VA Form 21-2680
Aid & Attendance Examination
Apply for extra help if you need daily assistance due to your disabilities.
Aid & Attendance Examination
In Plain English
Apply for extra help if you need daily assistance due to your disabilities.
Documents the need for aid and attendance or housebound benefits — an additional monthly payment on top of existing compensation.
Step-by-Step Guide
How to file 21-2680
When to use this form
When you need regular help with daily activities (dressing, bathing, eating) or are substantially confined to your home due to service-connected conditions.
Required
- ✓Physician's examination and signature
Your doctor must complete the medical portion of this form based on an examination.
Recommended (if applicable)
- +Medical records documenting daily limitations
Records showing the need for regular help with daily activities.
You'll need to provide
- ✓Current medical conditions requiring assistance
- ✓Specific daily activities requiring help
- ✓Whether you are able to leave your home
- ✓Physician's assessment and signature
- ✕Not getting a thorough physician examination
- ✕Underreporting the level of assistance needed
- ✕Not describing all daily activities affected
- ✕Confusing Aid & Attendance with Housebound — you may qualify for either
Mail to
Department of Veterans Affairs, Pension Intake Center, PO Box 5365, Janesville, WI 53547-5365
This form must be completed by a physician. Bring it to your doctor appointment or have them mail it directly.
Pro Tip
Have your doctor fill this out honestly and thoroughly. The more specific the documentation of your daily limitations, the stronger your case.
Related Forms
You might also need
Add/Remove Dependents
Add your spouse, kids, or parents to your benefits. Can increase your monthly payment.
TDIU Application
Claim you can't work due to your disabilities. Can get you paid at the 100% rate even if your rating is lower.
Employment Questionnaire
The VA checking if you're still unemployable. Required if you receive TDIU.
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