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Va 10-7959c Form: What You Should Know

Veterans Affairs 10-10d, CHAM PVA Other Health Insurance (OHI) Certification Veterans Affairs Form 10-10d, CHAM PVA Other Health Insurance (OHI) Certification is needed if you applied for coverage under this program through Veterans Affairs. Do not sign this form unless you complete the form and attach it to your CHAM PVA 10-10d application. OSHA Form 10-10d, CHAM PVA Other Health Insurance (OHI) Certification VA 10-10d, CHAM PVA Other Health Insurance (OHI) Certification. If you are applying for coverage under this program through your department of labor's unemployment compensation program, do not sign this form unless you complete the form and attach it to your CHAM PVA 10-10d application. Do not sign. If you applied for coverage through a state or local government program the process is different, contact that agency; or do not sign. VA Form 10-10d, 10-7959c, or 10-10d, CHAM PVA Other Health Insurance (OHI) Certification,  Signature VA Form 10-7959c Certification of Coverage (OHI) Coverage For those enrolled in the Military and Veterans' Relief Act of 2010, please use your employer's information instead of VA's. Signature VA Form 10-10d, 10-7959c, or 10-10d, CHAM PVA Other Health Insurance (OHI) Certification Certificate of Eligibility Military and Veterans' Relief Act OF 2010 Apply now for your GI Bill if you don't have a paper copy from VA.

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