Filling in the Attendance Allowance application form can be difficult and time-consuming. It can also be hard to measure how much care the person with dementia needs when you have been helping them for a while and it has become routine.
The section on eating, drinking or cutting up food is one of the most important, which the assessors will focus on. You will need to make it clear if the person with dementia is unable to plan, purchase and prepare food and drink, especially if they are totally dependent on others for these processes.
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As well as the Attendance Allowance application form, you will need to send in a form called SR1, which you can get from the GP, a nurse or a social worker. They will either fill the form out for you or give it to you to fill out.
You should receive a text or letter around three weeks after sending in your form telling you how long it will take to make a decision. You will then receive a letter explaining the outcome and, if the claim was successful, how much the person will receive.
It is best to contest the decision by letter or form so there is a written record of the points you have raised. Make a copy so you can re-send it if it goes missing or refer to it later if you need to.
To speak to a dementia specialist Admiral Nurse about Attendance allowance or any other aspect of dementia, please call our Helpline on 0800 888 6678 (Monday-Friday 9am-9pm, Saturday and Sunday 9am-5pm, every day except 25th December) or email helpline@dementiauk.org
You can ask to have a copy of the form sent to you by calling 0345 605 6055 (Monday to Friday 8:00 to 18:00) or you can go online to either download and print the form. You can download guidance from the Department of Work and Pensions about completing the form too.
If you are suffering from a terminal illness, and are expected to live for 6+ months, there are special rules to ensure you receive your allowance as quickly as possible. To apply for the special rules, you must include a DS1500 form with your main application (this form is provided by a GP or consultant).
If you are temporarily away from home, your AA should not be affected. This includes going into a hospital/care home for less than 4 weeks, going abroad for less than 13 weeks (26 weeks if you go abroad to receive treatment).
If you plan to fill in the form online, it is advisable to also open the printable version as this provides all the notes for filling it in. You can have your Attendance Allowance packs in large print or braille, and can also have an interpreter organised.
The applicant must sign the form. The only exceptions to this are if someone else holds Power of Attorney, or the applicant has a mental-health problem that prevents them from signing. There is an explanation on the form of what needs to be done in these circumstances.
Veterans want Canadians to understand the price of freedom. They are passing the torch to the people of Canada, so the memory of their sacrifices will continue, and the values they fought for will live on in all of us.
The attendance allowance helps to cover the cost of hiring a caregiver to assist you in your day-to-day life. The amount you can receive is based on the level of care you need, from occasional to full-time supervision and care.
The DTC helps reduce the income tax that people with physical or mental impairments, or their supporting family members, may have to pay. It aims to offset some of the costs related to the impairment. Learn more about this non-refundable tax credit available through the Canada Revenue Agency.
The amount you receive depends on the nature of your disability. A grade level between 1 and 5 is assigned depending on the impact your disability has on your ability to live independently. Grade 1 is the highest grade. See the current rates.
If a claimant is receiving the aid and attendance of another person because the claimant is so helpless as to be unable to perform certain activities of daily living independently, or the claimant is considered housebound, meaning he or she is basically confined to living quarters for life, there are additional payments available as monetary allowances.
Please do not confuse the meaning of "aid and attendance" or "housebound." These phrases pertain to medical ratings and 18 different monetary allowances available with Veterans Pension, Survivor's Pension, Disability Compensation, Dependency and Indemnity Compensation (DIC) and certain forms of Special Monthly Compensation (SMC). The phrase "aid and attendance" is especially confusing because most individuals have been led to believe this is the name for Veterans Pension or Survivor's (Death) Pension. Unfortunately, the media has chosen to call both forms of Pension "Aid and Attendance."
Aid and attendance and housebound allowances are medical ratings and additional amounts of money available with all VA disability income benefits to help individuals receiving these benefits cope with the added burden of helplessness or being housebound.
-inability of claimant to dress or undress himself (herself), or to keep himself (herself) ordinarily clean and presentable;
- frequent need of adjustment of any special prosthetic or orthopedic appliances which by reason of the particular disability cannot be done without aid (this will not include the adjustment of appliances which normal persons would be unable to adjust without aid, such as supports, belts, lacing at the back, etc.);
- inability of claimant to feed himself (herself) through loss of coordination of upper extremities or through extreme weakness;
- inability to attend to the wants of nature;
- or incapacity, physical or mental, which requires care or assistance on a regular basis to protect the claimant from hazards or dangers incident to his or her daily environment.
-"Bedridden" will be a proper basis for the determination (need for aid and attendance). For the purpose of this paragraph "bedridden" will be that condition which, through its essential character, actually requires that the claimant remain in bed. The fact that claimant has voluntarily taken to bed or that a physician has prescribed rest in bed for the greater or lesser part of the day to promote convalescence or cure will not suffice.
It is not required that all of the disabling conditions enumerated in this previous paragraph be found to exist before a favorable rating may be made. The particular personal functions which the veteran is unable to perform should be considered in connection with his or her condition as a whole. It is only necessary that the evidence establish that the veteran is so helpless as to need regular aid and attendance, not that there be a constant need.
Determinations that the veteran is so helpless, as to be in need of regular aid and attendance will not be based solely upon an opinion that the claimant's condition is such as would require him or her to be in bed. They must be based on the actual requirement of personal assistance.
(c) Attendance by relative. The performance of the necessary aid and attendance service by a relative of the beneficiary or other member of his or her household will not prevent the granting of the additional allowance."
Almost without exception, ratings received in conjunction with long term care services in the home or in a care facility are ratings for aid and attendance. This must be obvious because these are the type of services that these care providers offer. They provide professional help with activities of daily living. Or they provide supervision for individuals who are cognitively impaired or have severe physical disabilities and could injure themselves without supervision.
Assistance with Activities of Daily Living (ADLs) and potential Instrumental Activities of Daily Living (IADLs) involve the services of a person to provide the regular aid and attendance to a resident or a client receiving this care. It may be possible that a claimant residing in one of these care settings is housebound and does not need any assistance. This would then generate a rating for housebound which is always a lesser amount of allowance. It is more likely that a rating for housebound would be considered for someone who is living in his or her own home. The need for IADLs by themselves is not sufficient enough to trigger a rating for aid and attendance.
(1) Has additional service-connected disability or disabilities independently ratable at 60 percent, separate and distinct from the 100 percent service-connected disability and involving different anatomical segments or bodily systems,
(2) Is permanently housebound by reason of service-connected disability or disabilities. This requirement is met when the veteran is substantially confined as a direct result of service-connected disabilities to his or her dwelling and the immediate premises or, if institutionalized, to the ward or clinical areas, and it is reasonably certain that the disability or disabilities and resultant confinement will continue throughout his or her lifetime.
Most veterans are going to qualify for being "housebound" under the second option above. Not very many veterans are going to qualify by being 100% rated disabled for Compensation and then having VA say that they have an equivalent combined rating of 60% from other disabilities. Please note that any veteran in this situation would not have a final rating of 160%. The most available is 100%. What this is saying is that VA has determined there are additional disabilities that could be rated at 60% independently without actually paying the veteran for those disabilities since the veteran is already being paid at 100%.
A number of appeals in the past have addressed what "substantially confined" means. Previous board decisions had determined that substantially confines means that the claimant is restricted to his or her house and even restricted to leaving for medical treatment purposes. The Court of Appeals for Veterans Claims overturned those previous BVA decisions. 152ee80cbc
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