Request for VA to consider 100% Rating This is a claim for increased rating in the veteran’s service-connected condition from [insert current rating] to a total schedular rating, 100 percent. The evidence supporting the veteran’s claim includes:

_________________.

Request for VA to consider SMC(s) - Housebound

There is also evidence in the record that the veteran is housebound, that is, substantially confined to [his or her] dwelling and the immediate premises. 38 C.F.R. § 3.350(i)(2). This evidence includes:

_____________[refer to medical evidence that the veteran is mostly confined to the house and yard].

Therefore, the veteran respectfully requests that entitlement to housebound benefits be considered.