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Va 10-10ezr Form: What You Should Know

What We Do If You're Not U.S. Citizen If you're not a U.S. citizen or have a disability and are currently receiving health benefits from VA. If we receive your request during the Open Enrollment period, we will review and inform you that we will use VA form 10-10EZR to update your personal, insurance, or financial  Information that will be used for VA Medical Benefits You will be considered a U.S. citizen if you were a U.S. citizen as of the date you applied for medical benefits. The information provided on this form will be used by VA to determine your eligibility for medical benefits and on average will take 30 minutes to complete. VA Form 10-10EZR — Oneida County, WI VA Form 10-10EZR is used by VA to update your personal, insurance, or financial information after you are enrolled. After you are enrolled you will find the form at the office. If you have previously completed other medical information and you no longer need it, use the new form and complete those sections again. How to Fill Out the Form Do not submit the form if you do not understand all the information. You will find the link below that will provide instructions for completing the form. VA 10-10EZR — U.S. Citizen, or Previously Non-U.S. Citizen U.S. Citizen, or Previously Non-U.S. Citizen U.S. Citizens If your original date is before your enrollment date, enter the date on which you would like to be updated on your eligibility for medical benefits in the “Reasons” section. (Month Date Only) (Current Year) If you are not a U.S. citizen or have a disability and have enrolled with VA earlier than your discharge date, please enter the discharge date. Please check all boxes. Discharge Date (Month Date Only) (Year) If you were discharged by reason of mental illness or injury or were discharged through non-service-connected causes, please enter your discharge date. (Current Year) If you are a U.S. citizen, or a noncitizen who has a disability, please enter the number of months and years that you would like to update on your eligibility in the “Current Status” section or in Section C.

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