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The VA form 21-2680 Examination for Housebound Status or Permanent Need for Regular Aid and Attendance is used to document the level of care required by a claimant or a claimants dependent. The VA form 21-2680 is completed by a physician based on his/her medical evaluation of the patient.
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.
Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits.
Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits.
Use VA Form 21P-534 if you prefer to provide evidence at a later time to support your claim. You can use this form if youre a surviving spouse or child of a Veteran who has died and want to begin the process of applying for VA benefits or money that we owe the Veteran but did not pay prior to his or her death.
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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.
Use VA Form 21-0779 if youre a resident of a nursing home and youre providing supporting information for your claim application for VA Aid and Attendance benefits.
Use VA Form 21-0966 if youre still gathering information to support your claim, and want to start the filing process. Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive.

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