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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.
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.
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 can also include with your VA form:
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.
Eligible veterans can apply for Aid and Attendance or Housebound benefits by completing Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) and...
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.
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.