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4. 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. OMB Control No. 2900-0721 Respondent Burden ...
Submit your claim on a VA Form 21-526EZ (Attached). Make sure you complete and sign your application. The information on pages 2 through 8 describes the evidence you need to submit, how VA will help you obtain evidence and what the evidence must show to support your claim. 2. WHAT YOU NEED TO DO
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
complete VA Form 21-2680, Examination for Household Status or Permanent Need for Regular Aid and Attendance, - OR - • If you are a patient in a nursing home, VA Form 21-0779, Request for Nursing Home Information in Connection with Claim for Aid and Attendance. If claiming a child:
• Veteran must complete a VA Form 21-2680 and submit medical evidence showing his or her spouse
SUPERSEDES VA FORM 21-534EZ, OCT 2018. Page 1. VA. FORM JUL 2022. This notice provides information regarding evidence necessary to substantiate a claim for: If you are making a claim for: • Parent's DIC and/or accrued benefits for parents use - VA Form 21P-535, Application for Dependency and Indemnity
Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.
separate intent to file (VA Form 21-0966) for each general benefit. Please complete as much of this form as possible, as VA cannot process this form if we cannot identify the claimant and/or veteran.
prefer to have an individual assist you with your claim instead of a VSO, complete VA Form 21-22a, Appointment of Individual as Claimant's Representative. For more information, you can contact us 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.
Alternatively, you may print and mail-in or call VA at 1-800-827-1000 to have the form mailed to you. VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits