About VA Form 21-4502
- Related to: Disability
- Form last updated: November 24, 2021
When to use this form
Use VA Form 21-4502 if you’re a Veteran with a disability and you want to apply for compensation for a vehicle that meets your needs. This may include a specially equipped vehicle for you to drive or adaptive equipment to help you get in and out of your vehicle.
Downloadable PDFDownload VA Form 21-4502 (PDF)
Helpful links related to VA Form 21-4502
Find out if you qualify for compensation for a presumptive disability or other service-connected conditions.
Find out how to file a claim for disability compensation or increased disability compensation.
Find out if you need to complete additional forms for your disability claim.
Find out if you can get a VA automobile allowance if you’re a Veteran living with a service-connected disability that prevents you from driving.