21-4502

Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904) (VA Form 21-4502)

Agency
VA
Revision
2024-08-18
Fillable fields
90
Fill 21-4502 online
21-4502

Form 21-4502: Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904) (VA Form 21-4502)

Use VA Form 21-4502 if you’re a Veteran or service member with qualifying disabilities and want to apply for benefits to help pay for a vehicle that meets your needs. This benefit can help you buy a vehicle or other conveyance (like a motorhome, commercial truck, or farm machine) and approved adaptive equipment so you can drive or get in and out safely.

How to fill out Form 21-4502 online

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