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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. NOTE: You may complete the form online or by hand.
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.
Fill out VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance), You can have your doctor fill out the examination information section. Get VA Form 21-2680 to download
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.
Get VA Form 21-2680 to download or If you’re in a nursing home, a Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779)
Learn about VA Aid and Attendance and Housebound benefits, providing additional monthly payments to qualified Veterans and survivors alongside their VA pension. Discover eligibility criteria, required forms like VA Form 21-2680, and access additional information for applying.
VA Form 21-2680 is a form, filled out by a medical doctor, to support a claim for aid and attendance and/or housebound benefits filed with the Department of Veterans Affairs.
Complete VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance., and mail it to the Pension Management Center for your state. You can have your doctor fill out the examination information section.
Request your military services records online. This can include DD214s and/or separation documents, personnel records, replacement medals, and/or medical records. Request Veterans Service Officer representation by filling out VA Form 21-22 (PDF) and mailing or submitting it to the nearest VA benefits office.
You may apply for Aid and Attendance or Housebound benefits by filling out, or have your doctor complete, VA Form 21-2680 (Examination for Housebound Status or Permanent Need for...