VAFORMS.NET – VA Form 21-4502 – Application for Automobile or Other Conveyance and Adaptive Equipment (UNDER 38 U.S.C. 3901-3904) – If you are a veteran with service-connected disabilities, you may be eligible to receive an automobile or other conveyance and adaptive equipment from the Department of Veterans Affairs (VA). The VA Form 21-4502 is the application for this benefit.
Download VA Form 21-4502 – Application for Automobile or Other Conveyance and Adaptive Equipment (UNDER 38 U.S.C. 3901-3904)
| Form Number | VA Form 21-4502 |
| Form Title | Application for Automobile or Other Conveyance and Adaptive Equipment (UNDER 38 U.S.C. 3901-3904) |
| Edition Date | June 2022 |
| File Size | 3 MB |
To be eligible, veterans must have a service-connected disability that requires the use of a wheelchair, scooter, or another mobility device; and they must be unable to operate a standard automobile.
What is a VA Form 21-4502?
A VA Form 21-4502 is a form used by the Department of Veterans Affairs to award grants for the purchase and installation of adaptive equipment for disabled veterans. This form must be completed and submitted in order to be considered for the grant.
The VA Form 21-4502 can be found on the Department of Veterans Affairs website. The form must be filled out completely and submitted in order to be processed. Incomplete forms will not be accepted.
If you are a disabled veteran in need of adaptive equipment for your automobile or other conveyance, you may be eligible for a grant from the Department of Veterans Affairs. To apply, complete and submit a VA Form 21-4502.
Where Can I Find a VA Form 21-4502?
If you are a veteran with a service-connected disability, you may be eligible for a VA Form 21-4502. This form is used to apply for an automobile or other conveyance and adaptive equipment.
To find a VA Form 21-4502, you can visit the nearest Veterans Affairs office or go online to the Veterans Affairs website. Once on the website, you will need to create an account and log in. After logging in, you will be able to search for forms by keyword or category.
If you have any questions about the form or how to fill it out, you can contact your local Veterans Affairs office for assistance.
VA Form 21-4502 – Application for Automobile or Other Conveyance and Adaptive Equipment
If you are a Veteran with certain service-connected disabilities, you may be eligible to receive financial assistance from the Department of Veterans Affairs (VA) for the purchase or modification of an automobile or other conveyance and/or adaptive equipment.
To apply for this benefit, you will need to complete VA Form 21-4502. This form can be obtained from your local VA regional office or online at the VA website.
If you have any questions about this benefit or the application process, please contact your local VA regional office.
VA Form 21-4502 Example
