VA Aid & Attendance Examination

VA 21-2680 · VA

Examination for housebound status or permanent need for regular aid and attendance. Physician completes detailed ADL assessment sections.

Form Details

Total fields: 75
Auto-fillable: 45 (60%)
Time without BeneFill: 60 minutes
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Filled by: both
Frequency: one time

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Where to Submit This Form

📬

Mail to VA Regional Office

Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444

📠

Fax

Fax: 844-531-7818

Required Attachments

📎 Must be completed and signed by an examining physician
📎 Medical evidence of need for aid and attendance

Processing Time

Part of the pension/A&A claim process — 3-6 months total.

Tips for This Form

✓ This form must be filled out by a physician during an examination
✓ The doctor should document all ADL limitations in detail

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