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  • About Va Form 10-3542 | Veterans Affairs

Get About Va Form 10-3542 | Veterans Affairs

OMB Control No: 2900-0798 Estimated Burden: 10 minutes Expiration Date: 11/30/2027 VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EXPENSES SECTION A. TRAVELER'S INFORMATION 1A. NAME OF PERSON CLAIMING TRAVEL REIMBURSEMENT (Last, First, Middle) 1B. CLAIMANT'S SSN (999-99-9999) 1C. CLAIMANT'S DATE OF BIRTH (MM/DD/YYYY) 2A. CLAIMANT'S STATUS (check one) (Complete 3A, 3B, 3C and 3D if Caregiver, Attendant or Donor is checked) VETERAN CAREGIVER (National Caregiver Program) ATTENDANT (Medi.

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The United States Department of Veterans Affairs (VA) is an agency of the federal government that provides benefits, health care, and cemetery services to military Veterans.

To apply for CHAMPVA benefits, you must submit the following documents: Application for CHAMPVA Benefits, VA Form 10-10d. Other Health Insurance (OHI) Certification, VA Form 10-7959c or. ... For individuals who are eligible for Medicare, for any reason, the VA also need a copy of your Medicare card.

To file a claim: Complete the Veteran/Beneficiary Claim for Reimbursement of Travel Expense Form (VA Form 10-3542) and use the VA facility locator to find your facility's contact information. You can also contact your local Beneficiary Travel point of contact if you need help with your travel claim.

You have a VA disability rating of 30% or higher, or. You're traveling for treatment of a service-connected condition, even if your VA disability rating is less than 30%, or. You receive a VA pension, or. You have an income that's below the maximum annual VA pension rate, or.

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© Copyright 1997-2025
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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