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  • Va Form 21-10210. Lay / Witness Statement.

Get Va Form 21-10210. Lay / Witness Statement.

Ead the Privacy Act and Respondent Burden on page 3. Use this form to submit a statement as a veteran/claimant or someone writing on your behalf to support a claim. If you or someone else writing on your behalf are providing additional statement(s) to support your claim(s) please submit this form with your application. For more information, you can contact us through Ask VA: https://ask.va.gov/ or call us toll-free at 1-800-827-1000 (TTY:711). VA forms are available at www.va.gov/vaforms. After.

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Related content

About VA Form 21-10210 | Veterans Affairs
Aug 30, 2024 — Use VA Form 21-10210 to submit a formal statement to support your VA...
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LAY/WITNESS STATEMENT - Veterans Benefits...
VETERAN/CLAIMANT/WITNESS SIGNATURE (REQUIRED). 22B. DATE ... one witness writing on your...
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Submit A Lay Or Witness Statement To Support A VA...
To submit a statement to support someone else's claim, you'll need to give us information...
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Related links form

NZ PAS300 2021 NZ AF/NS/01 2019 NZ AF/MD/01 2019 NZ Form A1 2019

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A lay statement for the VA should follow this format: It is your opportunity to document all the physical, mental, emotional, personal and social changes you have observed. If you served alongside them and they are using your lay statement to corroborate an in-service stressor, include a detailed account of the event.

VA Form 21-10210, Lay Witness Statement, is comprised of the following five sections: Section I – Veteran's Identification Information. Section II – Claimant's Identification Information. Section III – Statement. Section IV – Witness Contact Information. Section V – Certification of Statement and Signature.

1 For example, a lay witness may testify that a person was drunk if the witness observed how that person was behaving and smelled alcohol on the person's breath. Other examples of a permissible lay opinion would be darkness, speed, age, height, weight, handwriting, voice identification, photo identification.

Before writing a statement, try to: Review your condition. If you are filling out VA Form 21-10210 for yourself, proactively document the approximate cause of your injury and explain how your condition has deteriorated over time. Explain relevant evidence. ... Include examples.

The writer will introduce themselves by providing their name, contact information, and their relationship to the veteran. You should include how frequently you see or speak with the veteran, how long you've known one another, how you met, and any other relevant information about your relationship.

Shows the Impact: Explain how your disability impacts your life beyond just medical symptoms. Discuss day-to-day life, changes in your routines, challenges in physical and mental wellbeing, how it impacts your social relationships, etc. It's important to really emphasize to the VA how your life has been affected.

You can also submit lay evidence to support your claim. Lay evidence is written testimony by you or someone who knows about your condition or related events. Anyone can provide lay evidence. This person doesn't need to have any specific training or education.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232