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Fillable 2008 VA Form 21-2680 - Department of Veterans Affairs - vba va

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OMB Control No. 2900-0721 Respondent Burden: 30 minutes EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT NEED FOR REGULAR AID AND ATTENDANCE 1. FIRST NAME - MIDDLE NAME - LAST NAME OF VETERAN 2. FIRST NAME - MIDDLE NAME - LAST NAME OF CLAIMANT (If other than veteran) 3. RELATIONSHIP OF CLAIMANT TO VETERAN 4A. VETERAN'S SOCIAL SECURITY NUMBER 4B. CLAIMANT'S SOCIAL SECURITY NUMBER 5. CLAIM NUMBER...
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