Va Form 21-4502-2025

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The document is a VA Form 21-4502, used by veterans and servicemembers to apply for an automobile or other conveyance and adaptive equipment allowance under 38 U.S.C. Chapter 39. It includes sections for personal identification, application information, and eligibility certification. The form outlines the process for applying, necessary information required, and conditions under which benefits may be granted, including specific disabilities that qualify for assistance. It also provides instructions for completing the form and submitting it to the Department of Veterans Affairs.

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Va Form 21-4502-2025

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