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About VA Form 26-4555

Form name: Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant
Related to: Housing assistance
Form last updated: June 2022

When to use this form

Use VA Form 26-4555 to apply for a Specially Adapted Housing grant or a Special Home Adaptation grant. The information you provide helps us determine or verify your eligibility for these disability housing grants.

Downloadable PDF

Download VA Form 26-4555 (PDF)
  • VA direct and VA-backed Veterans home loans can help Veterans, service members, and their survivors buy, build, improve, or refinance a home. Learn about our different loan programs—and how to apply.

  • Find out if you're eligible for disability housing grants for Veterans and service members with certain service-connected disabilities.

  • Find out how to apply for a Specially Adapted Housing (SAH) or Special Home Adaptation (SHA) grant.

  • Learn about benefits for spouses, dependents, and survivors. If you’re caring for a Veteran in your family or shared home, you may also be eligible to receive certain benefits.