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OMB Control Number: 29000822 Estimated Burden: 15 minutes Expiration Date: August 31, 2025Department of Veterans AffairsCamp Jejune Family Member Program Claim FormAttention: After reviewing the following

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How to fill out camp lejeune family member

01

Gather all required information such as name, address, contact information, date of birth, social security number, and relationship to the service member who served at Camp Lejeune.

02

Complete the Camp Lejeune Family Member Enrollment Form thoroughly and accurately.

03

Submit the form along with any supporting documents to the appropriate office or agency.

Who needs camp lejeune family member?

01

Family members of service members who were stationed at Camp Lejeune and may have been exposed to contaminated drinking water.

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What is camp lejeune family member?

Camp Lejeune family member is a designation for individuals who were exposed to contaminated water at Camp Lejeune between August 1953 and December 1987.

Who is required to file camp lejeune family member?

Family members of military personnel who lived at Camp Lejeune during the specified time period and were exposed to contaminated water are required to file as Camp Lejeune family members.

How to fill out camp lejeune family member?

To fill out Camp Lejeune Family Member form, you need to provide information such as your relationship to the military personnel, dates of residence at Camp Lejeune, and any health conditions possibly related to the exposure.

What is the purpose of camp lejeune family member?

The purpose of Camp Lejeune family member designation is to provide access to healthcare benefits for individuals who may have been affected by the contaminated water at the base.

What information must be reported on camp lejeune family member?

Information such as relationship to military personnel, dates of residence at Camp Lejeune, and any health conditions possibly related to the exposure must be reported on Camp Lejeune family member form.

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