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7 cze 2024 · Use VA Form 21-0779 if you’re a resident of a nursing home and you're providing supporting information for your claim application for VA Aid and Attendance benefits.
- VA Form 21-0779
VA uses this form to determine eligibility for pension and...
- VA Form 21-0779
VA uses this form to determine eligibility for pension and aid and attendance benefits based on nursing home status. For more information you can contact us online through Ask VA: https://ask. va.gov, or call us toll-free at 1-800-827-1000 (TTY:711). VA forms are available at www.va.gov/ vaforms.
18 lip 2024 · Get VA Form 21-0779 to download. Mail your completed form, and any evidence or additional information, to this address: Department of Veterans Affairs Pension Intake Center PO Box 5365 Janesville, WI 53547-5365. In person. You can bring your information to a VA regional office near you.
17 sty 2024 · You may apply for Aid and Attendance or Housebound benefits by submitting the prescribed VA form(s) to the Pension Management Center (PMC) that serves your state. You may also visit your local regional benefit office to file your request.
When you file a claim for Veterans Pension, Survivors Pension, VA Dependency and Indemnity Compensation (DIC), or accrued benefits, we review all available evidence (supporting documents) to determine if you qualify for benefits.
21-0779 INSTRUCTIONS : If you have any questions about completing this form, call VA toll-free at 1-800-827-1000 (Hearing Impaired TDD federal relay number is 711).
Fill out VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) and mail it to the PMC for your state. You can have your doctor fill out the examination information section.
