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Use VA Form 10-10EZ if you're a Veteran and want to apply for VA health care. You must be enrolled in VA health care to get care at VA health facilities or to have us cover your care at a community care provider (an approved non-VA provider).
VA Form 10-10EZR is used by VA to update your personal, insurance, or financial information after you are enrolled.
0:38 2:21 Learn How to Fill the VA Form 21 526 Veteran's Application for ... - YouTube YouTube Start of suggested clip End of suggested clip You should provide a detailed history of all medical events that occurred during your militaryMoreYou should provide a detailed history of all medical events that occurred during your military service ensure. That you give as much specific information as possible in box 11.
Where do I send my application? Mail the original application and supporting materials to the Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329.
You can receive free VA health care for up to 5 years after discharge or release for any condition related to your service in Operation Enduring Freedom (OEF) in Afghanistan or Operation Iraqi Freedom (OIF) or Operation New Dawn (OND) in Iraq. This is called an enhanced eligibility period.
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People also ask

Use VA Form 10-5345 to authorize us to share your health information with a non-VA (or third-party) individual or organization.
Certain nonservice-connected and 0% noncompensable service-connected veterans are required to fill out the financial worksheet, which is known as a "Means Test." A means test is a gathering of financial information by which VA determines your priority group for enrollment, and whether or not you are required to make ...
You have three options for filing your 10-10EZ: Visit to complete the form and submit it electronically. Visit for a printable copy of the form and instructions for filling it out, which you can then submit in person at your local VA facility ...
Report unemployment payments, worker's compensation payments, black lung payments, tort settlement payments, social security payments, and court mandated payments. Report payments from VA or any other Federal programs, and any other income. Exclude income of the Veteran's dependents.
Visit the Veteran Readiness and Employment (VR&E) website. The best way to file for disability compensation is to apply online at Or, you can fax it to: (844) 531-7818 (inside the U.S.)

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