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Get Va 10-10068 2013-2026
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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.
- Click ‘Get Form’ button to obtain the form and open it for filling out.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Fill in the veteran information section with the veteran's details as applicable. If the veteran is deceased, indicate this by selecting ‘Yes’.
- Review and complete the certification section by signing and dating your application. Your signature acknowledges the truthfulness of the information provided.
- 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.
Related links form
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.
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