فرم 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.