I'm almost finished with the application packet--whew! What a long process..... Before I mail it, I have a question about the requirements for a fiduciary.... My mom is in the moderate to severe stage of Alzheimers which the Dr has noted on her 21-2680 medical examination report. and I was wondering if I should go ahead and send the 21-4138 stating that I have no issue with the VA finding of incompetence and wishing to proceed with the appointment of a fiduciary and also including a copy of 21-592? OR should I wait until the VA actually asks for those forms? Is there any hope that they would not require a fiduciary...that's probably a silly question since the Dr. said no to the question "does the claimant have the ability to manage her own financial affairs?" The Dr. also noted "due to cognitive impairment, she cannot manage her own affairs." Thought I would get some advice on including these forms with my initial application or not...... thank you.