VA Form 10-7959f-2
Foreign Medical Program Claim Cover Sheet
You are registered in FMP and received treatment abroad for a service-connected condition and want reimbursement.
- Who fills it
- veteran
- Journey phase
- Keeping Your Award Current
- Estimated time
- 15-20 minutes per claim.
- When to file
- Within 1 year of the date of service.
Official VA form page: https://www.va.gov/find-forms/about-form-10-7959f-2/
Gather before you start
- ▸Foreign medical bills itemized by service
- ▸English translation of bills (if not in English)
- ▸Your FMP registration number
- ▸Diagnosis related to your service-connected condition
Attach with the form
- ▸Itemized foreign medical bills
- ▸English translation of any non-English documents
- ▸Proof of payment if not shown on bill
Section I - Veteran Identification
Blocks 1-4Name, SSN, FMP registration numberPII
Your FMP registration number is assigned at registration. Include it on every claim for quick routing.
(name, SSN, FMP number)
Common mistakes
- ×Not including FMP registration number - claim goes to general mail routing and takes longer.
Section II - Claim Details
Blocks 5-14Date(s) of service, provider, diagnosis, service-connected conditionRepeatable
For each claim: date of service, foreign provider name and address, diagnosis (what was treated), the service-connected condition this relates to, and the amount paid. Attach itemized bills.
e.g., 03/15/2026; Dr. Carlos Lopez, Madrid Spain; Diagnosis: Lumbar herniation (L4-L5 disc disease, SC 20%); Total charged: 350 EUR, paid in full.
Common mistakes
- ×Linking care to a non-service-connected condition - FMP only reimburses SC-related care.
- ×Not converting to USD on the form - VA will apply the exchange rate; just report the foreign currency amount.
- ×Missing English translation for non-English bills - required.
Section III - Certification
Blocks 15-16Veteran signature and datePII
Sign and date certifying care was for a service-connected condition and charges are accurate.
(signature/date)
Common mistakes
- ×Filing beyond 1 year of service date - FMP denies claims older than 1 year.
Statutory and regulatory authority
- 38 CFR 17.270 - Spouse/child of veteran rated 100% P&T or who died of service-connected condition.