CHAMPVA: Fax Number for Applications

What is CHAMPVA's fax number?

CHAMPVA confirms a fax, 303-331-7809, directly on the VA's own official CHAMPVA page, listed as one of the official ways to submit the application.

Where to fax

• CHAMPVA application (Form 10-10d) (eligible family member): fax 303-331-7809. Source: VA's own official CHAMPVA page, "Option 3: By fax."
• CHAMPVA claim form (10-7959a) (member submitting a claim): not by fax, online or mail only. Source: VA's own official CHAMPVA claims page.

^{Fax number verified September 17, 2026.}

Which route should I use?

1. Applying for CHAMPVA coverage for the first time: fax 303-331-7809 with your completed Form 10-10d.
2. Submitting a claim for an already-covered service: use CHAMPVA's online portal or mail, not this fax.
3. Include all requested supporting documents with your application, incomplete applications processed through VHA's Office of Community Care can take longer.

Several other government and public benefits pages in our directory follow a similar pattern. Our directory also covers TRICARE's fax page, Veterans Affairs' fax number, and how to fax MassHealth, each with its own scope and confirmed sources.