Driver s license verification check applicable block 6.
Automobile adaptive equipment va.
Year you received grant for vehicle.
If you are entitled to adaptive equipment only i e service connected for ankylosis of knees or hips you should complete va form 10 1394 application for adaptive equipment motor vehicle and submit it to your local va medical center.
Veterans are trained through the va driver s rehabilitation program how to safely operate their vehicle on our nation s roadways.
Application for automobile or other conveyance and adaptive equipment fillable file type.
Automobile and special adaptive equipment grants.
Automobile adaptive equipment is used to permit physically challenged persons to enter exit and or operate a motor vehicle or other conveyance.
4 if you are unable to find your form here you may want to visit.
You can find your local va medical center on the health facility locator page.
Can a veteran receive financial assistance from va to purchase an automobile.
Va automobile special adaptive equipment grant.
The automobile adaptive equipment aae program permits physically challenged persons to enter exit and or operate a motor vehicle or other conveyance.
Download va form 21 4502 pdf we ll pay the vehicle s seller directly.
For the adaptive equipment grant.
Contact the nearest va health care facility for more information on add on equipment.
Application for adaptive equipment motor vehicle.
Veteran or service members with certain disabilities can receive a grant to purchase a new or used vehicle.
This veterans health administration vha directive updates cost limitations for standard items of automobile adaptive equipment to reflect current prices.
These disabilities must be the result of an injury or disease.
If you qualify for adaptive equipment only you ll need to fill out an application for adaptive equipment motor vehicle va form 10 1394.
Department of veterans affairs vha directive 2011 046 veterans health administration washington dc 20420 december 30 2011 reimbursable amount for automobile adaptive equipment.
Part i to be completed by applicant if more space is needed attach a separate sheet and identify by item number 4.
The adaptive equipment benefit may be paid more than once and it may be paid to.
Purchase of add on adaptive equipment equipment furnished by someone other than the automobile manufacturer that is not approved by va.
It includes but is not limited to power steering power brakes power windows power seats and other special equipment necessary to assist the eligible person.