VAFORMS.NET – VA Form 2130 – Inspection Sheet—Prosthetic Dealer – If you are a veteran with a disability that requires the use of a prosthetic device, you know that getting fitted and approved for the device is only half the battle. The next step is to find a qualified prosthetic dealer who can provide the device and any necessary maintenance or repairs. The Department of Veterans Affairs has a form, VA Form 2130 – Inspection Sheet Prosthetic Dealer, that you can use to help find a reputable dealer in your area.
Download VA Form 2130 – Inspection Sheet—Prosthetic Dealer
| Form Number | VA Form 2130 |
| Form Title | Inspection Sheet—Prosthetic Dealer |
| Edition Date | July 2022 |
| File Size | KB |
What is a VA Form 2130?
A VA Form 2130 is an inspection sheet that is completed by a prosthetic dealer when they are sending in prosthetic devices for repairs. The form is used to document the condition of the device, what parts need to be repaired, and the estimated cost of the repairs. The form must be signed by an authorized representative of the prosthetic dealer before it can be sent to the VA for approval.
Where Can I Find a VA Form 2130?
If you’re a veteran in need of a prosthetic device, you may be wondering where you can find a VA Form 2130. This form is also known as an Inspection Sheet Prosthetic Dealer, and it’s used to request an inspection of prosthetic devices from authorized VA facilities.
There are two ways to get a VA Form 2130. The first is to request one from your local prosthetic representative. The second is to download the form from the internet. Once you have the form, simply fill it out and submit it to the nearest VA facility for processing.
If you have any questions about where to find a VA Form 2130, or how to fill it out, be sure to contact your local prosthetic representative or the nearest VA facility for assistance.
VA Form 2130 – Inspection Sheet—Prosthetic Dealer
If you are a prosthetic dealer who does business with the Department of Veterans Affairs (VA), you are required to use the VA Form 2130 – Inspection Sheet. This form must be used for each item of prosthetic or orthotic equipment that is delivered to a VA facility.
The purpose of the inspection sheet is to ensure that the equipment being delivered meets all of the VA’s standards and specifications. The form must be filled out in full and signed by an authorized representative of the prosthetic dealer before delivery can be made.
If you have any questions about the VA Form 2130 – Inspection Sheet, please contact your local VA prosthetics office.
VA Form 2130 Example
