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NOTICE TO VETERAN/CLAIMANT OF VA FORMS THAT MAY ACCOMPANY AN ALTERNATE SIGNER CERTIFICATION FORMIMPORTANT: The form(s) shown below will be accepted along with the attached VA Form 210972, Alternate
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VA Form 21-0972 is a form used by the U.S. Department of Veterans Affairs to apply for an increased disability compensation or pension benefits based on the need for aid and attendance or housebound status.
Veterans or their surviving spouses who believe they meet the criteria for additional benefits due to the need for aid and attendance or housebound status are required to file VA Form 21-0972.
To fill out VA Form 21-0972, individuals must provide personal information, details about their military service, medical information, and any caregiver or medical assistance they receive. It's important to read the instructions carefully and fill out each section completely.
The purpose of VA Form 21-0972 is to evaluate and determine the eligibility of veterans or their dependents for additional financial support due to medical conditions that limit their ability to care for themselves.
The information that must be reported on VA Form 21-0972 includes personal and contact details, information about veterans' service, medical conditions, description of daily activities, and details regarding caregivers or any assistance received.
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