38 C.F.R. PART 58—FORMS


Title 38 - Pensions, Bonuses, and Veterans' Relief


Title 38: Pensions, Bonuses, and Veterans' Relief

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PART 58—FORMS

Section Contents
§ 58.10   VA Form 10–3567—State Home Inspection Staffing Profile.
§ 58.11   VA Form 10–5588—State Home Report and Statement of Federal Aid Claimed.
§ 58.12   VA Form 10–10EZ—Application for Health Benefits
§ 58.13   VA Form 10–10SH—State Home Program Application for Veteran Care Medical Certification.
§ 58.14   VA Form 10–0143A—Statement of Assurance of Compliance with Section 504 of The Rehabilitation Act of 1973.
§ 58.15   VA Form 10–0143—Department of Veterans Affairs Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals.
§ 58.16   VA Form 10–0144—Certification Regarding Lobbying.
§ 58.17   VA Form 10–0144A—Statement of Assurance of Compliance with Equal Opportunity Laws.


Authority:  38 U.S.C. 101, 501, 1710, 1741–1743.

Source:  65 FR 981, Jan. 6, 2000, unless otherwise noted.

§ 58.10   VA Form 10–3567—State Home Inspection Staffing Profile.
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View or download PDF

View or download PDF

§ 58.11   VA Form 10–5588—State Home Report and Statement of Federal Aid Claimed.
top

View or download PDF

View or download PDF

§ 58.12   VA Form 10–10EZ—Application for Health Benefits
top

View or download PDF

View or download PDF

§ 58.13   VA Form 10–10SH—State Home Program Application for Veteran Care Medical Certification.
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View or download PDF

View or download PDF

View or download PDF

§ 58.14   VA Form 10–0143A—Statement of Assurance of Compliance with Section 504 of The Rehabilitation Act of 1973.
top

View or download PDF

§ 58.15   VA Form 10–0143—Department of Veterans Affairs Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals.
top

View or download PDF

View or download PDF

§ 58.16   VA Form 10–0144—Certification Regarding Lobbying.
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View or download PDF

§ 58.17   VA Form 10–0144A—Statement of Assurance of Compliance with Equal Opportunity Laws.
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View or download PDF

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