The following information about this VA form comes from the VA forms database, and any changes are updated here nightly. Contact the form administration for further information.
Link to form
http://www.vba.va.gov/pubs/forms/VBA-21-2680-ARE.pdf
Form number
21-2680
Row ID
4804
Form title
Examination for Housebound Status or Permanent Need For Regular Aid and Attend. (Fill)
Issue date
Revision date
Form administration
VBA
Number of pages
3
Deleted
False
Form name
Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
Form Language
English
Related to
Benefits
VA disability compensation
VA benefits for spouses, dependents, survivors, and family caregivers
VA pension benefits
When to use

Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits. 

Related forms
About VA Form 21-0779
Helpful links
VA Aid and Attendance benefits and Housebound allowance
If you need help with daily activities, or you’re housebound, learn about these benefits and if you qualify.