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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 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 · If you’re in a nursing home, you’ll also need to fill out a Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779). 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 ...
1 sie 2020 · VA Form 21-0779, Request for Nursing Home Information in Connection with Claim for Aid and Attendance is a form used to put the level of care required by a claimant or a claimant's dependent on record. This form is used only for certain non-service-connected pension claims.
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).
