Get Va 10-7959f-2 2024-2025

The VA 10-7959f-2 form is essential for veterans seeking reimbursement for medical services received outside the United States. This guide will provide clear and concise instructions to effectively complete the form online, ensuring a smooth submission process.

Follow the steps to successfully complete the VA 10-7959f-2 form.

1. Click 'Get Form' button to obtain the form and open it in your preferred document editor.
2. In Section I, enter your veteran information. Provide your last name, first name, date of birth in MM/DD/YYYY format, Social Security number, VA claim file number, physical address, mailing address, country, telephone number, and email address.
3. Move to Section II and describe the diagnosis or nature of the illness or injury for which you are claiming reimbursement.
4. In Section III, provide the claimant certification. Ensure that all itemized billing statements include required provider information: full name and medical title, office address, office telephone number, and billing address, if different from the office address.
5. Detail the claim information by providing a narrative description of each service and/or drug, along with each service’s billed charge and the corresponding date(s) of service.
6. Sign and date the form where indicated. Your signature certifies that the information provided is accurate and that all attachments are correct.
7. Prepare to submit the form. Attach itemized invoices or receipts and ensure that you include the required receipts of payment for each itemized billing statement.
8. Review your completed form for accuracy and completeness, then save any changes and download or print the form for your records.

Complete your VA 10-7959f-2 form online today to ensure timely processing of your claims.