Va Form 0730D PDF Details

VA Form 0730D is a Department of Veterans Affairs (VA) form that is used to apply for VA benefits. The form can be used to apply for disability compensation, pension, and burial benefits. The form can also be used to apply for education and training benefits, healthcare benefits, home loan guarantees, and other benefits. The form is a lengthy document that requires a great deal of information from the applicant. It is important to complete the form accurately and completely to ensure that the application process goes as smoothly as possible.

The following are some information about va form 0730d. Before you decide to complete the form, it is usually definitely worth examining more details on it.

QuestionAnswer
Form NameVa Form 0730D
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesVermont, va forms 21 6744, Washington, 0730b

Form Preview Example

CHILD CARE SUBSIDY PROGRAM DOCUMENTATION CHECKLIST

NAME OF EMPLOYEE

NAME OF STATION

STATION NO.

DATE

NAME OF HUMAN RESOURCES SPECIALIST COMPLETING THIS FORM OFFICE TELEPHONE NUMBER E-MAIL ADDRESS

INSTRUCTIONS: Complete the checklist below to verify the completion and receipt of all required information with an "X" in the "VERIFIED" column. All required information must be received before the application package is forwarded to VA Child Care Subsidy Program Office (05CCSP). Applications that are not fully completed or do not contain the information listed below will not be processed and will be returned to the applicant through the submitting Human Resources office. NOTE: Please retain a copy of this document and the employee's Application Package for your records.

INFORMATION REQUIRED FROM EMPLOYEE

VERIFIED

VA FORM 0730a, CHILD CARE SUBSIDY APPLICATION

SECTION I, PARENT/GUARDIAN INFORMATION - ALL REQUIRED INFORMATION FIELDS COMPLETED

SECTION II, CHILD INFORMATION - ALL REQUIRED INFORMATION FIELDS COMPLETED

-THE EMPLOYEE INDICATES RECEIPT OF ANOTHER SUBSIDY; THE AMOUNT INDICATED IS THE SAME ON VA FORM 0730b

-THE WEEKLY CHILD CARE COST IS THE SAME AMOUNT INDICATED ON VA FORM 0730b

SECTION III, SIGNATURE AND CERTIFICATION OF PARENT/LEGAL GUARDIAN - ALL REQUIRED INFORMATION FIELDS COMPLETED

VA FORM 0730b, CHILD CARE PROVIDER INFORMATION

PART I, PARENT INFORMATION - ALL REQUIRED INFORMATION FIELDS COMPLETED

PART II, PROVIDER INFORMATION - ALL REQUIRED INFORMATION FIELDS COMPLETED

PART III, CHILD INFORMATION - ALL REQUIRED INFORMATION FIELDS COMPLETED

-THE EMPLOYEE INDICATES RECEIPT OF ANOTHER SUBSIDY; THE AMOUNT INDICATED IS THE SAME ON VA FORM 0730a

-THE WEEKLY CHILD CARE COST IS THE SAME AMOUNT INDICATED ON VA FORM 0730a

PART IV, CERTIFICATION AND SIGNATURE OF PROVIDER - ALL REQUIRED INFORMATION FIELDS COMPLETED

FORM 0730b IS INCLUDED FOR EACH CHILD CARE PROVIDER

CERTIFIED COPY OF BIRTH CERTIFICATES FOR EACH CHILD

COPY OF LAST TWO (2) EARNINGS AND LEAVE STATEMENTS OR COPY OF APPOINTMENT LETTER

CHILD(REN) ADOPTED, COPY OF ADOPTION DECREE

EMPLOYEE IS THE FOSTER PARENT OR LEGAL GUARDIAN, COPY OF DESIGNATION OF LEGAL GUARDIANSHIP COPY OF EMPLOYEE'S MOST RECENT FEDERAL TAX RETURN(S) (IRS Form 1040)

EMPLOYEE SIGNED AND DATED TAX RETURN (Spouse's signature must be included on joint tax return)

EMPLOYEE AND SPOUSE FILED SEPARATE TAX RETURNS, COPY OF SPOUSE'S SIGNED AND DATED RETURN INCLUDED COPY OF MOST RECENT W-2(S) (Also for spouse if applicable)

EMPLOYEE AND/OR EMPLOYEE'S SPOUSE AFFIDAVIT OF UNEMPLOYMENT DURING THE TAX YEAR

SF 50, NOTICE OF PERSONNEL ACTION

VA FORM

0730D

Supersedes VA Form 0730d, JUL 2010,

FEB 2011

which will not be used.

INFORMATION REQUIRED FROM CHILD CARE PROVIDER

COPY OF CURRENT CHILD CARE LICENSE PROVIDED

COPY OF WRITTEN SCHEDULE OF FEES FOR SERVICES PROVIDED

COMMENTS

I CERTIFY THAT THE EMPLOYEE'S APPLICATION PACKAGE IS COMPLETE - SIGNATURE OF HUMAN RESOURCES SPECIALIST

DATE

Send completed Application Package to: Department of Veterans Affairs

VA Child Care Subsidy Program Office (05CCSP)

810 Vermont Ave., NW

Washington, DC 20420

VA FORM 0730d, FEB 2011, page 2

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