Automobile Adaptive Equipment Va
If you are entitled to adaptive equipment only i e service connected for ankylosis of knees or hips you should complete va form 10 1394 application for adaptive equipment motor vehicle and submit it to your local va medical center.
Automobile adaptive equipment va. Veteran or service members with certain disabilities can receive a grant to purchase a new or used vehicle. For the adaptive equipment grant. If you qualify for the automobile grant and suffer from joint immobility of your knees or hips which was a result of your military service you may. The adaptive equipment benefit may be paid more than once and it may be paid to.
Driver s license verification check applicable block 6. You can find your local va medical center on the health facility locator page. Automobile and special adaptive equipment grants. Year you received grant for vehicle.
Automobile adaptive equipment is used to permit physically challenged persons to enter exit and or operate a motor vehicle or other conveyance. Application for adaptive equipment motor vehicle. Download va form 21 4502 pdf we ll pay the vehicle s seller directly. Va automobile special adaptive equipment grant.
It includes but is not limited to power steering power brakes power windows power seats and other special equipment necessary to assist the eligible person. If you qualify for adaptive equipment only you ll need to fill out an application for adaptive equipment motor vehicle va form 10 1394. Can a veteran receive financial assistance from va to purchase an automobile. Contact the nearest va health care facility for more information on add on equipment.
Date of va certificate of eligibility if january 11 1971 or after 5. Application for automobile or other conveyance and adaptive equipment fillable file type. Part i to be completed by applicant if more space is needed attach a separate sheet and identify by item number 4. Purchase of add on adaptive equipment equipment furnished by someone other than the automobile manufacturer that is not approved by va.
4 if you are unable to find your form here you may want to visit. These disabilities must be the result of an injury or disease. The automobile adaptive equipment aae program permits physically challenged persons to enter exit and or operate a motor vehicle or other conveyance. Download va form 10 1394 pdf we may pay you or we may pay the equipment seller directly.