VA Form 10-10068a. Camp Lejeune Family Member Program Claim Form

The VA Form 10-10068a Camp Lejeune Family Member Program Claim Form is used by eligible family members to apply for healthcare benefits under the Camp Lejeune Family Member Program. This program provides healthcare benefits to family members of veterans who were stationed at Camp Lejeune and were exposed to contaminants in the water supply between August 1, 1953, and December 31, 1987.

The form consists of several sections, including personal information, contact information, veteran information, and certification. Important fields include the applicant's name, Social Security number, date of birth, and relationship to the veteran, as well as information about the veteran's service and exposure to contaminants.

The parties involved in completing this form are the eligible family member and the Department of Veterans Affairs (VA). It is important to consider providing accurate and complete information when compiling the form, as incomplete or inaccurate information may delay the processing of the claim.

When compiling this form, the applicant will need to provide personal information, contact information, and information about the veteran's service and exposure to contaminants. Additional documents, such as marriage certificates and birth certificates, may need to be attached.

An application example for this form would be a family member of a veteran who was stationed at Camp Lejeune and suffered health issues due to exposure to contaminants in the water supply. The family member would complete this form to apply for healthcare benefits under the Camp Lejeune Family Member Program.

The benefits of this form are that eligible family members can receive healthcare benefits under the Camp Lejeune Family Member Program. The challenges and risks include the potential for delays in processing the claim if incomplete or inaccurate information is provided.

Related forms include the VA Form 10-10068 Camp Lejeune Family Member Program Application, which is used by eligible family members to apply for enrollment in the program, and the VA Form 10-10EZ Health Benefits Renewal Form, which is used to renew enrollment in VA healthcare benefits.

The submission of this form can be done online, by mail or in-person at a VA facility. The VA stores the form and related information in their database for future reference.