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Link to form
https://www.va.gov/vaforms/medical/pdf/10-493b-fill.pdf
Form number
10-493b
Row ID
5450
Form title
CHAMPVA Benefits Election Affirmation
Issue date
Revision date
Form administration
VHA
Number of pages
1
Deleted
False
Form name
CHAMPVA Benefits Election Affirmation
Form Language
English
Related to
Benefits
VA benefits for spouses, dependents, survivors, and family caregivers
VA health care
Related forms
About VA Form 10-10d
About VA Form 10-493
About VA Form 10-493a
Helpful links
CHAMPVA benefits
Learn how eligible spouses and children of Veterans can get health insurance through CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs).
Family member benefits
Find out about VA benefits for spouses, dependents, survivors, and family caregivers.