VA Form 10-0143a: Section 504 Compliance Statement

VA Form 10-0143a: Section 504 Compliance Statement – VA Form 10-0143a is the official Statement of Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973. State Veterans Homes and similar facilities use this form to certify they will not discriminate against individuals with disabilities in programs or activities receiving federal financial assistance from the U.S. Department of Veterans Affairs (VA).

The form is a one-page legal assurance document. Authorized officials of the State Veterans Home sign it to affirm ongoing compliance with federal nondiscrimination requirements.

Download the latest fillable PDF here: VA Form 10-0143A (December 2023)

Understanding Section 504 of the Rehabilitation Act of 1973

Section 504 is a foundational civil rights law that prohibits discrimination based on disability in any program or activity receiving federal financial assistance. It applies broadly to entities like State Veterans Homes that receive VA per diem payments or other federal support.

Key protections under Section 504 include:

  • Equal access to programs, services, and benefits.
  • Reasonable accommodations for individuals with disabilities.
  • No exclusion, denial of benefits, or discrimination solely because of a handicap (now commonly referred to as disability).

This law laid important groundwork for the Americans with Disabilities Act (ADA) and continues to ensure accessibility in federally funded VA-related programs.

Who Needs to Complete VA Form 10-0143a?

Primarily, State Veterans Homes (nursing homes, domiciliary, or adult day care facilities for veterans) must submit this form as a condition for receiving VA per diem payments under 38 U.S.C. Section 1741 and related regulations.

  • The form is required for initial recognition and ongoing funding.
  • It binds the facility, its successors, transferees, and assignees.
  • It applies for the duration of federal financial assistance.

Other recipients of VA federal financial assistance may need similar assurances, but Form 10-0143a is specifically referenced in VA regulations for State Homes (see 38 C.F.R. Part 58).

How to Fill Out and Submit VA Form 10-0143a?

The form is straightforward and estimated to take about 5 minutes to complete (OMB Control No. 2900-0883, expires 11/30/2026).

Key Fields:

  • Name and location of State Veterans Home (the “Signatory”).
  • Signature of Authorized Official.
  • Title of the signer.
  • Date.
  • Mailing Address.

The assurance language commits the facility to full compliance with Section 504 and VA regulations (e.g., 38 CFR Part 18). It also acknowledges that VA may withhold funding or seek enforcement if violated.

Submission: Typically submitted to the appropriate VA medical center or as part of the per diem application process for State Homes. Contact your local VA facility or visit VA.gov for guidance.

Why Compliance Matters for State Veterans Homes?

Signing VA Form 10-0143a ensures continued access to critical federal funding that supports care for veterans. Non-compliance can result in:

  • Withholding of per diem payments.
  • Loss of federal financial assistance.
  • Potential judicial enforcement by the United States.

Facilities must maintain accessibility, provide reasonable accommodations, and address any discrimination complaints promptly. VA Handbook 5975.6 provides detailed guidance on Section 504 implementation within VA programs.

For veterans or families experiencing accessibility issues in VA-funded programs, file complaints through the VA Office of Resolution Management, Civil Rights Division, or relevant federal channels.

This article was written for U.S. veterans, State Veterans Home administrators, and caregivers seeking accurate, up-to-date information on VA Form 10-0143a and disability rights compliance. Always verify the latest form and requirements directly on VA.gov, as regulations can be updated.