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  • Va 10-0708 2020

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That the departing employee is not removing Federal records from VA custody and all records in the control of employee have been transferred and made available for use to the employee's supervisor or other specific individual designated to assume custody of the Records. 1. NAME OF EMPLOYEE 4. TITLE OF POSITION 2. SERVICE, DIVISION AND SECTION (Include mailing symbol) 3. DATE (MM/DD/YYYY) 5. STATION NUMBER 6A. SIGNATURE AND TITLE OF SUPERVISOR (Sign in ink or Official Electronic Signature).

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Form 1095-B: Responsible individuals may retrieve a copy of Form 1095-B, Health Coverage on their myPay account, or may request a copy of Form 1095-B by submitting a request to askDFAS or mailing to the address below. Please allow up to 30 days for processing. * Use the secure online form at askDFAS.

VA Form 10-0708, also known as the Request for and Consent to Release of Information from Claimant's Records, is used to authorize the release of medical, military, and other relevant records to the Department of Veterans Affairs (VA).

The legal document outlining outpatient care to be received is the VA Form 10-7079; inpatient care is authorized using VA Form 10-7078. These forms may be generated using the Fee Basis Claims System (FBCS) authorization module, the VistA Authorization Entry menu or equivalent.

The Veteran Integrated Control Number (ICN) and the referral number can be found on the Approved Referral for Medical Care, VA Form 10-7080, issued by the referring VA medical center. IMPORTANT: Timely filing limitations require invoices be submitted within 180 days from the date of service.

Use VA Form 10-10EZ if you're a Veteran and want to apply for VA health care. You must be enrolled in VA health care to get care at VA health facilities or to have us cover your care at a community care provider (an approved non-VA provider).

VA Form 0888 is a form used to apply for a Department of Veterans Affairs (VA) Vocational Rehabilitation and Employment Program (VR&E). This form is used to provide information to the VA in order to determine eligibility for the program.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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