Va form 10 0137-2026

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  1. Click ‘Get Form’ to open VA Form 10-0137 in the editor.
  2. Begin with Part I: Personal Information. Fill in your name, last four digits of your SSN, address, and phone numbers. Ensure accuracy as this information is crucial for identification.
  3. Move to Part II: Durable Power of Attorney for Health Care. Here, appoint a Health Care Agent by entering their details and initialing your choice. If you wish to appoint an alternate agent, complete that section as well.
  4. In Part III: Living Will, specify your preferences regarding life-sustaining treatments. Carefully read each situation and place your initials in the corresponding box that reflects your wishes.
  5. Complete any optional sections for mental health preferences or additional care instructions if applicable. Remember to initial and date any extra pages you attach.
  6. Finally, sign the form in Part IV and ensure two witnesses sign as well. If notarization is needed outside VA facilities, complete the optional notary section.

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2021 4.8 Satisfied (229 Votes)
2020 4.3 Satisfied (77 Votes)
2015 4.4 Satisfied (288 Votes)
2012 4 Satisfied (43 Votes)
2011 4.2 Satisfied (29 Votes)
2006 3.9 Satisfied (52 Votes)
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The best way to file for disability compensation is to apply online at .va.gov/disability. Or, you can fax it to: (844) 531-7818 (inside the U.S.) (248) 524-4260 (outside the U.S.)
What is the Hardest VA Claim to Get? Mental Health Conditions (e.g., PTSD, Depression) Sleep Apnea. Tinnitus and Hearing Loss. Military Sexual Trauma (MST) Chronic Pain Without a Clear Diagnosis.
You or someone else can provide lay evidence in any of these ways: Write and submit a statement about your situation on a blank piece of paper. Complete and submit a Lay or Witness Statement (also known as a buddy statement) (VA Form 21-10210) Complete and submit a Statement in Support of Claim (VA Form 21-4138)
The VA Nearest Living Relative Statement is a document used by the Department of Veterans Affairs to identify the nearest living relative of a veteran, which is necessary for certain benefits and notifications.
If you dont choose a Health Care Agent to be your surrogate and you lose the ability to make decisions for yourself, your surrogate will be identified from this list, in the following order of priority: legal guardian (if you have one), spouse, adult child, parent, sibling, grandparent, grandchild, or a close friend.

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People also ask

In a VA advance directive, you can say how strictly you want your wishes followed. You can tell your health care agent to do just what your living will says, or you can tell them to make the decision they think is best for you even if it isnt what the living will says.

va form 10 0137 printable