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20 lis 2024 · Get VA Form 10-3542, Veteran/Beneficiary Claim for Reimbursement of Travel Expenses. Use this VA travel reimbursement form when you want to ask VA to pay for transportation expenses related to your care.
20 mar 2024 · See detailed instructions on completing the VA Form 10-3542. When can I submit my request for travel reimbursement? Per national VA Beneficiary Travel regulations contained in 38 CFR, Part 70, all requests for reimbursement of travel expenses must be received by VA Travel staff within thirty calendar days from the date care was received.
OMB Control No: 2900-0798 Estimated Burden: 10 minutes Expiration Date: XX/XX/20XX VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EXPENSES Section A. Traveler's Information 1.a Name of Person Claiming Travel Reimbursement (Last, First, Middle) 1.b Claimant's SSN 1.c Claimant's Date of Birth (mm/dd/yyyy) 2.a Claimant's status: (check one) Complete 3.a, 3.b, 3.c and 3.d if Caregiver ...
8 mar 2024 · To do this, you’ll need to fill out a Veteran/Beneficiary Claim for Reimbursement of Travel Expenses (VA Form 10-3542). Read the statements and certifications carefully. Then sign and date your form. Mail or take your completed form and receipts in person to the VA facility where you received care.
18 lip 2020 · Use Fill to complete blank online U.S. DEPARTMENT OF VETERANS AFFAIRS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.
Through the Beneficiary Travel (BT) program, Veterans Health Administration (VHA) provides mileage reimbursement to qualified Veterans or other claimants (referred to as “claimant” hereafter) who incur expense in traveling to healthcare services.
10-3542 VA FORM. VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EXPENSES . OMB Number: 2900-0798 Estimated Burden: 15 minutes. 1.a Name of Person Claiming Travel Reimbursement (Last, First, Middle) 1.b Claimant's SSN 1.c Claimant's Date of Birth (mm/dd/yyyy) 3.a Name of Veteran (Last, First, Middle) 3.b Veteran's SSN 3.c Veteran's Date ...
