Search results
Results From The WOW.Com Content Network
Use VA Form 21-0779 if you’re a resident of a nursing home and you're providing supporting information for your claim application for VA Aid and Attendance benefits. Download form Download this PDF form and fill it out.
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 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.
Get VA Form 21-0779 to download. Mail your completed form, and any evidence or additional information, to this address: Department of Veterans Affairs Pension Intake Center PO Box 5365 Janesville, WI 53547-5365. In person. You can bring your information to a VA regional office near you. Find your nearest VA regional office.
And if you’re in a nursing home, you’ll need to submit a Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779) Get VA Form 21-0779 to download. Learn more about Aid and Attendance benefits and Housebound allowance
21-0779 INSTRUCTIONS : If you have any questions about completing this form, call VA toll-free at 1-800-827-1000 (Hearing Impaired TDD federal relay number is 711).
We use this form to determine eligibility in connection with a claim for aid and attendance. For more information, contact us at https://iris.custhelp.va.gov, or call us toll-free at 1-800-827-1000. If you use a Telecommunications Device for the Deaf (TDD), the Federal relay number is 711.
If you’re in a nursing home, you’ll also need to fill out a Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779). Download VA Form 21-0779 (PDF)
> Get VA Form 21-0779 to download. Apply in person. You can bring your information to a VA regional office near you. > Find your nearest VA regional office. How long does it take VA to make a decision?
The VA form 21-0779 “Request for Nursing Home Information In Connection With Claim for Aid and Attendance” is used only for certain non-service-connected pension claims, and its primary purpose is to document the level of care required by a claimant or a claimant’s dependent.
Download Fillable Va Form 21-0779 In Pdf - The Latest Version Applicable For 2024. Fill Out The Request For Nursing Home Information In Connection With Claim For Aid And Attendance Online And Print It Out For Free.