The VA Form 10-8678 is an essential document for veterans seeking an annual clothing allowance due to wear and tear or irreparable staining of their outergarments caused by prescribed prosthetics, orthopedic appliances, or skin medications for service-connected disabilities. This form ensures that veterans can apply for and potentially receive financial assistance to replace damaged clothing, a benefit provided under law (38 C.F.R. 3.810) and aimed at veterans who regularly use such medical aids. If you believe you qualify for this allowance, take the step to support your needs by clicking the button below to fill out the form.
The VA Form 10-8678 is a crucial document for Veterans seeking an annual clothing allowance due to the wear and tear on clothing caused by prescribed prosthetic, orthopedic appliances, or skin medications for service-connected disabilities. This form is a demonstration of the VA's commitment to recognizing the unique needs of Veterans who, because of their sacrifices for their country, now require specialized support for their apparel needs. With an approval process outlined by the Office of Management and Budget (OMB), this form not only requests personal and medical information relevant to the Veteran's claim but also specifies the items eligible for replacement and the conditions under which multiple allowances may be granted. Importantly, the privacy of the information submitted by Veterans is protected by law, ensuring that their personal details are disclosed only under authorized circumstances, emphasizing a respect for their confidentiality. The deadline for submission and specifics on where to file, depending on whether the Veteran has previously applied for disability compensation, are outlined, guiding Veterans through the process efficiently. This form represents a blend of procedure, care, and acknowledgment for the ongoing support needs of Veterans, ensuring they are compensated for the additional clothing expenses incurred as a direct result of their service-connected conditions.
OMB Approved No. 2900-0198
Respondent Burden: 10 minutes
Expiration Date: 5/31/2018
APPLICATION FOR ANNUAL CLOTHING ALLOWANCE
PRIVACY ACT INFORMATION: No benefits may be granted unless this form is completed fully as required by law (38 C.F.R. 3.810). Responses you submit are considered confidential (38 U.S.C. 5701). They 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, 24VA136 “Patient Medical Record - VA”, published in the Federal Register. Information submitted is subject to verification through computer matching programs with other agencies.
RESPONDENT BURDEN: VA may not conduct or sponsor, and the respondent is not required to respond to this collection of information unless it displays a valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 10 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. If you have comments regarding this burden estimate or any other aspect of this collection of information, call 1-877-222-8387 for mailing information on where to send your comments.
ELIGIBLITY / ENTITLEMENT FOR AN ANNUAL CLOTHING ALLOWANCE: A Veteran who wears or uses a prescribed prosthetic, orthopedic appliance, and/or skin medication for a service connected disability may be eligible for an annual clothing allowance. To be entitled, the prosthetic, orthopedic appliance must cause wear / tear; skin medication must cause irreparable staining to your outergarments.
WHO IS ELIGIBLE FOR MORE THAN ONE ANNUAL CLOTHING ALLOWANCE? Effective December 16, 2011, Veterans who wear or use more than one qualifying prescribed prosthetic or orthopedic appliance and/or prescription medication for more than one service-connected disability or skin condition may be eligible for more than one clothing allowance. To be eligible for more than one clothing allowance, the qualifying appliances must wear or tear more than one type of article of the Veteran's clothing and/or medications must irreparably damage more than one type of the Veteran's clothing or outergarment.
WHAT TYPES OF CLOTHING ARE INCLUDED? Clothing such as shirts, blouses, pants, skirts, shorts and similar garments permanently damaged by qualifying appliances and/or skin medications are considered in clothing allowance decisions. Shoes, hats, scarves, underwear, socks, and similar garments are not included.
WHERE TO FILE A CLAIM? If you have previously submitted a claim for disability compensation, send this application (VA Form 10-8678) to the Prosthetic and Sensory Aids Service (121) at your local VA Medical Center. If you have not made an application for disability compensation, complete VA Form 21-526 and send to the VBA regional office nearest your home.
INSTRUCTIONS: This application should be submitted to the Prosthetic and Sensory Aids Service at your nearest VA Medical Center
on or before August 1st of the benefit year for which you are applying. For example: If you are applying for the 2014 benefit, this application should be received on or before August 1, 2014.
1. LAST NAME, FIRST NAME, MIDDLE NAME OF VETERAN
3.MAILING ADDRESS OF VETERAN (No. and Street or Rural Route, City or P.O., State and Zip Code) If new address check box.
4. VETERAN'S DAYTIME TELEPHONE NUMBER (include area code)
4a. EVENING TELEPHONE NUMBER (include area code)
4b. VETERAN'S EMAIL ADDRESS
5. CALENDAR YEAR FOR APPLICATION
CERTIFICATION: I hereby apply for the annual clothing allowance benefit authorized under 38 USC §1162. In doing so I certify that because of my service-connected disability or disabilities, I regularly (1) wear or use the prosthetic or orthopedic appliance(s) listed in section 7 which tends to wear out or tear my clothing; or (2) use a skin medication(s) listed in section 7 which causes irreparable staining to my outergarments. Note: If I have multiple prostheses, orthopedic appliances, or skin medications as listed in section 7, the combination of these items causes me to replace my outergarments faster than if I used a single item.
ACKNOWLEDGEMENT: I acknowledge that by applying or receiving more than one clothing allowance benefit, an application for the annual clothing allowance benefit requires a yearly submission to the nearest Prosthetic and Sensory Aids Office on or before August 1st of the calender year.
6. SIGNATURE OF VETERAN (Sign in ink)
DATE
VA FORM
10-8678
Page 1 of 2
JUNE 2015
8. List of Service-Connected
9. Month and
11. List all impacted
FOR VA USE
7. Type of Appliance or Name of Skin
Year Appliance
10. Name and location of VA facility that issued appliance or
location(s)
Medication (Artificial leg, metal brace,
Disability/Disabilities Requiring Use
or Skin
skin medication (if not a VA facility include facility's phone
ONLY
(Chest, Back, Buttock, Left or
wheelchair, etc.)
of Appliance(s) or Skin Medication(s)
Medication was
number)
APPROVED?
Right Leg, Left or Right Arm)
issued (MM/YYYY)
Example A
Yes
No
Example B
1.
2.
3.
4.
5.
PENALTY- The law provides severe penalties which include fine or imprisonment, or both, for the willful submission of any statement or evidence of a material fact, knowing it to be false, or for the fraudulent acceptance of any payment to which you are not entitled.
FOR VA USE ONLY
12. AMOUNT OF CLOTHING ALLOWANCES
# ELIGIBLE
# NOT ELIGIBLE
# UPPER Extremity (2 maximum)
# LOWER Extremity (2 maximum)
13.EXAMINATION/EVALUATION DATE (If applicable)
14.NOTES:
15. GENERATED BY:
16. AUTHORIZED BY:
Page 2 of 2
Once you’ve decided to apply for the VA clothing allowance, understanding what happens next makes the process less daunting. This allowance is designed for veterans who, due to their service-connected disabilities, have specific needs that cause wear and tear or staining to their clothing. If you’re eligible for this benefit, you'll need to fill out VA Form 10-8678. This form is your pathway to receiving support for clothing damaged by prosthetic or orthopedic devices or ruined by prescribed skin medications. Completing this application requires attention to detail and timely submission. Below are step-by-step instructions to guide you through filling out the form accurately.
Ensure you submit the completed form to the Prosthetic and Sensory Aids Service at your nearest VA Medical Center by August 1st of the benefit year for which you are applying. Late submissions might not be processed in time, potentially delaying your allowance. By following these detailed steps, you're moving closer to availing the annual clothing allowance that you rightfully deserve.
What is the VA Form 10-8678 and who needs to complete it?
The VA Form 10-8678 is an application for Annual Clothing Allowance. Veterans who wear or use a prescribed prosthetic, orthopedic appliance, and/or skin medication for a service-connected disability may need to complete this form. This allowance is intended to compensate for wear and tear or irreparable staining of clothes as a result of these appliances or medications. The form helps in determining the eligibility for, and entitlement to, this annual allowance.
How can a Veteran apply for more than one Annual Clothing Allowance?
Since December 16, 2011, Veterans who use more than one qualifying prescribed prosthetic or orthopedic appliance, or more than one type of prescription medication for different service-connected disabilities or skin conditions, may be eligible for more than one clothing allowance. To apply for multiple allowances, the applicants must demonstrate that each appliance or medication irreparably damages different types of clothing. Each application is then reviewed on its merits to determine eligibility for additional allowances.
What types of clothing does the Annual Clothing Allowance cover?
The Annual Clothing Allowance covers articles of clothing such as shirts, blouses, pants, skirts, and shorts that are permanently damaged by qualifying appliances and/or medications. It is important to note that clothing items like shoes, hats, scarves, underwear, socks, and similar garments are not covered by this allowance. The focus is primarily on outer garments that are subject to wear and tear or staining as a direct result of the use of prescribed prosthetic devices or medications.
Where and when should a Veteran submit the VA Form 10-8678?
Veterans seeking the Annual Clothing Allowance should submit their VA Form 10-8678 to the Prosthetic and Sensory Aids Service at their nearest VA Medical Center. This submission should occur on or before August 1st of the benefit year for which they are applying. For example, if applying for the 2022 benefit, the application should be received by August 1, 2022. Veterans who have not previously submitted a claim for disability compensation should complete VA Form 21-526 and send it to the VBA regional office closest to their home. This ensures timely processing and determination of eligibility for the allowance.
When it comes to applying for benefits through the VA Form 10-8678, Application for Annual Clothing Allowance, many applicants trip over some common pitfalls. Ensuring the form is filled out correctly and completely is crucial to avoid any delays or denials in receiving the benefit.
One common mistake is not providing a detailed list of all service-connected disabilities that require the use of prosthetic appliances or skin medications, as outlined in Section 7 of the form. This oversight can lead to an incomplete understanding of the veteran's needs, potentially impacting the outcome of the application. Veterans should meticulously detail each appliance or medication and the corresponding service-connected disability to support their claim effectively.
Another frequently encountered error is omitting the exact dates and details regarding the issuance of any prosthetic or orthopedic appliances, or skin medications. For the VA to accurately process the claim, it is essential to include when and where these items were issued, as seen in Section 10 of the form. If the issuing facility is not a VA center, including the facility's phone number becomes crucial for verification purposes.
A significant mistake veterans might make is misunderstanding eligibility, particularly regarding the provision for more than one annual clothing allowance. As clarified in the eligibility section, veterans must demonstrate that multiple qualifying appliances or medications cause wear and tear or irreparable staining to more than one type of clothing item. Failure to accurately convey how each appliance or medication meets these criteria can result in receiving less than the full entitlement.
The timing of the submission is another area where mistakes can occur. The instructions stipulate that the application must be received on or before August 1st of the benefit year for which the veteran is applying. Missing this deadline can delay the benefit for an entire year, a particularly frustrating setback that is easily avoidable with careful planning.
Lastly, the importance of accurate and reachable contact information cannot be overstated. Sections 3 and 4 ask for the veteran's mailing address and telephone numbers. Providing outdated or incorrect information can hinder the VA's ability to communicate essential updates regarding the application. Ensuring that all contact details are current and accurate expedites the communication process, assisting veterans in receiving their due benefits promptly.
When veterans apply for the VA Form 10-8678, the Application for Annual Clothing Allowance, they are seeking compensation for clothing damage due to prosthetics, orthopedic appliances, or skin medications related to their service-connected disabilities. This form is an essential step in receiving the necessary assistance, but often, this process may require additional forms and documentation. Here are five key documents frequently associated with the VA Form 10-8678 application process.
Together, these forms and documents comprise a thorough packet of information that supports a veteran’s application for the annual clothing allowance. The process, while potentially complex, is vital for veterans seeking compensation for the tangible impacts of their service-connected disabilities. Understanding and compiling the necessary documentation is the first step toward receiving this important benefit.
The VA Form 21-526, "Veteran's Application for Compensation and/or Pension," closely mirrors the VA Form 10-8678 in its purpose of assisting veterans in applying for benefits. Both forms are essential for veterans seeking specific benefits related to their service. However, the VA Form 21-526 is broader, covering compensation and pension benefits, whereas the VA Form 10-8678 is specifically for an annual clothing allowance. This specificity does not diminish their similarity in serving as gateways for veterans to access deserved benefits.
Similarly, the VA Form 21-686c, "Declaration of Status of Dependents," shares characteristics with the VA Form 10-8678, as it is another document designed to gather necessary information from veterans. The VA Form 21-686c is used to update dependents' status, which can affect a veteran's benefits, including compensation rates. Like the VA Form 10-8678, it requires comprehensive personal data to ensure veterans receive all entitlements based on their current life situation, emphasizing the tailored approach of the VA to cater to individual veteran needs.
The VA Form 22-1995, "Request for Change of Program or Place of Training," though focusing on education benefits under the GI Bill, shares a procedural similarity with the VA Form 10-8678. Both forms facilitate a request that could lead to an adjustment or initiation of benefits. The VA Form 22-1995 is used by veterans to notify the VA of changes in their education status, crucial for maintaining educational benefits, echoing the structured protocol seen in the application process for the clothing allowance.
The "Standard Form 180, Request Pertaining to Military Records," is akin to the VA Form 10-8678 in that it is used by veterans to request documents or records necessary for benefit claims. Although the Standard Form 180 primarily focuses on obtaining military service records from the National Personnel Records Center, it is a critical step for veterans to prove eligibility for various benefits, including the clothing allowance, should they need to substantiate their service connection.
The VA Form 10-10EZ, "Application for Health Benefits," parallels the VA Form 10-8678 as it opens access to another spectrum of VA benefits. This form is the entry point for veterans applying for health care services through the VA, emphasizing the comprehensive care and support offered by the department. The health benefits application, like the clothing allowance form, requires detailed personal information to determine eligibility and build a foundation for ongoing care and support.
The VA Form 22-5490, "Dependents' Application for VA Education Benefits," is designed for dependents of veterans, much like the VA Form 10-8678 serves the veterans themselves. This form allows eligible dependents to apply for educational benefits, drawing a parallel in facilitating access to specific benefits provided by the VA. Although serving different populations within the veteran community, both forms streamline the process of claiming rightful benefits.
The Social Security Administration's SSA-827, "Authorization to Disclose Information to the Social Security Administration," shares a universal purpose with the VA Form 10-8678 in enabling the release of information necessary for benefit adjudication. Although the SSA-827 is not limited to veterans, it plays a crucial role in supporting claims for disability benefits, similar to how the VA clothing allowance form allows veterans to claim assistance based on their needs arising from service-connected conditions.
Last, the "Application for Correction of Military Record" under the provisions of Title 10, U.S. Code, Section 1552, parallels the VA Form 10-8678 in its potential to significantly impact a veteran's access to benefits. By correcting or updating military records, veterans can ensure their eligibility for various benefits, including the clothing allowance, is accurately represented. This form, while distinct in its use, is essential for securing accurate recognition and subsequent benefits, akin to the purpose served by the clothing allowance application.
Filling out the VA Form 10-8678, the application for an annual clothing allowance, requires attention to detail and an understanding of the eligibility criteria. Below are key do's and don'ts to guide you through the process effectively.
Understanding the VA Form 10-8678, also known as the Application for Annual Clothing Allowance, can sometimes be confusing, leading to several misconceptions. Here's a look at six common misunderstandings and the truth behind them:
This isn't true. Veterans can be eligible for more than one clothing allowance if they have multiple service-connected disabilities or skin conditions requiring different prescribed prosthetic, orthopedic appliances, and/or skin medications that damage their clothing.
In reality, the VA specifies that the allowance covers damage to outer garments like shirts, blouses, pants, and similar items. It does not apply to all types of clothing; for instance, shoes, hats, and underwear are excluded from consideration.
Actually, veterans need to reapply annually by submitting a new Form 10-8678 to the Prosthetic and Sensory Aids Service at their nearest VA Medical Center by August 1st for each benefit year they wish to receive the allowance.
While it's true that the allowance is for service-connected conditions, eligibility for the clothing allowance is not contingent upon a previous disability compensation claim. If a veteran hasn't applied for disability compensation, they'll need to complete VA Form 21-526 alongside the application for the clothing allowance.
The annual clothing allowance is intended to compensate for wear and tear or damage to clothing caused by the use of prosthetic and orthopedic devices, or skin medications. It is not a reimbursement for clothes the veteran has already purchased.
Eligibility is specifically for veterans who need and use prescribed prosthetic or orthopedic appliances that tend to wear out or tear their clothing, or prescribed skin medications that cause irreparable staining. It is not a universal benefit available to all veterans.
Understanding these key points about the VA Form 10-8678 can help veterans accurately determine their eligibility and apply for benefits correctly. It's always recommended to reach out directly to VA services for assistance and guidance tailored to individual circumstances.
The VA Form 10-8678, titled "Application for Annual Clothing Allowance," serves a crucial function for veterans with service-connected disabilities. Understanding this form and its purpose can help eligible veterans receive benefits meant to offset the cost of damage to their clothing by prosthetics, orthopedic appliances, or skin medications. Below are ten essential takeaways about completing and utilizing this form to ensure a smooth application process.
Overall, the successful submission of VA Form 10-8678 can provide significant support for veterans facing additional expenses due to the wear and tear on clothing by necessary medical appliances and medications. Understanding and adhering to the details of the application process is vital for ensuring that these benefits can be accessed.
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