Received a letter from VA today regarding my mother’s claim for A&A benefits. I had previously sent the VA a letter from the ALF which stated when she moved there (July 2014), that she needs assistance with ADLs and IADLs, and her monthly cost. Now the VA says “you have told us that the patient is in a nursing home” which is not true. They want the “nursing home” to complete form 21-0779. My questions are: 1) Do I cross out “nursing home” and write in “ALF” throughout the form? 2) How is question 8 answered? (amount patient is responsible for out of pocket). Should the ALF enter her monthly fee here? Or a total of all fees paid since she moved in? 3) Question 9 wants to know if she is getting skilled or intermediate nursing care. She is not getting nursing care since she is in an ALF. How do they answer this question? Below the VA’s request for form 21-0779, the VA letter I received today also lists the following: 1) The caregivers name, address and phone number 2) A statement from the caregiver stating what services they provide 3) A statement from the caregiver stating for whom the services were paid to 4) A statement from the caregiver listing the dates and amounts of all care and payments made from the time they began their services to the present All of these items were already in the ALF letter previously sent to the VA, except that it didn’t show all the payments since she moved in – just what the monthly amount is. Do I need to have the ALF write another letter (in addition to form 21-0779) with this information? This process has taken soooooo long. Any help with these questions is appreciated!