Camp Lejeune Family Member Program Application - 10-10068 The Camp Lejeune Family Member Program is 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the Applicant Information section. Fill in your last name, first name, social security number, date of birth, mailing address, email address, and gender. Ensure all details are accurate for a smooth application process.
3. In the Residency Information section, indicate whether you resided on Camp Lejeune for 30 days or more between August 1, 1953 and December 31, 1987. If yes, provide the dates and any known addresses.
4. Proceed to Conditions/Illnesses. Check any diagnosed conditions related to your exposure at Camp Lejeune. This is crucial for establishing eligibility.
5. Complete the Health Care Coverage section by indicating if you have health care coverage and providing relevant details about your insurance plans.
6. Fill out the Veteran Information section if applicable. Include their details and confirm if they are deceased.
7. Finally, review the Certification section. Sign and date the form to confirm that all information provided is true and complete.

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