Aid & Attendance Examination
Apply for extra help if you need daily assistance due to your disabilities.
21-2680
After Your Rating
What this form does
Apply for extra help if you need daily assistance due to your disabilities.
Documents the need for Aid and Attendance or Housebound benefits that may be added to qualifying compensation or pension benefits.
Official VA title: Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
VA revision February 28, 2023 · Links verified against VA.gov August 10, 2026
Use it when: When a Veteran or eligible survivor needs regular help with daily activities or is substantially confined because of permanent disability, and is applying for an added compensation or pension amount.
Preparation route
How to use 21-2680
Every preparation step stays open so you can scan the whole job before starting.
Do now · 01
Before you start
- Estimated time
- Requires a physician examination
Use this form when: When a Veteran or eligible survivor needs regular help with daily activities or is substantially confined because of permanent disability, and is applying for an added compensation or pension amount.
Gather · 02
Gather your documents
Required
- Physician's examination and signature — Your doctor must complete the medical portion of this form based on an examination.
Helpful when available
- Medical records documenting daily limitations — Records showing the need for regular help with daily activities.
Waypoint · 03
Complete the form
- Current medical conditions requiring assistance
- Specific daily activities requiring help
- Whether you are able to leave your home
- Physician's assessment and signature
Waypoint · 04
Avoid common mistakes
- 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
Go next · 05
Submit the form
Available methods
- Online
- In person
- Mail to
- Department of Veterans Affairs, Pension Intake Center, PO Box 5365, Janesville, WI 53547-5365
- Submission note
- This form must be completed by a physician. Bring it to your doctor appointment or have them mail it directly.
Field note
Have your doctor fill this out honestly and thoroughly. The more specific the documentation of your daily limitations, the stronger your case.
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