VAFORMS.NET – VA Form 10-1170 – Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs – Do you know what VA Form 10-1170 is? And where can you get one? Here are some tips to fill out and sign this form as quickly as possible. You can use an extensive library of professional templates and video recommendations to fill out VA Form 10-1170. You can also use an online form-filling service if you don’t have a copy of the document.
Download VA Form 10-1170 – Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs
| Form Number | VA Form 10-1170 |
| Form Title | Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs |
| Edition Date | April 2022 |
| File Size | 616 KB |
What is a VA Form 10-1170?
VA Form 10-1170 is a financial form for veterans. It is filled out on the veteran’s anniversary date and updates financial information. The document is signed and returned to the issuing office. When you fill out the form, you must follow all the terms and conditions. If you do not meet them, you may be denied benefits.
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Before you fill out VA Form 10-1170, you need to understand what the information is for. VA collects this information in order to administer health benefits to veterans. The purpose of the form is to determine if the facility meets VA’s standards for residential care. If it does, it is eligible to provide nursing home care.
Where Can I Find a VA Form 10-1170?
If you’re a Veteran looking for the right VA Form 10-1170, you have come to the right place. This important document is required for your VA Pension or Aid and Attendance Benefit claim. You’ll need to supply a certified copy of your military discharge. A copy of your marriage certificate or death certificate will also be needed. In addition to this, you’ll need to provide proof of ongoing care expenses, such as bills or receipts. To prove you’ve paid for the care, you’ll also need to provide VA Form 21-2680.
In addition, VA Form 10-1170 is required for contract nursing home care for Veterans. The VA Funding Fee Payment System, also known as FFPS, is the source for this form. This form is computer-generated and has the OMB Control Numbers 2900-0474 and 2900-0406.
VA Form 10-1170 – Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs
VA Form 10-1170 is an Application for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs. The form was introduced in 2004 but will no longer be used. In the meantime, you can fill out the form online and sign it if you want. The form includes a video recommendation and a professional template to help you complete it quickly and easily.
A long-term care facility or residential care home can use the VA Form 10-1170 to establish a contract nursing home care agreement. This form will establish a contract between the VA and the residential care facility to furnish the facilities for their patients. Those who qualify can apply for funding by completing the form.
VA Form 10-1170 Example
