Va form 10 0137-2026

1. Click ‘Get Form’ to open VA Form 10-0137 in the editor.
2. Begin by filling out Part I: Personal Information. Enter your last four digits of SSN, name, address, and phone numbers in the designated fields.
3. Move to Part II: Durable Power of Attorney for Health Care. Decide if you want to appoint a Health Care Agent. If yes, provide their details and initial the box next to your choice.
4. If desired, appoint an Alternate Health Care Agent by filling out the corresponding section with their information and initials.
5. Proceed to Part III: Living Will. Indicate your preferences regarding life-sustaining treatments by placing your initials in the appropriate boxes for each situation described.
6. Complete any optional sections for mental health preferences and additional preferences as needed, ensuring you initial any attached pages.
7. In Part IV: Signatures, sign and date the form. Ensure two witnesses sign as well, confirming they meet the criteria outlined in the instructions.

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