VA Form 21-10210 Lay Witness Statement 2025

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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.
You should include the following information: The Veterans first name, last name, and middle initial. The Veterans Social Security number. The Veterans VA file number, if any exists. The Veterans date of birth. The Veterans VA insurance file, if applicable.
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.
Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA Form 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA); submit completed forms with your claim and VA will attempt to obtain your records through our
VA Form 2237, Request, Turn-in, and/or Receipt for Property or Services or equivalent. Destroy when 6 months old. Report of survey files and other papers used as evidence for adjustment of inventory records.
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6 People Who Can Write a VA Lay Statement You also want someone who can attest to the events on active duty that may have caused or aggravated the disability. You can also submit a statement yourself. A well-written lay statement can have a docHub impact on whether a claim is approved.
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.
Format of witness statement The statement should normally be typed on one side of the paper only. Pages should be numbered consecutively. The statement must be divided into numbered paragraphs. References to document pagination should be given in the margin or the body of the text in bold.

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