Apply for Residency

Forms for Admission 

The following forms must be thoroughly and accurately completed for admission into the Iowa Veterans Home.  Failure to complete the following forms may cause the admissions process to be delayed.  Each local County Commission of Veterans Affairs Office is available for assistance in completing and submitting application for residency at the Iowa Veterans Home.

 ** Please submit your completed application along with supporting documents to the County Commission of Veteran Affairs Office in your county of residence. The application will not be processed until verification of Iowa residency is received from your County.

Locate your local Co. Commission of Veterans Affairs office here. - (This link opens in a new tab; it is maintained by the Iowa Department of Veterans Affairs.)

The links below will open in a new tab. The forms are in PDF format.

  1. Application Checklist
  2. One of the following for each applicant​:
    1. Veteran Application for Admission
    2. Spouse Application for Admission
    3. Goldstar Parent Application for Admission
  3. Personal Functional Assessment
  4. Financial Affidavit
  5. Supplement To Application For Admission 
  6. Release of Information

Please contact our admissions staff if you have any questions.

Jason Matteson

Admissions Coordinator

641-753-4325 or

Kathy Kopsa

Admissions Supervisor

641-753-4514 or

Printed from the website on October 24, 2020 at 12:30pm.