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Va 21-4502 Form: What You Should Know

S.C. 3) and related services.  The application includes questions about the type of vehicle/ equipment, its use, whether any of the equipment is permanently attached in a permanent fixed location, whether the particular vehicle/ equipment is used primarily by the disabled veterans, whether the transportation needs of that disabled veteran have been met by a commercial carrier or by a private carrier at a regular or reduced rate of the following: 1. Commercial motor carrier fares; 2. Automobile rental or repair; 3. Towing or storage; 4. Rental car or other non-automobile transportation; and, 5. Any other transportation services the applicant is responsible for providing for the disabled veteran. The application also requires a statement of the applicant's knowledge of the disability of the disabled veteran. VA Form 21-4502 also asks: Do each of the disabilities listed above have an impact on the person's ability to drive? To answer this question as fully as possible, there may be circumstances, such as the following: 1. Disability to be driving only a small vehicle in the home with limitations in how far the small vehicle can travel; 2. Impairment in driving ability due to another medical condition; 3. Impairment in driving because of the effect of any medication that may reduce the person's ability to drive; 4. Impairment in driving due to alcohol abuse or alcoholism; 5. Impairment in driving due to an accident involving the disabled veteran, the other party of the accident or the disabled veteran; 6. Impairment due to a condition or injury that is affecting the person's ability to drive in other ways, such as having difficulty maintaining concentration, being unaware of hazards, or not hearing sounds; and 7. Impairments that are not part of the previous 7. 7. (For more information on what the form actually asks and what other questions might be asked, see the comments on the form.) The applicant answers each of the 21 questions correctly or agrees to respond truthfully under penalty of perjury. The form provides the disabled veteran with a supporting statement. Once approved, the form is mailed to the applicant, along with Form 21-4502, for processing by a VA Disability Processing Center or other appropriate entity. Thereafter, to receive benefits under the provisions of the Act, the applicant must submit an updated VA Form 21-4502 to prove his or her eligibility. Any further action necessary to process the claim can be referred to the appropriate State or local agency.

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Video instructions and help with filling out and completing Va form 21-4502

Instructions and Help about Va form 21-4502

This is Monique, with Integer Daily Sunshine. So, remember last weekend, I went out and looked at a couple of accessible vans and found one that I really liked. But, just like real estate, you're not supposed to fall in love with it until the deal is closed. It feels like the deal is not closed yet, so we're going to have to look for another vehicle. What I did do on Monday, since you know the VA (Veterans Affairs) is right across the street from the rehab hospital, was go across and speak with my dad's social worker. She was able to give me a lot of information and I was like, great, this is coming at the best time. She gave me the VA Form 2145-2, which is the application for automobile or other conveyance for its active and adaptive equipment. So, I have to fill out this form and send it. They said it's a government process and form, so it's going to take some time. I just have to sit tight. But there are ways for my dad to get the van, and I'm very pleased about that. This is Monique, thanks for watching.