And then bring that form to your prosthetic representative at the local va. List of medications that may stain or damage clothing revised 11172016 please note this list is to be used as a guide as there are multiple manufacturers, dosage forms, and. Information submitted is subject to verification through computer. To receive a va disability compensation or va pension, attach available copies of dependency records validating marriage, child birth certificates, documentation of military service, and discharge characterization to va form. To apply for either va disability compensation or a va pension, use va form 21526, veterans application for compensation andor pension. In order to be considered for an annual clothing allowance, you must submit your va form 108678 to your local vamc by august 1st of that. You can file now for 2010, but it doesnt mean they will grant it. All impacted location s chest back buttock left or right leg left or right arm for va use only approved example a yes no certification i hereby apply for annual clothing allowance under 38 u. A clothing allowance is a onetime or yearly payment for veterans wearing. In order to establish an anniversary date, the veteran will have received the serviceconnected disability prior to august 1st. Free va form 108678 application for annual clothing. If you have previously submitted a claim for disability compensation, send this application va form 10 8678 to the prosthetic and sensory aids service 121 at your. If you have not submitted a claim for disability compensation, you must complete the application prior to filing for clothing allowance.
When you file a disability claim, youll also need to fill out this additional form. Our vba sends us a letter each year giving us a heads up on this. Download fillable va form 108678 in pdf the latest version applicable for 2020. Va form 10 8678 for 2019 fill online, printable, fillable, blank. This benefit only applies to veterans with a serviceconnected disability which require the use of a prosthetic, orthopedic device, or skin medication that cause irreparable damage to clothing. All clothing allowance applications forms are to be submitted to the prosthetic and sensory aids service psas at the va. To get your yearly payment, youll need to qualify by august 1 of that year. Va clothing allowance fillable form free pdf ebook. Refund of the montgomery gi bill enrollment fee with the post 911 gi bill. Va clothing allowance fillable form free pdf ebooks. I hereby apply for annual clothing allowance under 38 u. There is some changes happening that might let us collect multiple clothing allowance for multiple braces or creams.
Information is requested by this form under the authority of 38 u. Va form 10 2319, record of prosthetic services, share, vetsnet and other medical documentation to determine entitlement for the clothing allowance benefit. Va form 108678, application for annual clothing allowance is a document used to apply for a clothing allowance. Va form 108678, application for annual clothing allowance provide contact information for the vamc or opc of jurisdiction, and inform the veteran to return the application to the vamc or.
All clothing allowance applications forms are to be submitted to the prosthetic and sensory aids service psas at the va medical center closest to you on or before august 1 of each calendar. Submit va form 10 8678, application for annual clothing allowance to the prosthetic representative at your local va medical center. If you have not made application for disability compensation, send the form to the va regional office nearest your home. Submit va form 108678, application for annual clothing allowance to the prosthetic representative at your local va medical center. Search va forms application for annual clothing allowance fillable file type. Va form supersedes va form 21 8678, may 2003, page 2 of 2 mar 2006 10 8678 which will not be used. You can use facility locator to locate your nearest va health care facility. There is some changes happening that might let us collect multiple clothing allowance. The veteran can receive a clothing allowance for each qualifying device or.
To apply for one or more clothing allowances, complete va form 10 8678 no later than august 1st of each year. Use v dont forget to get your form 108678 annual clothing allowence filed veterans benefits network. Clothing allowance dear va beneficiary, did you know that you may be eligible for an annual clothing allowance if you use a prosthetic or. Jan 26, 2015 in order to file a claim for clothing allowance, the veteran must fill out the va form 10 8678, application for annual clothing allowance. To apply, submit in person, by mail, or fax va form 10 8678, application for annual clothing allowance, to the prosthetic and sensory aids service at your local va medical center. Apr 10, 2019 the va clothing allowance is a little known benefit for certain veterans with serviceconnected disabilities. I acknowledge that by applying or receiving more than one clothing allowance benefit, an application for the annual clothing allowance benefit requires a yearly submission to the nearest prosthetic and sensory aids office on or before august 1st of the calender year.
Va form 10 8678, application for annual clothing allowance is a document used to apply for a clothing allowance. By filling va clothing allowance form out, the submitter is certifying that they meet. If you have previously submitted a claim for disability compensation, send this application va form. Youll also need to fill out the annual clothing allowance form va form 108678.
Flags may be obtained from va regional offices and most u. To apply submit the application for annual clothing allowance va form 10 8678 to the prosthetic representative at your local va medical center. Upon the request of the family, an application for united states flag for burial purposes va form 212008 must be submitted along with a copy of the veterans discharge papers. The veterans health administration vha, department of veterans affairs va, is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Prosthetic and sensory aids service 121, at your local va medical center. The veteran is instructed to apply for the clothing allowance benefit at a vha health care facility utilizing va form 108678, application for annual clothing. Application for annual clothing allowance fillable file type. Va form 10 8678 20152020 form va 108678 fill online. Veterans who are prescribed to wear an orthopedic or prosthetic appliance or prescribed medication for a disability connected to the service may be eligible for an annual clothing allowance provided by the department of veterans affairs va. The form is va form 108678, application for annual clothing allowance under 38 u.
No changes are made in this final rule to the collection of. Justia regulation tracker department of veterans affairs proposed information collection supporting statement for va form 108678 application for annual clothing allowance. Va clothing allowance for disabled veterans the military wallet. Here is the quote from the application form, va form 108678 pdf. An application for annual clothing allowance va form 108678 download va form 108678 pdf bring it to the prosthetic representative at your local va medical center. Application for a clothing allowance is made by completing va form 108678, application for annual clothing allowance. Clothing allowance is an annual sum of money paid to any veteran who, because of a. Va annual clothing allowance als support community. An application for annual clothing allowance va form 108678 download va form 108678 pdf bring it to the prosthetic representative at your local va.
Velcro strapping or different sized clothing are not factors to be considered with clothing allowance. The va clothing allowance is a little known benefit for certain veterans with serviceconnected disabilities. Va form 108678 application for annual clothing allowance. Form 108678, application for annual clothing allowance, to the prosthetic and sensory aids service at your local va. Fill out the application for annual clothing allowance online and print it. Crystal rennie, enterprise records service 005r1b, department of veterans affairs, 810 vermont avenue nw. To apply for the va annual clothing allowance, youll need to file a claim for disability compensation at this link. Va clothing allowance benefit for veterans cck law.
Easily submit va form 108678 online in pdf and word formats. Dont forget your annual clothing allowance if you are due one. Veterans health administration clothing allowance handbook. Agency information collection supporting statement for va. Applications for clothing allowance are due by august 1 of the year of payment.
Use va form 10 8678, send it to your va medical center department of prosthetics, and better yet. Should a veteran provide evidence of clothing damage, caused by a particular. To be eligible, the appliance must wear or tear clothing, or medication must irreparably damage the veterans outergarments. To apply submit the application for annual clothing allowance va form 108678 to the prosthetic representative at your local va medical center. The veteran can apply using va form 108678, application for annual clothing allowance, for that given years benefit up to 1 year from the established anniversary date. They can then apply for the allowance with va form 108678, the application for annual clothing allowance, for that years benefit. Jul 24, 2006 free va form 10 8678 application for annual clothing allowance fillable legal form for download 769 words state of federal omb approved no. Knee braceclothing allowance veterans benefits network.
If available, attach copies of dependency records marriage and childrens birth certificates, as well as proof of military service and discharge characterization. May 19, 2016 the annual clothing allowance is due in to the prosthetics department of the va the veteran receives their prosthetics from no later than august 1. Veterans who wear or use a qualifying prescribed prosthetic or orthopedic. Edit, fill, sign, download va form 10 8678 online on. It is a two page form that can be downloaded from the va website or obtained from the prosthetics department at the local va medical center. This benefit only applies to veterans with a serviceconnected disability which require the use of a prosthetic, orthopedic device, or skin medication that cause irreparable damage to clothing, and because of this damage, requires more frequent replacement. Va form 108678 clothing allowance application fillable pdf. Beginning december 16, 2011, multiple clothing allowance payments are payable for veterans who have one or more appliancesdevicesskin medications that causes wear, tear, or irreparable damage to one or more articles of clothing. When should i expect payment of the clothing allowance applications are accepted and processed throughout the year however payments for the current annual clothing allowance year are paid out between. Each benefit year runs from august 1st to july 31st.
Form 10 8678 fill out and sign printable pdf template signnow. The clothing allowance benefit year spans from august 1. Applying for va annual clothing allowance benefits. Application for annual clothing allowance under 38 u. Federal register agency information collection supporting. Supporting statement for va form 108678 application for annual clothing allowance. Video instructions and help with filling out and completing va form 10 8678.
I hereby apply for annual clothing allowance under 38. Greetings im cholena pew im the executive director for the hire veterans network incorporated and im here to talk to our veterans about the clothing allowance the clothing allowance is a benefit that is extended to veterans who are serviceconnected and are required to wear prosthetic or orthopedic devices or have been prescribed medications for. Think you can start sending them in at end of june, and cut off in august 1st. You also cannot receive the allowance the first year of your award. The application for the annual clothing allowance can be downloaded from va form 108678 application for annual clothing allowance. The veteran completes the first two pages, leaving the last page.
Edit, fill, sign, download va form 108678 online on. A clothing allowance is a onetime or yearly payment for veterans wearing a prescribed prosthetic or orthopedic appliance or using a prescribed skin medication that is damaging their clothes. Application for annual clothing allowance fillable jun 2, 2015. Free va form 108678 application for annual clothing allowance fillable legal form for download 769 words state of federal omb approved no. Veterans who wear or use a qualifying prescribed prosthetic or orthopedic appliance andor prescription medication for a serviceconnected disability or skin condition may be eligible for an annual clothing allowance. Dont forget to get your form 108678 annual clothing.
Va clothing allowance for disabled veterans vfw post 2461. Department of veterans affairs va prosthetic and sensory aids service psas is the largest and most. Index of current and historical special allowances for clothing, automobiles, and medal of honor pension special benefit allowances rates. Annotate va form 10 2319 adp, record of prosthetic service, on page 3 to reflect receipt of va form 10 8678, as follows.
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