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Champva benefits Form: What You Should Know

How to Apply for CHAM PVA — Community Care — VA This form is to be completed by the patient, sponsor, or guardian and is mandatory for all beneficiary claims. The patient, sponsoring person or guardian must also submit all relevant information about the patient. VA Form 10-10d, for Veterans' Health Administration (VIA) CHAM PVA Benefits:  This form allows a non-Veteran individual or a beneficiary to appeal for  benefits related to the CHAM PVA, VA, or hospital facility. In order to be approved for a CHAM PVA benefit, the applicant must first have been on active duty (including reserve) in the U.S. armed forces in the period of  December 31, 2000, or earlier and have a Department of Defense dependent claim. If eligible, an application  must be presented to a Veterans Benefits Administration (VBA) employee or a supervisor. VBA will review the application and if approved the beneficiary will be  submitted to the Department of Veterans Affairs (VA) CHAM PVA Regional Office to be approved a benefit related to the CHAM PVA. VBA is responsible for making sure that all necessary information is  provided on both application and claim forms. The VBA CHAM PVA regional office will approve or deny claims for benefits relating to  the CHAM PVA. Please download the application and claim forms (for both the Veteran and the beneficiary) to print/complete to submit to the VBA CHAM PVA regional  office where benefits are to be approved and approved for use.

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