VA Form 21-10210 Lay Witness Statement 2025

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I also experience panic at loud sounds, such as fireworks and cars backfiring. I have found it difficult to hold a job, as my anger and anxiety affect my ability to work. Due to my symptoms, my family members encouraged me to see a psychiatrist. This is when I received a PTSD.
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.
Its a lay statement because its non-official. Dont worry about hyping it up and instead just write what you experience, his experiences and how it impacts his life, in detail. Try to be as brief as possible while still hitting all points.
VA Form 21-10210, Lay Witness Statement, is comprised of the following five sections: Section I Veterans Identification Information. Section II Claimants Identification Information. Section III Statement. Section IV Witness Contact Information. Section V Certification of Statement and Signature.
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.

Facts about VA Form 21-10210 Lay Witness Statement

The VA Form 21-10210 Lay Witness Statement is a crucial document that allows veterans or their representatives to provide supporting statements for claims, enhancing the credibility and context of their applications.

Use cases of the form

Form filing requirements

How to submit the VA Form 21-10210 Lay Witness Statement?

Other important aspects to understand about completing VA Form 21-10210 Lay Witness Statement

Use cases of the form

This form is primarily required by veterans or claimants who are seeking to substantiate their claims with additional witness statements. It can be utilized by family members, friends, coworkers, or supervisors who have relevant information regarding the veteran's circumstances. For instance, a spouse may provide insights into the veteran's health condition, while a former colleague might attest to the veteran's work-related injuries.

Form filing requirements

To file the VA Form 21-10210, users must ensure that it is completed accurately and submitted alongside their primary claim application. There are no specific deadlines for submitting this form; however, it should be filed as soon as possible to avoid delays in processing claims. Users should also include any necessary documentation that supports the statements made within the form.

  • Complete all sections of the form accurately.
  • Submit the form with your initial claim application or as soon as you have additional statements.
  • Include any relevant supporting documents that corroborate your statement.

How to submit the VA Form 21-10210 Lay Witness Statement?

Submitting the VA Form 21-10210 involves several straightforward steps. First, obtain a copy of the form from DocHub or directly from the VA website. After filling out all required sections either online or by hand, review it for accuracy before submission. Finally, send your completed form via mail to the Department of Veterans Affairs at their designated Evidence Intake Center address.

  1. Download or access VA Form 21-10210 from DocHub or www.va.gov/vaforms.
  2. Fill out all necessary information in each section of the form.
  3. Review your completed form for accuracy and completeness.
  4. Mail your completed form to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444.

Other important aspects to understand about completing VA Form 21-10210 Lay Witness Statement

It is essential for users to understand that providing false information on this form can lead to severe penalties under federal law. Additionally, individuals completing this statement should be aware of their rights under the Privacy Act regarding how their information will be used and protected by the VA.

  • The OMB control number for this form is 2900-0881 and it expires on July 31, 2027.
  • The estimated time burden for completing this form is approximately ten minutes per respondent.
  • 'VA forms are available at www.va.gov/vaforms' where users can find various forms related to veterans' benefits.

People also ask

A lay statement for the VA should follow this format: The first section should include the name of the Veteran you are writing the letter for, your name, contact information, and your relationship with them. In section two, compare how the Veteran acted and behaved before their disability to how they act and behave now.
E.g. I attended my GP with symptoms of suspected [disability] on [date]. I was referred to a specialist consultant on [date] and after further tests was diagnosed with [disability] on [date].
2:00 5:44 Claim. So its important to uh be honest about symptoms. But also not to downplay. Any symptoms. IfMoreClaim. So its important to uh be honest about symptoms. But also not to downplay. Any symptoms. If a veteran writes a lay statement that downplays their symptoms.

21 10210 va form