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Use this form to determine eligibility for aid and attendance or housebound benefits. For more. information, you can contact us online through Ask VA: https://ask.va.gov/. Ask us a question online or call us toll-free at 1-800-827-1000 (TTY: 711). VA forms are available at www.va.gov/vaforms.
17 maj 2024 · Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits. Downloadable PDF. Download VA Form 21-2680 (PDF) Related forms and instructions. VA Form 21-0779. Form name: Request for Nursing Home Information in Connection with Claim for Aid and Attendance.
17 sty 2024 · Evidence, like a doctor’s report, that shows you need Aid and Attendance or Housebound care, along with VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance), which your doctor can fill out Download VA Form 21-2680 (PDF)
VA Form 21-2680 is used by the Department of Veterans Affairs to evaluate claimants for housebound status or permanent need for regular aid and attendance. It collects detailed medical information to determine the extent of physical or mental impairments.
For a Veteran, the disability causing the need for aid and attendance or housebound status must be related to service. These benefits are paid in addition to monthly compensation.
This form is commonly used by veterans or their dependents who are permanently housebound or have the permanent need for regular aid and assistance due to a medical condition. Create a Va Form 21 2680 in minutes with our professional document builder.
VA Form 21-2680. OMB Control No. 2900-0721 Respondent Burden: 30 minutes. Expiration Date: 09-30-2021. VA DATE STAMP DO NOT WRITE IN THIS SPACE. EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT NEED FOR REGULAR AID AND ATTENDANCE. SECTION I: VETERAN'S IDENTIFICATION INFORMATION.
