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VA Form 10-1170 Printable, Fillable in PDF – Specifically, VA Form 10-1170 (Application for the Provision of Nursing Home Care to Beneficiaries of Veteran Affairs) is a legal document that was made available by the United States Department of Veterans Affairs on November 1, 2006, and is now in use across the nation. As of today, there are no specific filing instructions for the form offered by the department that issued it.