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The document is a Statement of Intent for a child day center operated under a religious institution, requiring annual submission and certification by an administrator. It outlines the operational details, including the age range and capacity of children served, compliance with Virginia law, and contact information for both the religious institution and the child day center.

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2011	4.8 Satisfied (103 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the difference between 100% VA disability and unemployability?

What is the Difference? The monthly compensation amount for unemployability is equal to that of a 100% disability rating. However, the qualifying criteria for unemployability are different than the requirements for a 100% rating.

What date does the VA form 21-4142 expire?

PENALTY: The law provides severe penalties which include fine or imprisonment, or both, for the willful submission of any statement or evidence of material fact knowing it to be false. If you do not revoke this authorization, it will automatically expire in 12 months from the date you sign and date the form.

What is a VA form 21 526 used for?

Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

What is the difference between VA form 21 4142 and 21 4142a?

When VA receives your intent to file, you may be able to get a retroactive payment (compensation that starts at a point in the past) back to that date. You have one year from the date you send in your intent to file to submit your claim. If a claim is not received within one year, the intent to file expires.

What is the VA Form 21-4142 used for?

Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care.

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Can I submit a VA intent to file online?

You can submit an intent to file form online right now. You can also call us at 800-827-1000 (TTY: 711) to notify us of your intent to file.

What is the difference between 4142 and 4142a?

While the VA has direct access to medical records from VA facilities, it does not automatically retrieve records from private doctors, specialists, or hospitals. Thats where VA Forms 21-4142 (Authorization to Disclose Information) and 21-4142a (General Release for Medical Provider Information) come into play.

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What is the difference between 100% VA disability and unemployability?

What date does the VA form 21-4142 expire?

What is a VA form 21 526 used for?

What is the difference between VA form 21 4142 and 21 4142a?

What is the VA Form 21-4142 used for?

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Can I submit a VA intent to file online?

What is the difference between 4142 and 4142a?

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