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For Veterans, Special Monthly Compensation is a higher rate of compensation paid due to special circumstances such as the need of aid and attendance by another person or by specific disability, such as loss of use of one hand or leg.
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.
Fill out VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) and mail it to the PMC for your state. You can have your doctor fill out the examination information section.
To qualify for aid and attendance benefits in the form of SMC, a veteran must require the assistance or supervision of another person to do activities of daily living.
Contact your local VA regional benefit office for information about applying for SMC. You can locate your nearest regional benefit office at . The VA must review related medical evidence to determine eligibility and make a decision regarding the level of SMC.
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Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits.

va form 21 2680 instructions