Lay/Witness Statement (VA Form 21-10210)

OMB 2900-0881

OMB 2900-0881

VA Form 21-10210 will be used by the claimant to gather lay or witness statements that support an existing claim for benefits or 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 or services.

The latest form for Lay/Witness Statement (VA Form 21-10210) expires 2021-02-28 and can be found here.


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