VA Form 10-0137

VA Advance Directive - Durable Power of Attorney for Health Care and Living Will (VA Form 10-0137)

OMB: 2900-0556

IC ID: 242471

Documents and Forms

Document Name Document Type
Form 10-0137 VA Form 10-0137 Form and Instruction
10-0137 VA Advance Directive - Durable Power of Attorney for Health Care and Living Will VA Form 10-0137_English_OMB passback_rev Apr 2024.pdf Form and Instruction
10-0137 VA Advance Directive - Durable Power of Atttorney for Health Care and Living WIll (English-Spanish) VA Form 10-0137_Spanish-English_OMB passback_rev Apr 2024.pdf Form and Instruction