VA Form 10-10171 Veterans Care Agreement

VA Form 10-10171 Veterans Care Agreement

What Is VA Form 10-10171?

This is a legal form that was released by the U.S. Department of Veterans Affairs on May 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 10-10171?
A: VA Form 10-10171 is the Veterans Care Agreement form.

Q: Who is the form for?
A: The form is for veterans who are in need of long-term care services.

Q: What is the purpose of VA Form 10-10171?
A: The purpose of the form is to establish an agreement between the veteran and the Department of Veterans Affairs (VA) for the provision of long-term care services.

Q: What information is required on the form?
A: The form requires information such as the veteran's personal details, the type of care services needed, and the agreement terms.

Q: Is it mandatory to fill out VA Form 10-10171?
A: No, it is not mandatory to fill out the form, but it is required if you wish to receive long-term care services from the VA.

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Form Details:

  • Released on May 1, 2019;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 10-10171 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 10-10171 Veterans Care Agreement

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