This new feature
of our web site allows you to begin the process of applying for
admission to a Tennessee State Veterans Homes facility from the
convenience of your home or office. We realize that many of your
(or your loved one's) important documents are filed away and it
may be impractical to bring all your records when you visit one
of our facilities. Therefore, you can complete the admission form
(VA Form 10-10EZR) at your convenience using the instructions
described below and E-mail it directly to us for prompt consideration.
If you need any assistance completing the form,
please call our Admissions office in Murfreesboro at (615) 225-1852,
in Humboldt at (731) 824-5776, or in Knoxville at (865) 862-8152.
Please note
that applying online is not a requirement for admission
and this feature is solely provided for the convenience of some
families.
The Five
Step Process Is Easy!
Please complete
the five steps described below to download the application, complete
form and E-mail it to the Tennessee State Veterans facility of
your choice.
STEP ONE:
Check Your Computer System's Capabilities
What You Need
to Apply Online
STEP TWO:
Download the Department of Veterans Affairs Form 10-10EZR.
Click on the
link below to download the form. If Adobe Reader is installed,
the form will open in Adobe Reader. Click File, then Save As or
(Save Page As) to save a blank form on your computer. If Adobe
Reader has not yet been installed you may receive a pop-up window
that allows you to "Open" or "Save" the file.
When prompted to "Open" or "Save" the file,
select "Save".
Click
Here To Download VA Form 10-10EZR
STEP THREE:
Complete the Form
The form,
created in portable document format (PDF), is designed to be filled
out on your computer. You may click on a blank space and type
directly onto the form. Check boxes can be checked by clicking
on them. If you need to change any information, you can click
on the blank space and edit your work using the delete and/or
backspace keys. Please read "Step Four" before saving
your work.
STEP FOUR:
Save the completed form to your hard-drive.
It is important
to save the completed or partially completed form to your computer's
hard drive using a different file name. After working
on the form in Abobe Reader, click "File", then "Save
As", then type your new file name. Please make note of the
location of the folder (or directory) in which the file is saved
since you will need to retrieve the file to continue working on
it or to E-mail it to a facility.
STEP FIVE:
E-mail the completed form to the Tennessee State Veterans Home
of your choice.
The completed
form can be printed and/or E-mailed to the facility of interest
to you.
First, save
the completed form to your computer's hard drive using the information
in "Step Four". The form can then be E-mailed as an
attachment to either of the E-mail addresses shown below.
Murfreesboro
Admissions E-mail Address:
mfowler@tsvh.org
Humboldt
Admissions E-mail Address:
ldrewry@tsvh.org
Knoxville
Admissions E-mail Address:
ccreswell@tsvh.org
To send a
file as an attachment to an E-mail, first create an E-mail using
an E-mail address from above (or by clicking on an E-mail address
from above). In your E-mail program (e.g., Outlook Express), click
"Insert", then "File", then navigate to and
highlight the saved file you would like to send, and click "Insert".
Alternatively,
you may locate the file you want to send in Windows Explorer,
right-click on the file, select "Send To", then select
"Mail Recipient". The E-mail window will appear and
you can insert the E-mail address from above into the "TO"
data field.
Adobe Reader
also has a button on its task bar that allows you to send the
file as an attachment to an E-mail. Save the file (as in Step
Four) before using this feature to insure that you have a completed
copy on your hard drive and that your information will be included
in the attachment.
What's
Next?
If you successfully
completed the form and E-mailed it to one of our facilities, you
should receive a call or E-mail correspondence within a day or
two. If you do not receive confirmation that the form was received
or have any questions or difficulty, please call us at the numbers
above. The form may also be printed and delivered by hand, mail
or fax.
We look forward
to your application!
