Statement of Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973

Per Diem to States for Care of Eligible Veterans in State Homes

OMB: 2900-0883

IC ID: 242714

Documents and Forms

Document Name Document Type
Form 10-0143A Statement of Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973 Form
10-0143A Statement of Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973 VA Form 10-0143A.pdf www.va.gov/vaforms/ Form