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* Form name: Examination for Housebound Status or Permanent Need for Regular Aid and Attendance Form revision date: February 2023 Related to: Disability, Family member benefits, Pension WHEN
TO USE THIS FORM Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits. DOWNLOAD FORM Download this PDF form and
fill it out. Then submit your completed form on this page. Or you can print the form and mail it to the address listed on the form. Download VA Form 21-2680 (PDF) VA FORM 21-0779 Form name:
Request for Nursing Home Information in Connection with Claim for Aid and Attendance 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 VA Form 21-0779 (PDF) * If you need help with daily activities, or you’re housebound, learn about these
benefits and if you qualify.