D.10 REQUEST FOR EXTENSION.pdf

This is a VA CRS (Compensated Work Therapy Transitional Residence) Extension Request Form used by the Department of Veterans Affairs to request extensions for veteran housing services.

The form must be completed and emailed to the VA CERS Liaison at least 7 days prior to the end of the previous referral period or upon request by the CERS Liaison. The form collects information from the Contract Case Manager including the veteran's name, bed days allocated, current housing goals, and progress toward those goals. The requester must provide a detailed justification for the extension request and indicate the projected discharge date and any active referrals. The form is separated into two sections: the upper portion for case manager submission containing veteran and service details, and a lower section designated "COR use only" for the Contracting Officer's Representative to review and process the request. The COR section includes approval and denial checkboxes, date processed field, and a comments section for documentation. A Contract Case Manager signature is required on all submissions.