VA Form 10-3567 – State Home Inspection – Staffing Profile

VAFORMS.NETVA Form 10-3567 – State Home Inspection – Staffing Profile – If you are a military member and you are interested in buying a home, you will need to get a VA Form 10-3567. This is a document that is used to verify that the property you are considering is a suitable place to live. You will also need to fill out this form if you are applying for a VA home loan.

Download VA Form 10-3567 – State Home Inspection – Staffing Profile

Form Number VA Form 10-3567
Form Title State Home Inspection – Staffing Profile
Edition Date Oct 2015
File Size 745 KB

What is a VA Form 10-3567?

VA Form 10-3567 is a relatively new product from the Department of Veterans Affairs. Specifically, this is a staffing profile that is meant to be used by state home inspection teams. It is the largest form the department has released and is also one of the most comprehensive. While it may seem a bit over-the-top, its features make it a worthy addition to any facility’s arsenal.

In a nutshell, the form requires you to fill in the information regarding the state home you operate and the types of services you offer. For instance, you are required to specify how many operating beds you have. You are also required to provide a sample patient census. The document is broken into sections, and you’ll need to fill in the FTEE (Full Time Equivalent Employee) count for each level of care, as well as the official name of the FTEE in your facility.

On top of providing your contact information, you should also provide the name of at least two witnesses to sign the form. This is to ensure accuracy. Similarly, you should also provide a Power of Attorney document that will be signed by your delegate. To do this, you’ll need to print out your name and the name of your delegate in legible form.

Where Can I Find a VA Form 10-3567?

If you are a veteran of the United States military, you may be able to receive VA healthcare. However, you must first be eligible. In order to determine if you are eligible, the VA will examine your service records.

Depending on your circumstances, you may be eligible for mental health treatment. You may also be able to apply for a waiver of the cost of VA healthcare. The VA may also use your Social Security number to help identify you. This will allow them to administer your benefits.

To determine your eligibility, the VA will look at your service record, your discharge, and any other evidence. They can also review your income to determine whether you qualify for benefits.

Depending on your circumstances, you can appeal your eligibility decision. Your rights are guaranteed by federal law. Appeals can be made by phone, mail, or in person.

During your visit, tell the information desk about your intent to apply for VA healthcare. You should bring your health insurance card. Applicants agree to pay for any copayments if any. After you are enrolled in the program, you will receive a letter notifying you of your copay status.

There are several places to find the VA Form 10-3567. The website offers a guide that explains the process. Another helpful resource is the “Frequently Asked Questions” section.

VA Form 10-3567 – State Home Inspection – Staffing Profile

State Veterans Homes, aka SVHs, is part of the Department of Veterans Affairs. Their purpose is to provide domiciliary care, such as assisted living, to veterans who are medically and/or physically unable to live on their own. There are many such programs operating in many states. They are funded by federal grants and matching state funds. As of 2014, there were about 200 such facilities, but the number is likely to increase in light of the growing elderly population.

While there is no such thing as a free lunch, the VA does pay a per diem rate to SVHs, regardless of a veteran’s status. The cost is calculated on a per-resident basis and paid in an annual adjustment. For instance, the rate for a veteran living in a state home with 100 beds is $4,500 a month, or about $26,000 a year. Other costs include administrative and staffing expenses. Some states also have waiting lists for beds. It is a good idea to inquire about state-specific eligibility requirements before making a move and to be sure you’re not overpaying for care.

Although the VA is responsible for administering the program, state governments have been known to make substantial contributions, such as the construction of new facilities. Of course, the most interesting aspect of such grants is that veterans and their kin get some nice perks in return.

VA Form 10-3567 Example

VA Form 10-3567 - Page 1 VA Form 10-3567 - Page 2

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