OMB control number

Lay/Witness Statement (VA Form 21-10210)

OMB 2900-0881 · VA.

OMB 2900-0881

VA Form 21-10210 is used by the claimant to gather lay or witness statements that support an existing claim for benefits/services. Without this information, VA may not be able to efficiently and successfully process claims that may require additional statements associated with a claim for benefits/services.

The latest form for Lay/Witness Statement (VA Form 21-10210) expires 2027-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21-10210 Lay/Witness Statement (VA Form 21-10210) Form and Instruction
30-Day FRN (published).pdf Supplementary Document
2024-06021, 60-Day FRN (2900-0881).pdf Supplementary Document
2900-0881, Supporting Statement (VAF21-10210) km.docx (document unavailable) Supporting Statement A
Lay/Witness Statement (VA Form 21-10210) Form and Instruction

All Historical Document Collections

202403-2900-003 Approved without change	Revision of a currently approved collection	2024-05-30
202009-2900-002 Approved without change	Reinstatement without change of a previously approved collection	2021-03-11
202007-2900-007 Approved without change	New collection (Request for a new OMB Control Number)	2020-07-27