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Va 10-1394 Form: What You Should Know

Complete the form. Submit the online form. Go to the bottom of the form and verify your information. Download the VA paper PDF and complete VA Form 10 1394. If you do not want to mail, print, or fax the form to your representative, email the paper form to the address provided in your account. You can also find your address and contact information by accessing your online Profile. NOTE : DO NOT complete the form at the point of purchase: Your representative must first download the paper from the website to complete the paper application (form 10-1394).  After you upload the paper form online to our website, send it via email to your representative. We will email and follow up with you to answer any questions. 10-1394. VA FORM 10-1394 — Veterans Affairs Vital Records Accepted by VA Form and Title Application for Adaptive Equipment Motor Vehicle 1. Title and Vehicle Information The title on the vehicle must be titled by the manufacturer in our state of ownership, including, but not limited to, VIN Number, Vehicle Identification Number (VIN), the make or model of the vehicle, and the county of vehicle ownership. 2. Eligibility Requirements If the applicant is age 65 or older, in good health, and is able to drive a vehicle for a reasonable distance each day, the applicant must have a valid permit for the purpose of using an Adaptive Motor Vehicle in the applicant's home county, which must contain the VIN number on the permit and be titled by the manufacturer in the applicants home state. However, the applicant need not be under the influence of any controlled substance, and may drive the vehicle with a valid drivers license, a medical certificate, a physicians statement, or a letter from the person who is the owner or co-owner of the vehicle certifying the person with a disability has an adapted vehicle and driving that vehicle with the adapted equipment. 3. Application Documentation An applicant for the title shall supply the following documentation: A valid vehicle title from the applicants home state or his/her current States official title for a motor vehicle issued to him/her under laws similar to the provisions of title 4 A valid form for a motor vehicle tax or a tag, if applicable. Vital Records Accepted by VA Form and Title Applications for Adaptive Equipment Motor Vehicle 1.

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