Your current information including your foreign address. FMP is administered by the VA, Denver. Include both your foreign address AND a U.S. contact address if applicable.

(legal name, SSN, current foreign address)

• ×Not providing a U.S. bank account for direct deposit - international wire transfers are available but slower.

List all VA service-connected conditions and their disability ratings. FMP only reimburses for care related to service-connected conditions. Note whether each condition might require ongoing treatment abroad.

e.g., PTSD (50%), Lumbar DDD (20%), Right knee (10%) - will need orthopedic care for knee abroad

• ×Seeking FMP reimbursement for non-SC conditions - FMP covers ONLY service-connected conditions.
• ×Not knowing that FMP reimburses at rates equivalent to U.S. Medicare reimbursement rates - some foreign medical costs may exceed what FMP reimburses.

Provide your U.S. or foreign bank account details for direct deposit of FMP reimbursements. Include bank name, account number, routing number (for U.S. banks) or SWIFT/IBAN (for foreign banks).

(bank name, account/routing numbers)

• ×Providing incomplete bank information - a missing routing number or IBAN will delay payments.

Sign and date. After registration, use VA Form 10-7959f-2 to submit individual claims for reimbursement.

(signature/date)

• ×Not knowing you need to submit Form 10-7959f-2 for each claim after registering - the registration is just the one-time setup.