21 4502-2025

See details

4.9 out of 5

54 votes

The document is a VA Form 21-4502, which is an application for veterans or service members to request an automobile or other conveyance and adaptive equipment due to qualifying disabilities under 38 U.S.C. 3901-3904. It includes sections for personal information, eligibility certification by the VA, and acknowledgment of receipt of the vehicle and equipment. The form outlines the types of disabilities that qualify for benefits, instructions for completing the form, and details about adaptive equipment that may be provided.

Here's how it works

01. Edit your va 4502 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send va form 21 4502 via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 21 4502 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 21 4502 in the editor.
Begin by filling out Section I. Enter your VA file number and Social Security number in fields 1A and 1B respectively.
Provide your full name, address, and branch of service. Ensure you specify if you are on active duty.
Complete questions regarding your military service, including place of entry and release dates, as well as any previous applications for VA disability compensation.
In Item 9, select the type of conveyance you are applying for. Remember, this is a once-per-lifetime grant.
Sign and date the form in Section I before proceeding to Section II, which will be completed by the VA.
Once approved, complete Section III with details about the vehicle purchased and acknowledge receipt by signing it.

Start using our platform today to fill out your forms online for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a VA form 21 4502?

Use VA Form 21-4502 if youre a Veteran with a disability and you want to apply for compensation for a vehicle that meets your needs. This may include a specially equipped vehicle for you to drive or adaptive equipment to help you get in and out of your vehicle.

How much is VA unemployability pay?

What Is the Benefit Amount of Individual Unemployability? Individual Unemployability compensation is equivalent to a 100 percent disability rating, which is $3,737.85 per month for a single veteran as of December 2024. Veterans receive additional monthly compensation for a spouse or dependent children.

Is VA unemployability the same as 100% disability?

Individual Unemployability compensation is equivalent to a 100 percent disability rating, which is $3,737.85 per month for a single veteran as of December 2024. Veterans receive additional monthly compensation for a spouse or dependent children. See our VA disability pay chart for more rates.

What is the 5 year rule for VA compensation?

The VA 5-year rule protects your disability claim by not allowing the VA to reduce your disability rating unless your condition has significantly improved over time. This rule pertains to a rating that has been in effect for five years or longer. After a five-year period, the rating is considered a stabilized rating.

How much does the VA pay for individual unemployability?

Applying for VA unemployability benefits can be a complex and arduous process, with many veterans facing denials for their claims.

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Is VA correcting an error a good thing?

Keep in mind that while identifying an error can sound concerning, its an error made by the VA, not the veteran, so having the VA identify and fix their mistake is typically a positive development.

21 4502-2025

Here's how it works

How to use or fill out 21 4502 with our platform

Complete this form in 5 minutes or less

Got questions?

What is a VA form 21 4502?

How much is VA unemployability pay?

Is VA unemployability the same as 100% disability?

What is the 5 year rule for VA compensation?

How much does the VA pay for individual unemployability?

Complete this form in 5 minutes or less

People also ask

Is VA correcting an error a good thing?

va form 21 4502 fillable

Try more PDF tools