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INSTRUCTIONS FOR COMPLETING ENROLLMENT
APPLICATION FOR HEALTH BENEFITS
Please Read Before You Start. . . What is VA Form 1010EZ used for? For Veterans to apply for enrollment in the VA health care
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Comments and Help with va form 10 10 ez
You can get help from the following people. They all have different opinions on what would work best. If you're having difficulty, just know that none of them is a “perfect” person. The best help for this form is to ask a question on the VA Health Care Answers Website.
APPLICATION FEE
You must pay the enrollment fee from your paycheck each month. If you submit an application to VA without making your paycheck, you will not be able to enroll. However, if you make your monthly VA deposit with your paycheck, then the enrollment fee is automatically applied to your account with VA. If you does not have access to the Internet, write “VA Health Care Not Provided” on your application form, not “ENTRIES APPLICANT.” It is the responsibility of applicants in the following categories to notify VA as soon as possible if they move prior to the application deadline without completing enrollment.
You must have a Social Security number. If your Social Security number is in the system, but it does not match your information on the application (e.g., the name you filed) or it is otherwise inconsistent with your name on the record with VA, you must give VA's central office the additional information as requested.
If you apply by mail, you must enclose an Affidavit of Support and proof of your current address. This requires you to submit a copy of your most recent tax returns, pay stubs that show that you made all your required payments, or documentation of your current address. If you apply in person, you must show an acceptable form of identification. For the latest list of acceptable government-issued photo identification, you can search online at — please check the “Photoposts from last year(s) are generally acceptable” box.
Who do I contact with questions concerning the submission of VA Form 1020?
The following persons can help:
DHS — If you are applying for benefits from the Department of Homeland Security (DHS) you can find contact information on that site. You can click on “VAC-1020 — Veterans Affairs”
DHS: Call the DHS Customer Support Phone Call (Toll Free:), Monday through Friday from 8 a.m. until 6 p.m., Eastern Time in the Southern Hemisphere.
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VA form 1010 easy is an application used by veterans to enroll in the VA healthcare system and claim health benefits from the veterans affairs PDF filler provides you with an up-to-date fillable template of the 1010 easy VA form that you can easily complete sign and submit online veterans use the VA form 1010 easy application for health benefits to enroll in the veterans affairs healthcare system and apply for health benefits if you've already enrolled use this document to renew your data open the 1010 easy VA form in the PDF filler online editor and use the document navigation to fill out the form without missing a field start completing the template with your personal information provide your social security number and your full mailing address check all boxes regarding your military service and list your complete insurance details complete the section related to your spouse and dependence information specify the gross and net previous year's annual income from employment property and pension for you your spouse and your child note your previous deductible expenses as well once every field has been completed and checked off date and sign your VA form 1010 easy directly in the PDF filler editor then click done to save the changes you've made choose what you'd like to do with your document next print out the resulting document share it with anybody via email fax SMS USPS or shareable link send it out for signature save it to your device convert it into a template or continue editing your document online give PDF filler a try and start saving your time and resources today you.
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VA 10-10EZ Form Versions
Version | Form Popularity | Fillable & printable |
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VA 10-10EZ 2021 | 4.8 Satisfied (62 Votes) |
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VA 10-10EZ 2020 | 4.2 Satisfied (82 Votes) |
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VA 10-10EZ 2015 | 4.1 Satisfied (74 Votes) |
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VA 10-10EZ 2013 | 4.4 Satisfied (554 Votes) |
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VA 10-10EZ 2011 | 4.1 Satisfied (67 Votes) |
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VA 10-10EZ 2009 | 3.9 Satisfied (52 Votes) |
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VA 10-10EZ 2008 | 4.4 Satisfied (44 Votes) |
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VA 10-10EZ 2007 | 4.4 Satisfied (51 Votes) |
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VA 10-10EZ 2005 | 4.3 Satisfied (44 Votes) |
|
VA 10-10EZ 1998 | 4.0 Satisfied (44 Votes) |
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