About VA Form 10-7959D
- Form name: CHAMPVA Potential Liability Claim
- Related to: Health care
- Form revision date: October 2021
Downloadable PDF
Helpful links
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Find out how to update your direct deposit information online for disability compensation, pension, or education benefits.
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Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits.
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Submit an online request to get your DD214 or other military service records through the milConnect website.
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Learn how to access your VA records, benefit letters, and documents online.