First of all, this site has been a godsend in attempting to get my mother-in law a&a benefits so thank you! We sent in the initial placeholder form back in May 2014 using the verbage found here while we collected the documentation necessary . After many, many frustrating back and forth communications over the past year, and finally getting her local congressman involved out of desperation since she had no money left, we were just notified she was approved! Her monthly benefits are starting, but her retroactive benefits for the year are being withheld until a fiduciary is assigned due to a rating of medical incompetency. I have a few questions... First, I saw the verbiage suggested in the FAQ for form 21-438 stating that we accept the incompetency designation and want to have a specific person assigned as fiduciary, in this case her son, who also has POA (although I know that doesn't mean anything here). Does it matter who signs that form? Would it be her, or her son, or me as I am the one who has the authority to call the VA and discuss her affairs? Also, she is in a desperate financial hole. Does the second part of the suggested verbiage trying to get the funds expedited by indicating hardship apply to the retroactive portion if they are already agreeing to pay monthly from here on out? And finally, once the retroactive funds are received, are we allowed to reimburse ourselves for money we put out on her behalf for medical needs when she ran out and was not yet approved (ie, asst living rent, prescriptions, etc.) between the time we submitted the initial application and the date it was approved? Thank you so much for your help!