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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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My husband passed 6years ago at that time I paid for cremation . he had a marker and some of his ashes were placed .the thing I found very helpful was the back side of his marker was my name and I can also have ashes there as well what a burden was lifted now my son has no worries on those expenses.
I really hope this is true. My 91 year old uncle served in WWII and the Korean War. While he was overseas his wife told his kids he had died in the war. She divorced him and remarried. He never saw his kids again until I helped him find his oldest son over 60 years later. When we visited, his son said we were playing a cruel joke on him, he knew his Dad had died in the war! Not true! Finally after the initial shock , the son accepted it, his brother and sister as well. My uncle was living with me and had given me his war medals. After finding his son , I thought it was only fitting that they went to the oldest son. I framed them against velvet and gave them back to my uncle. He was going to visit his son on his birthday. When he arrived at his sons house he was greeted by " what are you doing here?" They made him sleep in his car in 100* weather. The following day it was the sons birthday, my uncle gave him the medals I had framed, the sons response.. "What do I want these for" he threw them in the trash! My uncle returned home and told me this and I was devastated, as was my uncle! I asked my uncle why he didn't just take them back? He replied " I was to upset and got in my car and left!" He is bed ridden now and regrets not getting his medals back. I would love to surprise him with a set of new ones. He flew 35 missions over Germany and is very proud to have served his country! God bless our veterans! 🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸
It's very confusing. I'm a World War II Marine Corps vet. I will die soon. I am totally alone. I have a plot and a mortuary. How can/will the VA help???
I found this to be very helpful. Although, I am very confused with which forms I should be using. The 21P-530 VA form, which I assume are the current forms. This form does not request total expense of burial or funeral expenses. The funeral director had given me a copy of form 21-530, which is completely different from the online form. 18A on the 21P-530 asks if state or federal government contributed to the burial. Does that mean the $255 death benefit from Social Security needs to be reported as well?
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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10 Important Facts About VA Burial Benefits
My 91 year old uncle served in WWII and the Korean War.
While he was overseas his wife told his kids he had died in the war. She divorced him and remarried. He never saw his kids again until I helped him find his oldest son over 60 years later. When we visited, his son said we were playing a cruel joke on him, he knew his Dad had died in the war! Not true! Finally after the initial shock , the son accepted it, his brother and sister as well.
My uncle was living with me and had given me his war medals. After finding his son , I thought it was only fitting that they went to the oldest son. I framed them against velvet and gave them back to my uncle. He was going to visit his son on his birthday.
When he arrived at his sons house he was greeted by " what are you doing here?" They made him sleep in his car in 100* weather.
The following day it was the sons birthday, my uncle gave him the medals I had framed, the sons response..
"What do I want these for" he threw them in the trash!
My uncle returned home and told me this and I was devastated, as was my uncle! I asked my uncle why he didn't just take them back? He replied " I was to upset and got in my car and left!"
He is bed ridden now and regrets not getting his medals back. I would love to surprise him with a set of new ones. He flew 35 missions over Germany and is very proud to have served his country!
God bless our veterans! 🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸