Create Va Form 21 4502

Va Form 21 4502: What Is It?

A VA Form 21-4502 is known as an Authorization for Automobile or Other Conveyance and Adaptive Equipment. This form is used by the Department of Veterans Affairs in the United States. This form will be used by a veteran who wishes to file a claim for an allowance to purchase an automobile or adaptive equipment due to a medical disability.

This form will require information about the claimant and their medical disability. The first section will require personal information and information about the conveyance the claimant is requesting. This could be a new automobile, truck, or other adaptive equipment. Section II will need to be completed by the VA. This part will detail the claimant’s qualifying disability. The final section will only be completed after a vehicle has been purchased by the veteran. It will detail the information about the equipment, such as price, make, and model.