About va form 10-10d | veterans affairs
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* Form name: Application for CHAMPVA Benefits Form revision date: April 2025 Related to: Family member benefits, Health care WHEN TO USE THIS FORM If you’re the spouse or child of a Veteran
with disabilities, or the surviving spouse or child of a Veteran who has died, use VA Form 10-10d to apply for health insurance through CHAMPVA (the Civilian Health and Medical Program of
the Department of Veterans Affairs). DOWNLOADABLE PDF Download VA Form 10-10d (PDF) ONLINE TOOL You can apply online instead of filling out and sending us the paper form. * Learn how
eligible spouses and children of Veterans can get health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs). * Find out about VA
benefits for spouses, dependents, survivors, and family caregivers. * Use this form to report changes to your non-VA health insurance or to update your personal information for CHAMPVA
benefits.