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VA FORM MAR 2015 10-10HS Page 1 HARDSHIP DETERMINATION to be completed by VA Hardship Granted circle one YES Hardship is granted Note The exemption is effective from the date the Veteran submitted the request until the last day of the calendar year in which the request was made. Request for Hardship Determination The Request for Hardship Determination form is used to determine whether the veteran s projected income for the current year will be substantially below the VA means test threshold...
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How to fill out va form 10 10hs

How to fill out VA Form 10-10HS:
01
Start by gathering all necessary information, including your personal details, such as name, address, and social security number.
02
Provide accurate information about your military service, including dates of service and branch of the military.
03
Fill in the sections related to your health insurance coverage. If you have health insurance, provide the details of your insurance provider and policy. If you don't have insurance, leave this section blank.
04
Complete the section related to your financial information. Provide accurate details about your income, assets, and expenses. This information is used to determine whether you are eligible for certain VA health care benefits.
05
If you are applying for dental care benefits, complete the dental insurance section, providing details about your dental insurance coverage, if any.
06
Read and answer the medical assessment questions carefully. Be honest and provide all necessary information about your medical history and any current health conditions.
07
Review the completed form for accuracy and make any necessary corrections.
08
Sign and date the form.
09
Submit the form online or mail it to the appropriate VA facility.
Who needs VA Form 10-10HS?
01
Veterans who are not currently enrolled in VA health care but wish to apply for VA health care benefits.
02
Veterans who want to update their existing personal, financial, or health insurance information.
03
Veterans who want to apply for additional benefits such as dental care.
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People Also Ask about va form 10 10hs
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