Va form 10 1394-2026

1. Click ‘Get Form’ to open VA Form 10-1394 in the editor.
2. Begin by filling out Part I, which includes your name and address, claim number, and social security number. Ensure all mandatory fields are completed accurately.
3. In section 7, check the applicable disabilities that affect your driving capabilities. This helps in determining the adaptive equipment needed.
4. Provide details about the vehicle for which adaptive equipment is required in section 8. Include make, model, and vehicle identification number.
5. List the adaptive equipment you are requesting in section 10. Be sure to check all items needed and provide estimated costs where applicable.
6. Complete the payment information in section 11, indicating whether payment should be made to a dealer or for personal reimbursement.
7. Finally, sign and date the form in sections 13 and 24 to certify receipt of services or items authorized.

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