For assistance, support or if you're in a crisis, call us, it's free: 855-462-0100
VA Aid and Attendance
Application Instructions


You will need the following. Make sure you keep copies of everything you submit.

1.   Find your discharge papers DD214 or standard form 180. If you no longer have them in your possession go to:

2.   Social Security award letter from January

3.   Proof of bills

4.   Physician statement VDVA 10 required in Illinois

5.   Surviving Spouse - You will need a copy of your marriage and death certificates.

STEP ONE - Fill Out These Forms

VDVA 10        Physician statement
VA10-10EZ    Medical Expenses
VA21-4142     Consent Form
VA21-0845     Authorization to Disclose Personal Information
VA21-8416     Medical Expense Form
*VA21-22       Appoint Veterans Service Organization as Rep
*VA21-22A    Appoint Representative
VA21-526      Vet or Couple Only
VA21-534      Spouse Only
VA21-0779    Nursing Home Information Form (for those living in a  facility)

*Fill out either VA21-22 or VA21-22A depending on who your advocate is

STEP TWO - Apply through an advocate to get the VA Aid and Attendance Benefit. Do not apply directly to the VA. Call 855-462-0100 to get referrals for advocates in your area.