Va Automobile Adaptive Equipment Form

All van modifications require prior authorization before purchase. Veterans are trained through the va driver s rehabilitation program how to safely operate their vehicle on our nation s roadways. Request for dd 214 or other military records nara sf 180.

van halen jim ladd vinyl used swimming pool parts for sale value of marble countertops used office furniture boone nc vacuum cleaners that clean wood and carpet universal projector ceiling mount walmart vacuum cleaner under dollar 100 reviews ultrasonic sensor arduino project pdf

Https Www Prosthetics Va Gov Factsheet Psas Factsheet Aae Sc Nsc Pdf

Va Form 21 4502 Fillable Fill Online Printable Fillable Blank Pdffiller

Automobile Adaptive Equipment Aae Rehabilitation And Prosthetic Services

Https Www Prosthetics Va Gov Docs Recreational And Sports Equipment Pdf

Specially Adapted Housing And Adapted Automobile Benefits Cck Law

The Braun Uvl Or Under Vehicle Lift Has Emerged As The Premier Commercial Wheelchair Lift Serie Wheelchair Disability Transportation Wheelchair Accessories

Purchase a vehicle.

Va automobile adaptive equipment form.

Deliver the vehicle including va approved adaptive equipment provided and or installed by the seller. Application for adaptive equipment motor vehicle. Download va form 10 1394 pdf we may pay you or we may pay the equipment seller directly. The automobile adaptive equipment aae program permits physically challenged persons to enter exit and or operate a motor vehicle or other conveyance.

If va determines you are eligible read the instructions on va form 21 4502 for a list of adaptive equipment preapproved for particular disabilities. Part i to be completed by applicant if more space is needed attach a separate sheet and identify by item number 4. Driver s license verification check applicable block 6. Application for automobile or other conveyance and adaptive equipment fillable file type.

Date of va certificate of eligibility. If you are unable to find your form here you may want to visit. If you qualify for adaptive equipment only you ll need to fill out an application for adaptive equipment motor vehicle va form 10 1394. Obtain the original copy of va form 21 4502 from the veteran or servicemember after he or she has completed section iv.