilitate communication regarding your application.
  3. Indicate your email address and preferred method of receiving correspondence (phone, email, or regular mail) in the respective fields. This is important for timely updates.
  4. Define your relationship to the veteran by selecting from the provided options (e.g., spouse, child, legal dependent). Please remember to attach proof of relationship, such as a marriage certificate or birth certificate where applicable.
  5. In the residency information section, answer whether you lived at Camp Lejeune for 30 days or more between January 1, 1957, and December 31, 1987. If you confirm, fill in the dates you resided there and the address if available.
  6. You will need to state whether you have documentation verifying your residency at Camp Lejeune and enclose a copy of such documents (utility bills, pay stubs, etc.) when submitting your application.
  7. Next, review the conditions and illnesses section. Mark any diagnosed conditions that may relate to your exposure at Camp Lejeune. You don’t need previous diagnoses to check these boxes. Provide dates for any specific conditions as required.
  8. Complete the health care coverage section, indicating if you have any form of health insurance. List any relevant coverage and effective dates, including Medicare and private insurance plans.
  9. Fill in the veteran information section with the veteran's details as applicable. If the veteran is deceased, indicate this by selecting ‘Yes’.
  10. Review and complete the certification section by signing and dating your application. Your signature acknowledges the truthfulness of the information provided.
  11. Once you have filled out the form, you can choose to save changes, download a copy, print it, or share it as needed for submission.

Complete your application online today to ensure timely processing of your benefits.

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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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