Is the veteran 65 or older? If you are a surviving spouse, answer "Yes" to this question as there is no age requirement.
YesNo
Did the veteran serve during a period of war?
Is the veteran or spouse currently receiving a VA benefit for a service connected injury or illness that is more than $2,000 per month?
Is the veteran or spouse, now or in the very near future, in need of assistance with one or more of the daily activities of living such as bathing, dressing, eating, transferring/mobility, and toileting?
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