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  • Va Ib 10-447 2013

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February 2013. Reimbursement of Non-VA Medical Expenses for. Service- Connected Veterans. Benefit Description. The Department of Veterans Affairs (VA ), .

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Related content

10-447 Reimbursement of Non-VA Medical Expenses...
Benefit Description. The Department of Veterans Affairs (VA), in limited circumstances...
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To do this, you'll need to fill out a Veteran/Beneficiary Claim for Reimbursement of Travel Expenses (VA Form 10-3542).

Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care.

Use VA Form 21p-8416 to report medical or dental expenses that you have paid for yourself or for a family member living in your household.

When to use this form. Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

Medical Care Reimbursement Request A signed written request for reimbursement and receipt of payment, must be submitted to your local VA medical facility Community Care office in a timely manner. You may use VA Form 10-583, Claim for Payment of Cost of Unauthorized Medical Services to fulfill this requirement.

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.

You can also apply in any of these 4 ways Fill out an Application for Health Benefits (VA Form 10-10EZ). ... Fill out an Application for Health Benefits (VA Form 10-10EZ). ... Go to your nearest VA medical center or clinic. ... Or get help through your state's Department of Veterans Affairs.

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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