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The OMB Control No. for this information collection is 2900-0556. VA FORM JUL 2015 10-0137 Page 1 of 7 PART II DURABLE POWER OF ATTORNEY FOR HEALTH CARE This section of the advance directive form is called a Durable Power of Attorney for Health Care. OMB Approval Number 2900-0556 Estimated Burden Avg 30 minutes Expiration Date 10/31/2017 VA ADVANCE DIRECTIVE DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL This advance directive form is an official document where you can write down your preferences for your health care. I am not financially responsible for the care of the person making this advance directive. To the best of my knowledge I am not named in the person s will. Name Printed or Typed This VA Advance Directive form is valid in VA facilities without being notarized. However you may need to have it notarized to be legally binding outside the VA health care setting. DATE SIGNATURE B - WITNESSES SIGNATURES Two people must witness your signature. VA employees may be witne....

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Related content

VA Form 10-0137 - Veterans Affairs
This site provides public access to all VA forms that are appropriate to be on the web.
Learn more
VA ADVANCE DIRECTIVE: DURABLE POWER OF ...
VA FORM. DEC 2006 (RS) 10-0137. Page 1 of 6. This advance directive form is an official...
Learn more

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You must sign the Power of Attorney, but you do not need witnesses to your signature. You should have your signature notarized. ... If you had a Power of Attorney prepared while you were living in another state or country and you have now moved to Virginia, that document might be legal under Virginia law.

Most states do accept living wills from other states as long as the document is valid in the state in which it was created, but not all do, so it is important to check when your living will is created.

According to VA: The veteran must execute a general or specific power of attorney (POA) which is valid and legally adequate. The veteran's attorney-in-fact may use this power of attorney to apply for a Certificate of Eligibility and initiate processing of a loan on behalf of the veteran.

If filing claims with the VA, the federal regulations are available here. The VA, however, will accept a power of attorney as valid for health care decision-making purposes, even if it is not notarized, if VA Form 10-0137, VA Advance Directive: Durable power of attorney for Health Care and Living Will, is completed.

A VA Form 21-22a is known as an Appointment of Individual as Claimant's Representative form. It will be used by the United States Department of Veterans Affairs. This form is necessary to recognize someone as a representative of a veteran who has a claim with the Department of Veterans Affairs.

A VA Form 10-0137 is used by the Veterans Health Administration (VHA), United States Department of Veterans Affairs. This form is known as a VA Advance Directive: Living Will and Durable Power of Attorney for Health Care. ... Before filling out this form, consult your medical professional and talk to your loved ones.

VA makes financial planning and online will preparation services available at no cost to beneficiaries of: SGLI (Servicemembers' Group Life Insurance) TSGLI (Traumatic Injury Protection)

VA Form 10-0137 allows a veteran to select a representative to serve as a power of attorney for health care and a living will. A durable power of attorney usually must be signed and notarized, as well as specified as being durable; it will continue to be in effect in the event the principal becomes incapacitated.

Power of Attorney (POA) is a familiar concept for many VA buyers. POA is a legal instrument allowing service members to designate a person who can enter into contracts and execute other civil, financial and legal obligations on their behalf - often because of a deployment.

VA makes financial planning and online will preparation services available at no cost to beneficiaries of: SGLI (Servicemembers' Group Life Insurance) TSGLI (Traumatic Injury Protection) ... VGLI (Veterans' Group Life Insurance)

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232