Official VA Form

VA Form 21-4502

Application for Automobile or Other Conveyance and Adaptive Equipment (UNDER 38 U.S.C. 3901-3904)

VA Form 21-4502 — Application for Automobile or Other Conveyance and Adaptive Equipment (UNDER 38 U.S.C. 3901-3904) is an official U.S. Department of Veterans Affairs form used for disability. The current version was last revised 2021-07-09. It is 4 pages long. Download the up-to-date PDF below — BaseNeed syncs form data directly from VA.gov so you always get the current edition.

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Disability

Frequently asked questions

What is VA Form 21-4502 used for?

Application for Automobile or Other Conveyance and Adaptive Equipment (UNDER 38 U.S.C. 3901-3904). It is an official VA form in the Disability category, administered by VBA.

Where can I download the current VA Form 21-4502?

Download the official PDF from VA.gov here: https://www.vba.va.gov/pubs/forms/VBA-21-4502-ARE.pdf (last revised 2021-07-09).

How long is VA Form 21-4502?

VA Form 21-4502 is 4 pages long, last revised 2021-07-09.

Always the current version — synced from VA.gov. BaseNeed is not affiliated with the U.S. Department of Veterans Affairs.

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