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Request care 2026
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- Click ‘Get Form’ to open the request care document in the editor.
- Begin by entering the 'Date of Request' in the format YYYYMMDD. This is essential for processing your application.
- Fill out the 'Family Information' section, including names and dates of birth for each family member requiring care. Ensure accuracy for effective communication.
- Indicate your desired 'Program(s)' by placing an 'X' next to the options that apply to your needs.
- Select the appropriate 'Age Group' for your child by marking an 'X' next to their age category.
- Complete the 'Sponsor Status' section by selecting your current status with an 'X'.
- In the 'Present Child Care Arrangements', mark any applicable options regarding current care situations.
- Answer the questions in the 'General Information' section, providing details about employment impacts and special needs if applicable.
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Related links
To complete VA Form 10-10172, fill out the required fields and indicate the type of service being requested. If the service requested is a medical service,Read more
The Home Care Program partners with families to help care for children who need shift nursing at home.Read more
Oct 16, 2024 Perhaps she can recommend someone in town?