When preparing a decision notice, notify the claimant of any additional h. Notifying Claimants of benefit(s) to which potential entitlement exists and, if applicable, the form or Potential web site available for applying for the benefit(s). Entitlement to Additional The below lists Benefits additional benefits to which a claimant may be entitled the form for applying for each benefit, and references to additional information these benefits. Benefit Form Reference Veterans’ Group M21-1, Part III, VA Form 29-4364, Application Life Insurance Subpart vi, 8.6.b for Service-Disabled Veterans (VGLI) Insurance vocational M21-1, Part IX, VA Form 28-1900, rehabilitation Subpart i, 1.A.2.c Disabled Veterans Application for Vocational Rehabilitation, and VA Form 28-8890, Important Information About Rehabilitation Benefits health care for M21-1, Part III, VA Form 10-10EZ, Application service-connected Subpart v, 7.A.1.c for Health Benefits disabilities automobile or M21-1, Part IX, VA Form 21-4502, Application adaptive Subpart i, 2.4.a for Automobile or equipment Conveyance and Adaptive Equipment special adaptive M21-1, Part IX, VA Form 26-4555, Application housing Subpart i, 3.1.a in Acquiring Specially Adapted Housing or Special Home Adaption clothing M21-1, Part IX, VA Form 10-8678, Application allowance Subpart i, 7.1.d for Annual Clothing Allowance Dependent’s M21-1, Part III, VA Form 22-5490, Dependents’ Educational Subpart iii, 6.C.1.b Application for VA Education Assistance (DEA) Benefits special monthly M21-1, Part V, VA Form 21-2680, Examination pension (SMP) Subpart iii, 2.A.1 for Housebound Status or Permanent Need for Regular Aid and Attendance additional benefits M21-1, Part III, Form 21-686c, Declaration of for a Subpart iii, 5.A.1.c Status of Dependents spouse/children Important: In addition to decision notices processed through ADL, Personal Computer Generated Letters (PCGL) do
h. Notifying Claimants of Potential Entitlement to Additional Benefits When preparing a decision notice, notify the claimant of any additional benefit(s) to which potential entitlement exists and, if applicable, the form or web site available for applying for the benefit(s). The below lists additional benefits to which a claimant may be entitled the form for applying for each benefit, and references to additional information these benefits. Benefit Form Reference Veterans’ Group Life Insurance (VGLI) VA Form 29-4364, Application for Service-Disabled Veterans Insurance M21-1, Part III, Subpart vi, 8.6.b vocational rehabilitation VA Form 28-1900, Disabled Veterans Application for Vocational Rehabilitation, and VA Form 28-8890, Important Information About Rehabilitation Benefits M21-1, Part IX, Subpart i, 1.A.2.c health care for service-connected disabilities VA Form 10-10EZ, Application for Health Benefits M21-1, Part III, Subpart v, 7.A.1.c automobile or adaptive equipment VA Form 21-4502, Application for Automobile or Conveyance and Adaptive Equipment M21-1, Part IX, Subpart i, 2.4.a special adaptive housing VA Form 26-4555, Application in Acquiring Specially Adapted Housing or Special Home Adaption M21-1, Part IX, Subpart i, 3.1.a clothing allowance VA Form 10-8678, Application for Annual Clothing Allowance M21-1, Part IX, Subpart i, 7.1.d Dependent’s Educational Assistance (DEA) VA Form 22-5490, Dependents’ Application for VA Education Benefits M21-1, Part III, Subpart iii, 6.C.1.b special monthly pension (SMP) VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance M21-1, Part V, Subpart iii, 2.A.1 additional benefits for a spouse/children Form 21-686c, Declaration of Status of Dependents Important: In addition to decision notices processed through ADL, Personal Computer Generated Letters (PCGL) do M21-1, Part III, Subpart iii, 5.A.1.c
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