Filing for Pension with Aid and Attendance
Checklist of what you need when filing for benefits:
Income Records
VBA-21-22-ARE - Power Of Attorney - Appointment Of Veterans Service Organization as Claimant's Representative
VBA-21-4138-ARE -Statement in Support of Claim
VBA-21-527EZ-ARE - Fully Developed Claim Veteran Only (Pension)
VBA-21-534-ARE - Surviving Spouse Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)
VBA-21-0779-ARE - Request for nursing home information
VBA-21-2680-ARE - Doctor Form - Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
VBA-21-686c-ARE - Declaration of Status of Dependents
VBA-21-8416-ARE - Medical Expense Report
If you need Help filing out these forms please contact: Kent County
Veterans Services: This may speed up the process.
Kent County Veterans Services (616) 632-5722
Send these forms To:
Milwaukee VA Pension Center
PO Box 342000
Milwaukee, WI 53234
The Kent County Veterans Services can assist you with this.
Income Records
- Social Security Benefit Statement
- Veteran
- Spouse
- Bank Statements
- Account Balance
- Interest Earned
- Investment Statements
- Account Balance
- Interest Earned
- Social Security Benefit Statement showing Medicare Part A,B,D,C deductions
- Supplemental Insurance Bills
- Pharmacy Printouts
- Individual Provider Statements
- Physician
- Eye Doctor
- Dentist
- Other Provider
- Care Expense Statement from Nursing Home
- DD214 - original or certified copy
- Marriage License
- Death Certificate
VBA-21-22-ARE - Power Of Attorney - Appointment Of Veterans Service Organization as Claimant's Representative
VBA-21-4138-ARE -Statement in Support of Claim
VBA-21-527EZ-ARE - Fully Developed Claim Veteran Only (Pension)
VBA-21-534-ARE - Surviving Spouse Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)
VBA-21-0779-ARE - Request for nursing home information
VBA-21-2680-ARE - Doctor Form - Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
VBA-21-686c-ARE - Declaration of Status of Dependents
VBA-21-8416-ARE - Medical Expense Report
If you need Help filing out these forms please contact: Kent County
Veterans Services: This may speed up the process.
Kent County Veterans Services (616) 632-5722
Send these forms To:
Milwaukee VA Pension Center
PO Box 342000
Milwaukee, WI 53234
The Kent County Veterans Services can assist you with this.