Va Automobile Adaptive Equipment Form

Veterans are trained through the va driver s rehabilitation program how to safely operate their vehicle on our nation s roadways.

Va automobile adaptive equipment form.

Application for adaptive equipment motor vehicle. Driver s license verification check applicable block 6. Request for dd 214 or other military records nara sf 180. If you are unable to find your form here you may want to visit.

Purchase a vehicle. If you qualify for adaptive equipment only you ll need to fill out an application for adaptive equipment motor vehicle va form 10 1394. Date of va certificate of eligibility. Deliver the vehicle including va approved adaptive equipment provided and or installed by the seller.

All van modifications require prior authorization before purchase. The automobile adaptive equipment aae program permits physically challenged persons to enter exit and or operate a motor vehicle or other conveyance. Obtain the original copy of va form 21 4502 from the veteran or servicemember after he or she has completed section iv. If va determines you are eligible read the instructions on va form 21 4502 for a list of adaptive equipment preapproved for particular disabilities.