VAFORMS.NET – VA Form 10-0144a – Statement of Assurance of Compliance with Equal Opportunity Laws – What is VA Form 10-0144a? And where can you find it? Find out more about this important document. The application, known as a means test, is filled out on the anniversary date of a veteran’s service. It updates the veteran’s financial information. It must be completed annually in order for the veteran to remain eligible for health care.
Download VA Form 10-0144a – Statement of Assurance of Compliance with Equal Opportunity Laws
| Form Number | VA Form 10-0144a |
| Form Title | Statement of Assurance of Compliance with Equal Opportunity Laws |
| Edition Date | March 2022 |
| File Size | 766 KB |
What is a VA Form 10-0144a?
This application is used to apply for VA health care benefits. The purpose of this form is to renew health coverage and update financial information for a veteran. The form must be completed on the veteran’s anniversary date. A physician’s certification is required. The veteran must be living in a residence that can provide them with access to a health care provider. For more information, visit the VA website. Alternatively, contact the VA directly to fill out the form.
If you are applying for a VA pension, you must submit a copy of your military discharge. In addition, the VA requires a copy of your marriage certificate or death certificate. Additionally, if you are claiming ongoing care expenses, you must submit VA Form 21-2680. You will also need to provide proof of your care costs, such as receipts or statements from a provider of health care.
Where Can I Find a VA Form 10-0144a?
There are a few forms you might need to file with the VA. The first is the Statement of Assurance for Compliance with Equal Opportunity Laws. You can get it from the Office of Regulations, Policy, and Management in the Department of Veterans Affairs. The second form is a Request for Prescription Drugs for an Eligible Veteran Living in a State Home.
The next step is to submit the necessary paperwork to claim your benefits. You’ll need to provide a certified copy of your military discharge, marriage certificate, or death certificate. In addition, you’ll need to provide proof of ongoing care expenses using VA Form 21-2680. You’ll also need receipts, bills, and statements from your care provider, and any invoices that were marked paid.
Once you’ve filled out the application, you’ll need to submit it annually to the VA. It is important that you submit it in time for your veteran anniversary date. The VA will use it to update your financial information and determine whether you are eligible to receive the benefits.
VA Form 10-0144a – Statement of Assurance of Compliance with Equal Opportunity Laws
VA Form 10-0144a – Statement on Compliance with Equal Opportunity Laws is used by the Department of Veterans Affairs (VA). It is a statement stating that the VA is fully compliant with the Equal Opportunity Act. It must be provided when an eligible veteran requests to receive prescription drugs from a VA facility.
The statement can be written by either the veteran or a witness. The veteran may also submit his or her statement on VA Form 21-10210. At least one witness should write the statement. The forms should be submitted separately. If the veterans have more than one witness, they should use a separate VA Form.
VA Form 10-0144a Example
