Form 40-10007 Electronic Screenshot

NCA Pre-Needs Appl 40-10007_Screenshots_25AUG2020.docx

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0784 can be found here:

Document [docx]

Download: docx | pdf

Eligibility Office Automation System (EOAS) Update

Release 12.7 is now in production and being used by the NCA.

Below are screen shots of the system and virtual form showing compliance. All screen shots do not have any PII and they are all test data.

System:

Virtual Form via va.gov

Va.gov to EOAS side by side view of intake of data:

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Brunner, William S.
File Modified	0000-00-00
File Created	2021-01-13