Va form 10 3542-2025

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  1. Click ‘Get Form’ to open VA Form 10-3542 in the editor.
  2. Begin with Section A, Traveler's Information. Fill in your name, Social Security Number (SSN), and date of birth. If you are a caregiver, attendant, or donor, check the appropriate box and provide the veteran's details.
  3. Move to Section B, Trip Information. Enter the address from which you are claiming reimbursement, along with the start and end dates of your trip. Indicate if you are claiming return travel reimbursement and itemize any additional expenses such as tolls or lodging.
  4. In Section C, read the penalty statement carefully. Then certify that all information provided is accurate by signing and dating the form.

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Yes. You can also file your claim by mail or in person at the VA facility where you received care. To do this, youll need to fill out a Veteran/Beneficiary Claim for Reimbursement of Travel Expenses (VA Form 10-3542).
You can also file your claim by mail, fax, email or in-person at the VA facility where you received care. Complete the Veteran/Beneficiary Claim for Reimbursement of Travel Expense Form (VA Form 10-3542) and use the VA facility locator to find your facilitys contact information.
Mileage Reimbursement Veterans who drive themselves or are driven by someone else to their medical appointment can receive reimbursement for the distance traveled. Rate of Reimbursement: As of 2024, the VA reimburses at a rate of 41.5 cents per mile for privately-owned vehicles.
To do this, youll need to fill out a Veteran/Beneficiary Claim for Reimbursement of Travel Expenses (VA Form 10-3542). Read the statements and certifications carefully. Then sign and date your form. Mail or take your completed form and receipts in person to the VA facility where you received care.
Mileage reimbursement rate We currently pay 41.5 cents ($0.415) per mile for approved, health-related travel. We use Bing Maps to calculate your mileage, based on the fastest and shortest route from your home to the closest VA or authorized non-VA health facility that can provide the care you need.
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When to use this form. Use this travel reimbursement form (VA Form 10-3542) when you want to ask us to pay you back for travel expenses related to your health care.
Use this travel reimbursement form (VA Form 10-3542) when you want to ask us to pay you back for travel expenses related to your health care.

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