Follow the steps to complete the application seamlessly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Select the requested admission date and the location of the Idaho State Veterans Home (Boise, Lewiston, or Pocatello) by checking the appropriate box.
3. Indicate the type of care needed by marking either 'Nursing Care', 'Residential Care', or 'Domiciliary Care'.
4. Fill in the applicant’s name and status by specifying whether they are a veteran or the spouse of a veteran.
5. Complete the personal information section, including date of birth, place of birth, gender, social security number, branch of service, religious preference, dates of entry and discharge, former occupation, POW status, Purple Heart recipient status, and service-connected details.
6. Provide the applicant's current living situation and contact information. Fill in the permanent address, home and work phone numbers, and email if applicable.
7. List marital status and include the spouse's information if applicable, such as their name, date of birth, social security number, and date of marriage.
8. Specify if the applicant has an electric wheelchair or scooter, and whether they have previously resided in an Idaho State Veterans Home.
9. In the contact information section, provide details for the primary contact and any secondary contact who handles financial or medical affairs.
10. Fill out the health insurance information by providing details about Medicare, private insurance, and long-term care coverage, as well as including copies of relevant cards.
11. Complete the financial information section by providing accurate monthly income before deductions for both the applicant and spouse, as well as listing other resources and assets.
12. Read through the affirmation statement, and ensure that all information provided is accurate. Then, sign and date this section.
13. Once all sections are complete, save your changes, and choose to download, print, or share the form as needed.

Complete the ID Veterans Home Application for Admission online today to ensure timely processing and care.