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VA 10-8678 2003 free printable template

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TYPE OF APPLIANCE OR NAME OF MEDICATION Artificial leg metal brace wheelchair etc. 7. LOCATION OF VA MEDICAL CENTER WHICH ISSUED THE APPLIANCE OR MEDICATION CERTIFICATION I hereby apply for annual clothing allowance under 38 U.S.C. 1162. I certify that I wear or use a prosthetic or orthopedic appliance described above because of my service-connected disability or that I use a medication for my service-connected skin condition that causes irrepara...
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How to fill out VA 10-8678

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How to fill out VA 10-8678

01
Obtain the VA Form 10-8678 from the official VA website or local VA office.
02
Provide personal information in Section 1, including your full name, address, and social security number.
03
In Section 2, indicate your eligibility for the service by checking the appropriate boxes.
04
Fill out Section 3 with your medical conditions and relevant history.
05
Complete Section 4 with information about your treatment preferences.
06
Sign and date the form at the bottom of the last page.
07
Submit the completed form to your local VA medical center or through the specified mailing address.

Who needs VA 10-8678?

01
Veterans seeking healthcare services and benefits from the Department of Veterans Affairs.
02
Individuals who require assistance or are applying for specific medical treatments provided by the VA.

Who needs a VA Form 10-8678?

Veterans who are prescribed to wear an orthopedic or prosthetic appliance or prescribed medication for a disability connected to the service may be eligible for an annual clothing allowance provided by the Department of Veterans Affairs (VA). To receive such help, the applicant must wear out their clothing, or medication must ruin the soldier’s outer-wear.

What is VA Form 10-8678 for?

The VA 10-8679 fillable form is just a sample sheet that an applicant must submit to receive annual clothing aid. Information provided on this form is used by the appropriate VA Office to approve the submitted application. By filling VA Clothing Allowance form out, the submitter is certifying that they meet the requirements of the program and can be given the clothing aid mentioned above.

How do I fill out VA Form 10-8678?

The following information must be provided in order to complete the 10 8678 clothing allowance form:

  • Veteran’s personal information;

  • Calendar year for application;

  • Type of appliance or name of medication;

  • List of service-connected disabilities;

Once completed and signed, this form should be directed to the appropriate Veterans Affairs office.

 
 
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People Also Ask about

Note: If you qualify, you'll receive payments between September 1 and October 31. Use our facility locator to find your nearest VA medical center.
An annual Clothing Allowance of $891 is given to the Veteran as a one-time payment. If the clothing is worn out or damaged because of the usage of prostheses, orthopedics, and/or drugs required to treat a Veteran's service-connected ailment, the VA affords compensation.
To complete an application, use VA Form 10-8678, "Application for Annual Clothing Allowance." Applicants should send their applications to the Prosthetics and Sensory Aids Service (PSASat) at the nearest VA medical center. You can visit our Facility Locator to locate your nearest VA health care facility.
Is It Necessary To Reapply Every Year? Reapplying for the Clothing Allowance for Veterans getting compensation for a lost limb and wearing or using prosthetic equipment is unnecessary. Every year, they will receive their allowance.
The current benefit allowance for clothing is $735 per year. In order to receive this benefit for the year, you must apply by August 1.
Current special benefit allowances rates BenefitMonthly payment (in U.S. $)BenefitClothing allowance Money to help you replace clothes damaged by a medicine or prosthetic or orthopedic device related to your service-connected disability968.52 (paid once or once each year)2 more rows • Nov 28, 2022
Veterans with a non-static clothing allowance must apply each year before August 1st. Veterans with static allowances do not have to apply each year.
Eligibility for the VA Clothing Allowance An annual Clothing Allowance of $891 is given to the Veteran as a one-time payment.
The current benefit allowance for clothing is $735 per year. In order to receive this benefit for the year, you must apply by August 1.

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VA Form 10-8678 is a form used by the Department of Veterans Affairs to collect information related to the provision of care under the Veterans Health Administration.
Veterans or beneficiaries who are seeking reimbursement for non-VA medical care received may be required to file VA Form 10-8678.
To fill out VA Form 10-8678, provide your personal information, details about the medical care received, related expenses, and any supporting documentation as needed.
The purpose of VA Form 10-8678 is to facilitate the process of reimbursement for eligible veterans seeking to recover costs associated with non-VA medical care.
Information that must be reported on VA Form 10-8678 includes the veteran's personal identification details, a description of the medical services received, dates of service, and total costs incurred.
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