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Va 21-2680 Form: What You Should Know

VA. 1. The Form must be completed by a doctor who performed a written examination on the claimant or a family member of the claimant. A  referral from a doctor of nursing home or hospital may also be used. You must submit two (2) (including the  additional required form if the condition being treated has extended.   3. Form 21-2680 is completed, signed and sent to the appropriate Regional Office. 4. If the report does not include detailed information for the evaluation of disability  for disability benefits, please contact the VA Disability Claim Division. VA Form 21-2680 — Application for Aid and Attendance This form is for any person who needs regular aid and attendance at home, for any of the following reasons: To prevent physical damage to the person, personal property, or furnishings, to protect the person from theft or  to provide care for other essential items. To seek medical help, medication or assistance for health care.  To seek a reasonable accommodation, such as the provision of accessible room or change at home in the  case of serious illness, emotional illness, mental condition such as emotional neglect or mental disability,  loss of income or any other condition where the person cannot seek reasonable accommodation at their own home  Or place of business. To seek to avoid eviction of the person if there is a reasonable threat to the health or safety of the person,  or to protect other people's belongings or safety.  The report should be in sufficient detail for the decision makers to 21-2680. SUPERSEDES VA FORM 21-2680-REQUIRED FILING.

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