Va Automobile Adaptive Equipment Form

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Va automobile adaptive equipment form.

Download va form 10 1394 pdf we may pay you or we may pay the equipment seller directly. Purchase a vehicle. All van modifications require prior authorization before purchase. Application for automobile or other conveyance and adaptive equipment fillable file type.

Veterans are trained through the va driver s rehabilitation program how to safely operate their vehicle on our nation s roadways. Application for adaptive equipment motor vehicle. Part i to be completed by applicant if more space is needed attach a separate sheet and identify by item number 4. Obtain the original copy of va form 21 4502 from the veteran or servicemember after he or she has completed section iv.

Deliver the vehicle including va approved adaptive equipment provided and or installed by the seller. Request for dd 214 or other military records nara sf 180. The automobile adaptive equipment aae program permits physically challenged persons to enter exit and or operate a motor vehicle or other conveyance. Date of va certificate of eligibility.