VA 10-0137 2012 free printable template

The OMB Control No. for this information collection is 2900-0556. VA FORM JUL 2012 10-0137 Page 1 of 7 PART II DURABLE POWER OF ATTORNEY FOR HEALTH CARE This section of the advance directive form is called a Durable Power of Attorney for Health Care. OMB Approval Number 2900-0556 Estimated Burden Avg 30 minutes VA ADVANCE DIRECTIVE DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL This advance directive form is an official document where you can write down your preferences for your...

How to fill out VA 10-0137

How to fill out VA 10-0137

1. Obtain the VA Form 10-0137 from the official VA website or your local VA office.
2. Start by filling out the veteran's personal information at the top of the form, including name, address, and Social Security number.
3. Provide relevant information about the veteran’s service information, such as branch of service and service dates.
4. Indicate the purpose of the request by checking the appropriate boxes that apply.
5. Fill in details regarding the medical treatment or service needed.
6. Sign and date the form to certify the information provided is accurate.
7. Submit the completed form to the designated VA facility or department.

Who needs VA 10-0137?

1. Veterans seeking assistance or benefits related to their healthcare services.
2. Individuals applying for VA benefits for deceased veterans.

People Also Ask about

What is VA form 21 4138 used for?

When to use this form. Use VA Form 21-4138 when you want to submit a VA “buddy statement” or other statement from someone with firsthand knowledge of information you believe will help support your request for VA benefits.

What is the VA Advance Directive?

An Advance Directive is the best way to ensure that your future medical care reflects your wishes. The VA Advance Directive includes sections that allow you to identify the person who would make decisions for you (also called a Health Care Agent) and to specify your treatment preferences.

Does an advance directive need to be notarized in Virginia?

Does an Advance Directive in Virginia need to be notarized? No. An Advance Directive registry for Virginia is being developed, and when it becomes operational, a notary will be required to post an Advance Directive on the registry. Advance Directives without a notary still will be valid for other purposes.

What is the VA form 10-0137 your rights regarding advance directives?

Use VA Form 10-0137 to give specific people permission to make health care decisions for you, and to let VA health care providers know your wishes for medical, mental health, long-term, and other types of care.

Is an advance directive the same as a living will in Virginia?

All adults in Virginia have a right to prepare a document to put their medical care wishes in writing. An Advance Directive lets other people know the types of medical care you do and do not want if you are unable to express your wishes on your own. Many people call these instructions a “living will.”

What is the VA form for advance directives?

VA's advance directive is VA Form 10-0137. It includes both a Durable Power of Attorney for Health Care section and a Living Will section. On the VA advance directive form, you can choose how strictly you want your surrogate and health care team to follow the preferences included in your Living Will.

For pdfFiller’s FAQs

How can I manage my VA 10-0137 directly from Gmail?

In your inbox, you may use pdfFiller's add-on for Gmail to generate, modify, fill out, and eSign your VA 10-0137 and any other papers you receive, all without leaving the program. Install pdfFiller for Gmail from the Google Workspace Marketplace by visiting this link. Take away the need for time-consuming procedures and handle your papers and eSignatures with ease.

Can I create an electronic signature for the VA 10-0137 in Chrome?

Yes. You can use pdfFiller to sign documents and use all of the features of the PDF editor in one place if you add this solution to Chrome. In order to use the extension, you can draw or write an electronic signature. You can also upload a picture of your handwritten signature. There is no need to worry about how long it takes to sign your VA 10-0137.

How can I fill out VA 10-0137 on an iOS device?

In order to fill out documents on your iOS device, install the pdfFiller app. Create an account or log in to an existing one if you have a subscription to the service. Once the registration process is complete, upload your VA 10-0137. You now can take advantage of pdfFiller's advanced functionalities: adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.

What is VA 10-0137?

VA Form 10-0137 is a form used by veterans to apply for the Veterans Affairs (VA) program for transportation services, specifically for non-emergency medical transportation.

Who is required to file VA 10-0137?

Veterans who require transportation for non-emergency medical appointments or services covered by the VA are required to file VA Form 10-0137.

How to fill out VA 10-0137?

To fill out VA Form 10-0137, applicants should provide personal information, details about their medical appointments, and any specific needs regarding transportation. Following the instructions provided on the form is crucial for proper submission.

What is the purpose of VA 10-0137?

The purpose of VA Form 10-0137 is to facilitate the arrangement and provision of non-emergency transportation services for veterans to attend their medical appointments.

What information must be reported on VA 10-0137?

The form requires information such as the veteran's personal details, appointment date and time, location of the medical facility, and any special transportation needs or requirements.