
Get the free Camp Lejuene Family Member Program Claim Form, 10-10068a
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OMB Number 29000822
Est. Burden: 30 minutes
Expiration Date: March 31, 2015Department of Veterans AffairsCamp Jejune Family Member Program Application
Important! For expedited processing, please submit
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How to fill out camp lejuene family member

How to fill out camp lejuene family member
01
To fill out Camp Lejeune Family Member form, follow these steps:
1. Obtain the necessary form from the Camp Lejeune Family Member Program office or through their website.
02
Fill out the required personal information such as name, date of birth, and contact details.
03
Provide proof of eligibility as a family member of a service member who served at Camp Lejeune during the specified period of contamination.
04
Complete the medical history section, providing any relevant information about medical conditions or illnesses that may be related to the exposure to contaminated water at Camp Lejeune.
05
Attach any supporting documentation or medical records that may be required for the application.
06
Review the completed form for accuracy and make sure all necessary information and documents are included.
07
Submit the form either by mail or in-person to the designated Camp Lejeune Family Member Program office.
08
Wait for the processing of the application and keep track of any communication or updates from the program office.
09
Once the application is approved, follow any further instructions provided by the program office for receiving benefits or assistance.
Who needs camp lejuene family member?
01
Any family member of a service member who served at Camp Lejeune during the specified period of contamination needs to fill out the Camp Lejeune Family Member form.
02
This includes spouses, children, and dependent parents of the service member.
03
It is important for these family members to provide their information and medical history to potentially access benefits and assistance related to exposure to the contaminated water at Camp Lejeune.
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What is camp lejuene family member?
Camp Lejeune family member refers to the family members of individuals who were stationed at Camp Lejeune, a US Marine Corps base in North Carolina, and were exposed to contaminated drinking water between 1953 and 1987.
Who is required to file camp lejuene family member?
Family members of individuals who were stationed at Camp Lejeune and were exposed to contaminated drinking water are required to file as Camp Lejeune family members.
How to fill out camp lejuene family member?
Camp Lejeune family members can fill out the necessary forms provided by the Department of Veterans Affairs or other relevant agencies. They may need to provide information about their relationship to the individual stationed at Camp Lejeune and any health conditions related to the contaminated water exposure.
What is the purpose of camp lejuene family member?
The purpose of Camp Lejeune family member designation is to provide access to health care benefits and compensation for family members who may have been affected by the contaminated drinking water at the base.
What information must be reported on camp lejuene family member?
Camp Lejeune family members may need to report their relationship to the individual stationed at Camp Lejeune, any health conditions they believe are related to the contaminated water exposure, and other relevant information requested by the designated agencies.
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