| How to Apply for the Veterans Aid and Attendance Pension Benefit
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| APPENDIX I -- Glossary and Lists 85 Understanding the Special Language of VA ............................................ 86 Veterans Service Organizations ............................................................ 90 2007 List of State Veterans Homes ....................................................... 92 VA Medical Facilities and Regional Offices ............................................. 99 SUPPORT PACKET 141 VA Form 21-526 -- Veteran’s Application for Compensation and/or Pension, Parts A,B,C, & D VA Form 21-534 -- Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation If Applicable) SF 180 -- Request Pertaining to Military Records (Used to obtain discharge record) VA Form 21-22a -- Appointment of Individual as Claimant's Representative (POA for claim) VA Form 21-0779 -- Request for Nursing Home Information in Connection with Claim for Aid and Attendance VA Form 10-10EZ -- Application for Health Benefits (Veterans receiving pension are guaranteed health benefits without copayment) VA Form 10-0103 -- Veteran's Application for Assistance In Acquiring Home Improvement and Structural Alterations (HISA) Form 1 -- Statement of Attending Physician (Used to determine rating for A&A or HB) Form 2 -- Care Provider Report (Used to provide evidence of recurring medical expenses) Form 3 -- Health Insurance Premiums (Used to provide evidence of recurring medical expenses) Form 4 -- Claimant's Certification (verifies out-of-pocket costs for unreimbursed medical expenses)
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