Va Form 21p-534ez - Notice To Survivor Of Evidence Necessary To Substantiate A Claim For Dependency And Indemnity Compensation, Death Pension, And/or Accrued Benefits Page 5
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10EVIDENCE TABLES (Continued)
Dependency and Indemnity Compensation (DIC) (Continued)
In order to support your claim for increased survivor benefits based on the need for aid and attendance, the evidence must
show:
• you have corrected vision of 5/200 or less in both eyes; OR
• you have concentric contraction of the visual field to 5 degrees; OR
• you are a patient in a nursing home due to mental or physical incapacity; OR
• you require the aid of another person in order to perform personal functions required in everyday living, such as
bathing, feeding, dressing yourself, attending to the wants of nature, adjusting prosthetic devices, or protecting
yourself from the hazards of your daily environment (38 Code of Federal Regulation 3.352(a)); OR
• you are bedridden, in that your disability or disabilities requires that you remain in bed apart from any prescribed
course of convalescence or treatment (38 Code of Federal Regulation 3.352(a)); OR
In order to support your claim for increased benefits based on being housebound, the evidence must show:
• you are substantially confined to your immediate premises because of permanent disability
Accrued Benefits:
To support a claim for accrued benefits, the evidence must show:
• Benefits were due the veteran based on existing ratings, decisions, or evidence in VA's possession at the
time of death, but the benefits were not paid before the veteran's death; AND
• You are the surviving spouse, child, or dependent parent of the deceased veteran
VA pays accrued benefits in the following order of priority:
1. Spouse
2. Children of the veteran (in equal shares)
3. Dependent parents (in equal shares)
Helpless Child:
To support a claim for benefits based on a veteran's child being helpless, the evidence must show that the child, before his
or her 18th birthday, became permanently incapable of self-support due to a mental or physical disability.
IMPORTANT
If you are certifying that you are married for the purpose of VA benefits, your marriage must be recognized by the place where you
and/or your spouse resided at the time of marriage, or where you and/or your spouse resided when you filed your claim (or a later
date when you became eligible for benefits) (38 U.S.C. § 103(c)). Additional guidance on when VA recognizes marriages is
available at
HOW VA DETERMINES THE EFFECTIVE DATE
If we grant a claim for death benefits, the beginning date of your entitlement will generally be based on when we received your claim
However, if VA received your claim within one year of the date of the veteran's death, entitlement will be from the first day of the
month in which the veteran died.
The veteran's death certificate is evidence relevant to determining the effective date of any benefits we award.
Higher levels of benefits are available for a veteran's surviving spouse and/or parents who are unable to perform certain activities of
daily living or leave their home. Higher levels of benefits may be effective from the date medical evidence first establishes
entitlement.
For more information on the FDC Program, visit our web site at
For more
information on VA benefits, visit our web site at , contact us at , or call us toll-free at
1-800-827-1000. If you use a Telecommunications Device for the Deaf (TDD), the number is 1-800-829-4833.
VA forms are available at /vaforms.
Page 5
VA FORM 21P-534EZ, JUL 2015
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