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Approved Exception To SF 171 OMB No. 29000205 Estimated burden: 30 minutes TAB key or Mouse to move between data fieldsAPPLICATION FOR RESIDENTS SEE LAST PAGE FOR PAPERWORK REDUCTION ACT, PRIVACY
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VA Form 10-10EZ is the Health Benefits Renewal Application. It is used by Veterans to apply for VA health care benefits.
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Veterans who want to apply for VA health care benefits are required to file VA Form 10-10EZ online.
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The purpose of VA Form 10-10EZ is to apply for VA health care benefits and renew existing benefits.
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The information required on VA Form 10-10EZ includes personal details, contact information, military service history, financial information, and health insurance details.
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