Elderwerks Senior Resource Directory 2025/2026

VA AID & ATTENDANCE APPLICATION INSTRUCTIONS

VETERANS PENSION & SURVIVORS PENSION APPLICATION INSTRUCTIONS

• List of all doctors and hospitals visited in the last year. • Banking information for direct deposits of A&A monthly payments (include a voided check).

• If you are a court-appointed Guardian of the veteran or surviving spouse, a certified copy of the court order of the appointment is required. • Employment history – Does not apply if applicant is over 65.

You will need the following documents. Make sure you keep copies of everything you submit. • Your DD214 discharge papers or standard form 180. If you no longer have them in your possession go to: http://www.archives.gov/veterans/ military-service-records • Copy of your marriage certificate • Copy of death certificate (surviving spouse only) • Social Security award letter from January • Physician statement VDVA 10 required in Illinois • Net worth information - Bank accounts, CDs, trusts, stocks, bonds, annuities, etc. • Proof of income - Pensions, retirement, interest income from investments, annuities, etc.) • Proof of medical expenses – Insurance premiums, medications, medical bills and any other medical expenses that are not reimbursed by insurance, Medicare or Medicaid.

HELPFUL INFORMATION

Fill Out These Forms:

VDA-21P-527EZ

Vet or Couple Only

VBA-21P-534EZ

Spouse Only

VA21-2680

Exam for Housebound Status or Permanent Need

VDVA 10

Physician statement

VBA21P-84216

Medical Expense Report Form

VA21-4142

Consent Form

VBA21-0845

Authorization to Disclose Personal Information

VDA21P-8416

Medical Expense Form

VBA21-0779

Nursing Home Information Form (for those living in a facility)

*VA21-22

Appoint Veterans Service Organization as Rep

*VA21-22A

Appoint Representative (Non-Service Organization)

*Fill out either VB21-22 or VA21-22A depending on who your advocate is. APPLY through an advocate to get the VA Aid and Attendance Benefit. Do not apply directly to the VA.

Call Elderwerks at 847-462-0885 for a Veterans advocate in your area.

The forms are available at: https://www.elderwerks.org/resources/guides/veterans-area-14-1.aspx

? Did you know Elderwerks Senior Advisors are experts on Veterans benefits?

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