Hi. My mother's claim (she's the vet) was recently approved and the claim decision letter says that she may be entitled to pension up to one year prior to the date of the claim. Since her expenses, income, and dementia are all the same as they were twelve months ago I think this is worth pursuing. They ask that we fill out a Form 21-0510 (EVR form) and a Form 21-0516, Medical Expenses Report. I'm looking for some advice and guidance on filling out the Form 21-0516 Medical Expenses Report and I've searched this forum but I can't find what I'm looking for. Hence my specific post. Can someone with experience with this "twelve month prior" process tell me how they did it or answer these questions? 1. For medical expenses for Assisted Living for someone with dementia who needs help with activities of daily living, do I put down the total cost of the ALF ($2950/mo.) or the part that the ALF states that they charge for "care" ($350)? It makes a big difference, obviously. 2. The Dr's form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance, was filled out for the initial claim was signed January 13, 2010. Do I need to get and submit something on a VA form that says that her diagnosis was the same through 2009? Would a letter do? Or nothing at all? Sometimes the less submitted the better. 3. With the initial claim I submitted a letter from her current ALF that stated the amount she paid monthly and the assistance she received for that amount. In 2009 she lived in a different ALF. Should I get a letter from that one too or just submit the expenses with the name of the facility? 4. The VA asks for expenses for the period of Feb. 2009 to Dec. 2009. If the expenses were the same for each month do I need to list each expense for each month (date paid) on the Form 21-8416 or can I abbreviate it, like, 2/09 through 12/09. 5. How important is the, "Send us the facts or papers we need as soon as possible, preferably within 30 days" statement? I'm gonna miss the 30 days. Thanks for sharing your experience.