Get Va 10-1394 2015-2025

The VA 10-1394 form is an essential document for veterans and servicemembers seeking adaptive equipment for their vehicles. This guide provides a step-by-step approach to help users fill out the form correctly and efficiently, ensuring a smoother application process.

Follow the steps to complete the VA 10-1394 online.

1. Click ‘Get Form’ button to access the VA 10-1394 form and launch it in the online editor.
2. In Part I of the form, enter the name of the veteran or servicemember. Include the last name, first name, and middle initial as applicable.
3. Provide the social security number of the veteran or servicemember in the designated field.
4. Fill in the mailing address for the veteran or servicemember, ensuring to include the street address, city or P.O. box, state, and zip code.
5. Enter a valid telephone number with the area code for contact purposes.
6. Indicate whether you possess a valid driver's license or permit by selecting 'Yes' or 'No.' If available, attach a copy.
7. List any service-connected disabilities that require the use of automobile adaptive equipment.
8. In the section for vehicle information, provide details about the vehicle(s) for which adaptive equipment is required, including the type of vehicle, whether it was purchased with a VA automobile allowance, and specific details such as make, model, year, and vehicle identification number.
9. If applicable, document any vehicle(s) that already have adaptive equipment listed. Fill in the same vehicle details as in the previous step.
10. In the signature field, the veteran or servicemember must sign and date the application to confirm the information provided is true.
11. Submit the form to the prosthetic representative for further processing.
12. Once your application is processed, you will receive a notification regarding your status and any required actions.
13. After receiving approval, ensure to complete Part III and provide certification. This involves signing to confirm receipt of items and services authorized.
14. Users can save changes, download, print, or share the filled-out application as needed.

Start filling out the VA 10-1394 form online today to ensure you receive the necessary adaptive equipment.