Va form 28 10212 2025

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If you would like to submit an additional statement on your own behalf or if you have more than one witness writing on your behalf, use a separate form (VA Form 21-10210) for each statement.
You can also submit a statement yourself. A well-written lay statement can have a docHub impact on whether a claim is approved.
When to use this form. Use VA Form 21-10210 to submit a formal statement to support your VA claimor the claim of another Veteran or eligible family member. People also sometimes call this statement a buddy statement.
It differs from evidence such as a nexus letter which is provided by a medical professional. Here is an example a spouse might provide in a lay statement: My husband was outgoing before his deployment. Since he came back, he doesnt want to spend time with our family or go out on dates with me.
Spouses are perfect candidates to write lay statements since they share daily life with the veteran.
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Who Can Write the Buddy Letter? Any individual 18 years old or older who knows the veteran and can be considered a legitimate witness to the veterans condition can write a VA buddy letter.
Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care.
Fill out VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance), You can have your doctor fill out the examination information section. You can also include with your VA form: Other evidence, like a doctors report, that shows you need Aid and Attendance or Housebound care.

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