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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 · Get VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance. Use this VA form to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits.
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)
Provide The VA Form 21‐2680, Examinationfor Housebound Status or Permanent Need for Aid and Attendance. Besure that every box is complete and signed by a Physician, Physician Assistant (PA), Certified Nurse Practitioner (CNP), or Clinical Nurse Specialist (CNS). Complete ONE of the following:
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.
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.
Click here to download my Lay Evidence Worksheet for in-home caregivers in VA aid and attendance claims. VA Form 21-2680 can help support your claim for VA aid and attendance benefits to either disability compensation or non-service-connected pension claims.
