VA Camp Lejeune Family Member Program (CLFMP), 38 USC 1787

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Such attempts or acts are subject to action that may result in criminal, civil, or administrative penalties. VA » Camp Lejeune Family Member Program Camp Lejeune Family Member Program You served your nation with honor. Now, let VA serve you. VA offers benefits that can improve the lives of Veterans and their families. Some benefits may also be available to active-duty Servicemembers. Learn more» Veterans Crisis Line: Confidential help for Vets The Veterans Crisis Line is open 24/7/365 to assist Veterans and family members. Call 1-800-273-8255 (Press 1), by text at 838255, or chat online. Learn more» Connect with VA With all 152 VA Medical Centers on Facebook, and many on Twitter, you can connect with VA on the platforms you're on, including YouTube and Flickr. Learn more» Explore VA Veteran Crisis Line Connect with VA Camp Lejeune Family Member Program The Camp Lejeune Family Member Program is for family members of Veterans who were stationed at Camp Lejeune. If you are a Veteran , apply here www.va.gov/healthbenefits/apply or call 1-877-222-8387 for help. From August 1, 1953, through December 31, 1987, people living at the U.S. Marine Corps Base Camp Lejeune, North Carolina, were potentially exposed to drinking water contaminated with industrial solvents, benzene, and other chemicals. On August 6, 2012, the Honoring America’s Veterans and Caring for Camp Lejeune Families Act of 2012 was signed into law. This law (H.R. 1627, now Public Law 112-154) requires the Department of Veterans Affairs (VA) to provide health care to Veterans who served on active duty at Camp Lejeune and to reimburse eligible Camp Lejeune Family Members (CLFM) for eligible health care costs related to one or more of 15 specified illnesses or conditions illustrated in the list below. Bladder cancer Breast cancer Esophageal cancer Female infertility Hepatic steatosis Kidney cancer Leukemia Lung cancer Miscarriage Multiple myeloma Myelodysplastic syndromes Neurobehavioral effects Now includes Parkinson’s Disease Non-Hodgkin's lymphoma Renal toxicity Scleroderma Note: As of November 11, 2023, Parkinson's disease is now a covered neurobehavioral condition. This website will assist CLFMs who want to apply for reimbursement of health care expenses related to one or more of the 15 conditions below. Please review the information on this page to assist you with applying for the Camp Lejeune Family Member Program (CLFMP). When you are ready, scroll to the bottom of this page and select "Start New Application for Family Member". Should you apply for the Camp Lejeune Family Member Program? If the Veteran was on active duty and served at Camp Lejeune for 30 days or more between August 1, 1953 and December 31, 1987; AND you were the spouse or dependent of the Veteran during that same period; AND you lived (or were in utero) on Camp Lejeune for 30 days or more between August 1, 1953 and December 31, 1987; THEN you may meet the criteria for VA's Camp Lejeune Family Member Program. Complete the required application via the "Start New Application for Family Member" button below. Please note : This program is only for family members of Veterans who were stationed at Camp Lejeune. If you are a Veteran, apply here www.va.gov/healthbenefits/apply or call 1-877-222-8387 for help. Frequently Asked Questions How do I apply for the CLFM Program? For expedited processing, complete the online application at the bottom of this page. Click on this link for online application instructions. Alternatively, for standard processing, complete a paper application and fax to (512) 460-5536 or mail to: Department of Veterans Affairs Financial Services Center PO BOX 149200 Austin, TX 78714-9200 What type of evidence do I need to submit with my application? VA will need evidence that you were both a legal dependent of the Veteran and that you were a resident at Camp Lejeune for at least 30 days between the dates of August 1, 1953, and December 31, 1987. What type of evidence do I need to submit? Legal dependency documents include, but are not limited to: marriage certificate, birth certificate, adoption papers, or other legal documents. Proof of Camp Lejeune residency documents include, but are not limited to: military orders, base housing records, utility bill, pay stub, tax forms, or similar documentation. Am I required to fill out a CLFM Treating Physician Report? If you have one of the 15 CLFMP medical conditions, you may wish to provide a copy of the Treating Physician Report to your physician for completion. Submission of this form is not required, however, this assists us with important information to process your clinical eligibility. For your clinical eligibility determination, Medical records must be sent in and must show: The date of onset of any condition which you are claiming under this program and That you are currently receiving treatment from your physician for this condition. If you are not currently receiving treatment for this condition, please submit medical records that show you have received treatment in the past. The covered conditions are listed below. Bladder cancer Breast cancer Esophageal cancer Female infertility Hepatic steatosis Kidney cancer Leukemia Lung cancer Miscarriage Multiple myeloma Myelodysplastic syndromes Neurobehavioral effects Now includes Parkinson’s Disease Non-Hodgkin's lymphoma Renal toxicity Scleroderma Note: As of November 11, 2023, Parkinson's disease is now a covered neurobehavioral condition. What do I do if I forgot something on my application? Contact us at: 1-866-372-1144 for assistance. What do I do if my information needs to be updated? Complete the CLFMP Information Update Form for address and health insurance changes. What if I do not understand the questions on the application? Contact us at 1-866-372-1144 for assistance. What if I don’t want to complete an online application? You may download a copy of the paper form and fax to (512) 460-5536 or mail to: Department of Veterans Affairs Financial Services Center PO BOX 149200 Austin, TX 78714-9200 NOTE TO APPLICANT: You're applying for Camp Lejeune Family Member Program benefits administered by the Department of Veterans Affairs (VA). VA will consider the information you provide on this questionnaire as part of the process to determine your eligibility for this program. Complete the form to the best of your knowledge and ability in order to establish your eligibility for this program. This program's eligibility criteria will be determined through the VA. Submission of this application does not guarantee acceptance into this program. ***Please note this is a Family Member Program ONLY. If you are a VETERAN and looking for compensation regarding Camp Lejeune please visit the following site https://www.va.gov/disability/eligibility/hazardous-materials-exposure/camp-lejeune-water-contamination/ ***. The Paper Reduction Act: This information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. The purpose of this data collection is to determine eligibility for benefits. Privacy Act Information: The authority for collection of the requested information on this form is 38 USC 1787. The purpose of collecting this information is to determine your eligibility for reimbursement of health care related to conditions determined to result from contaminated water while you resided at Camp Lejeune, North Carolina, for a period of at least 30 days. The information you provide may be verified by computer matching programs with authoritative sources such as the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), Department of Defense (DoD), Defense Enrollment Eligibility Reporting System (DEERS), Centers for Medicare & Medicaid Services (CMS) or any other applicable authoritative source at any time. You are requested to provide your social security number as your VA record is filed and retrieved by this number. You do not have to provide the requested information on this form but if any or all of the requested information is not provided, given the form's purpose of establishing eligibility for the Camp Lejeune Family Member Program, it may delay or result in denial of your request for Camp Lejeune Family Member Program benefits. Failure to furnish the requested information will have no adverse impact on any other VA benefit to which you may be entitled. The responses you submit are considered private confidential and may be disclosed outside VA only if the disclosure is authorized under the Privacy Act, including the routine uses identified in the VA system of records number 23VA16. For example, information including your social security number may be disclosed to the Department of Defense, contractors, trading partners, health care providers and other suppliers of health care services to determine your eligibility for medical benefits and payment for services. CLFMP Forms and Related Information CLFMP Application Form CLFMP Treating Physician Report CLFMP Claim Form Release of Information Form FOIA Request CLFMP Information Update Form CLFMP User Guide Camp Lejeune Public Law 112-154 CLFMP General Information Online Application Help Guide Camp Lejeune Family Member Program Claim Filing Information for Enrolled Family Members of the CLFMP Electronic Funds Transfer (EFT) Signup Appeal Information Other Camp Lejeune Related Links VA Public Health Camp Lejeune Website VA's Veterans Health Administration Web Site Agency for Toxic Substances and Disease Registry (ATSDR) ? Camp Lejeune Study Camp Lejeune Historic Drinking Water Marine Corps Base Camp Lejeune Environmental Restoration Program VA eCAMS Provider Portal Connect with us Call us at: 1-866-372-1144 The Eligibility Application and other related forms (above) may be faxed to 512-460-5536 or mailed to: Department of Veterans Affairs Financial Services Center PO Box 149200 Austin, TX 78714-9200 Subscribe to Receive Email Updates Button to subscribe to email Button to subscribe to email Benefits: 1-800-827-1000 Health Care: 1-877-222-VETS (8387) VA Inspector General: 1-800-488-8244 Veterans Crisis Line: 1-800-273-8255 Press 1 Share CONNECT Veterans Crisis Line: 1-800-273-8255 (Press 1) Social Media Complete Directory EMAIL UPDATES Email Address Button to subscribe to email VA HOME Notices Privacy FOIA Regulations Web Policies No FEAR Act Site Index USA.gov White House Inspector General QUICK LIST Veterans ON–line Application Prescriptions Apply for Health Care My Health e Vet eBenefits Life Insurance Online Applications VA Forms State and Local Resources Strat Plan FY 2011–2015 VA 2013 Budget Submission RESOURCES Careers Returning Service Members Vocational Rehabilitation & Employment Homeless Veterans Women Veterans Minority Veterans Surviving Spouses and Dependents Adaptive Sports Program ADMINISTRATION Veterans Health Administration Veterans Benefits Administration National Cemetery Administration U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420 Last updated December 10, 2013