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Get Va Form 21-10210. Lay Witness/statement
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How to fill out the VA Form 21-10210. Lay Witness/Statement online
Filling out the VA Form 21-10210, Lay Witness/Statement, is a crucial part of supporting a claim with the Department of Veterans Affairs. This guide provides clear, step-by-step instructions to help ensure that you complete the form accurately and effectively.
Follow the steps to fill out your VA Form 21-10210 successfully.
- Press the ‘Get Form’ button to access the document. This will allow you to view and begin filling out the form online.
- In Section I, provide the veteran's identification information. Enter the veteran's name, social security number, VA file number, date of birth, VA insurance file number (if applicable), current mailing address, telephone number, and email address. Ensure that all fields are filled in completely and clearly.
- If you are completing the form as a claimant who is not the veteran, proceed to Section II and fill out the claimant's identification information. Provide the claimant's name, social security number, date of birth, VA file number (if applicable), relationship to the veteran, and current mailing address.
- In Section III, describe the statement that supports the claim. Provide detailed observations or knowledge regarding the relevant facts or circumstances. If multiple statements are needed, ensure that a separate form is used for each witness.
- Complete Section IV if the statement is provided by someone else. Enter the witness's name, telephone number, and email address.
- Finally, in Section V, certify the statement by signing in the designated space and entering the date. Remember that providing false information may result in severe penalties.
- After filling out all sections of the form, save your changes. You can download, print, or share the form as necessary.
Submit your completed VA Form 21-10210 online to support your claim.
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Gathering of Evidence) Once the VA obtains, or has completed its efforts to obtain, all of the information it needs, the VSR ensures that each issue claimed is ready for a decision. ( Review of Evidence)
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