VA Form 10-7959f-2
Foreign Medical Program Claim Cover Sheet
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.
You are registered in FMP and received treatment abroad for a service-connected condition and want reimbursement.
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.
Example
(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.
Example
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.
Example
(signature/date)
Common mistakes
- Filing beyond 1 year of service date - FMP denies claims older than 1 year.
Statutory & regulatory authority
38 CFR 17.270 - Spouse/child of veteran rated 100% P&T or who died of service-connected condition.