step in submitting an application for a Veteran's Pension or Spouse/Child Death Benefit is to attain
the Service Records of the Veteran.
Attain Veteran's Service Records On Line
National Archives Service Records Electronic Request
Request for Veteran's records
PDF Standard Form 180 Request of Service Records
Second Step is to have the veteran/spouse appoint a representative to submit forms on his/her behalf.
Appointment of Representative
Individual, Service Organization Or Family Member
VBA-21-22A Appointment of Individual as Claimant's Representative
Appointment of Service Organization
Authorization for VA to Release Information to Designated Representative
Third Step is to also have the Veteran/Spouse
authorize the VA to release information to the designated representative.
The Third Party Authorization form is needed to be completed for all individuals or service
organizations to attain records of the veteran. This includes individuals/family members assisting in preparing the
application for pension benefits.
VA 21-0845 Authorization (For the VA) to Disclose Personal Information to a Third Party
Step four is also required for the designated representative/organization
to be able to release information to the VA.
This Form is necessary to be completed for all parties providing services to the Veteran, Spouse/Child
in order to release information to the VA as part of the application.
VA Form 21-4142 Authorization and Consent to Release Information to the Department of Veterans Affairs
Step five is to also complete
the financial information form.
This form establishes the financial need for assistance and ultimately the amount
of assistance. There is no net worth limited specified however the general guidance is that between $70,000 to $80,000
in net worth (EXCLUDING the Veteran/Spouse primary residence and automobile).
VBA-21-527 Income - Net worth and Employment Statement
Step six is to have the nursing
home or assisted living facility complete the form below. If the veteran or spouse requires at home care a physician's
statement should be included in support of the claim.
to be completed by Assisted Living Facility, Nursing Home and/or Attending Physician
Form 21-0779 establishes
the need for Aid and Attendance (Pension payments greater than Base Pension). This form should be completed by the Nursing
Home or Assisted Living facility and submitted with the application for Pension.
VA-21-0779 Request for Nursing Home Information
Statement of Attending Physician
Other Supporting Forms
Certification No Fees Paid
Certification of Recurring Medical by Provider
Certification of Recurring Medical Expenses
Certification of Fully Developed Claim
General Claim Support Statement
Last step is to file the
completed forms with one of the three regional offices which process Pension Benefits.
It is recomend that applications be sent via Federal Express
or UPS/USPS return receipt requested to be assured that application was submitted, received and establishes the date of the
application. Approval of applications may take a year or more but pension benefits are paid retro-actively from date
of the application establishing the date the application was submitted is important.
Alternatively you can file electronically by clicking on eBenfits
Logo below to complete form online. We suggest that you complete a paper copy prior to entering information on line.
If you need assistance in completing the forms contact the VAAC for a member service provider in your area.
Click here to link to the Submit Application through www.ebenefits.va.gov