Va Form 21P-8416. If no dates appear on this line, refer to the accompanying letter or eligibility verification report for the dates you should report medical expenses. In most instances, the amount received will be countable income for va purposes.
VA Form 21P601 Printable, Fillable in PDF VA Form
If you or a family member received compensation for injury, illness or death, you must report the date and amount of the recovery to va. For whom paid (self, spouse, child, etc.) a. Which will not be used. If no dates appear on this line, refer to the accompanying letter or eligibility verification report for the dates you should report medical expenses. Worksheet for an assisted living, adult day care, or a similar facility. Medical expense (physician or hospital charges, eyeglasses, oxygen rental, medical insurance, etc.) d. These must be expenses you weren’t reimbursed for and don’t expect to be reimbursed for. Which will not be used. Instructions for medical expense report. Quickly access top tasks for frequently downloaded va forms.
Mileage for privately owned vehicle travel for medical purposes. Which will not be used. Medical expense (physician or hospital charges, eyeglasses, oxygen rental, medical insurance, etc.) d. Medical and dental expenses paid by you may be deductible from the income va counts when. Instructions for medical expense report. Va may be able to pay you at a higher rate if you identify expenses va considers allowable. Name of provider (name of doctor, dentist, hospital, lab, etc.) medicare (part b) private. If no dates appear on this line, refer to the accompanying letter or eligibility verification report for the dates you should report medical expenses. Worksheet for an assisted living, adult day care, or a similar facility. These must be expenses you weren’t reimbursed for and don’t expect to be reimbursed for. If you or a family member received compensation for injury, illness or death, you must report the date and amount of the recovery to va.
