CHAMPVA application fax number (VA Form 10-10d)
Where to fax an Application for CHAMPVA Benefits (VA Form 10-10d) and supporting documents.
Verified October 22, 2026Checked against CHAMPVA benefits (VA.gov), How to apply, Option 3: By fax.
| Who uses it | Office | Fax |
|---|---|---|
| VA Form 10-10d and supporting documents | CHAMPVA Eligibility | 303-331-7809 |
Before you fax
- The form's signature line is labelled "(Typed or digital signature)". It does not say whether that applies to a faxed form, so the agency may still require a handwritten signature.
- Apply for CHAMPVA online