Medical Treatment

Examination

Vocational Rehabilitation

Compensated work therapy

A Veteran or Service member must have one of the following disabilities to qualify for the automobile grant:

Yes. Those who qualify for the automobile grant may also qualify for the adaptive equipment grant. Veterans and Service members with ankylosis (immobility of the joint) of one or both hips resulting from an injury or disease acquired or worsened by active military service may also qualify. Adaptive equipment includes but is not limited to:

✅ Power steering

✅ Power windows

✅ Power seats

✅ Special equipment needed to assist the recipient into and out of the vehicle

Contact your local VA medical center’s Prosthetic Department BEFORE purchasing any equipment.

The adaptive equipment grant may be paid more than once. It can be paid to either the seller or the Veteran.

Family Car Foundation will assist you with this process!

Apply for the automobile or special adaptive equipment grant by following these steps:

✅ Complete Section I of VA Form VA Form 21-4502, “Application for Automobile or Other Conveyance and Adaptive Equipment” located at: https://www.vba.va.gov/pubs/forms/VBA-21-4502-ARE.pdf

✅ Submit the form to this address:

• Department of Veterans Affairs
Claims Intake Center
PO Box 4444
Janesville, WI 53547-4444

✅ Or, you can fax it to:

(844) 531-7818 (inside the U.S.)
(248) 524-4260 (outside the U.S.)

✅ VA will determine your eligibility:

• If you are eligible, VA will complete Section II and return the form to you.
• If VA determines you are eligible, read the instructions on VA Form 21-4502 for a list of adaptive equipment preapproved for particular disabilities.
• Purchase a vehicle. Once you receive the vehicle and adaptive equipment from the seller, fill out Section III.
• Submit the form and any additional invoices for payment to the Claims Intake Center address above.
       >>If you are only entitled to adaptive equipment, you should complete VA Form 10-1394, “Application for Adaptive Equipment — Motor Vehicle” located at: https://www.va.gov/vaforms/medical/pdf/10-1394-fill.pdf.

       >>Submit the completed form to your local VA medical center. You can locate your nearest medical facility at https://www.va.gov/directory/guide/division.asp?dnum=1.

✅ You will need login credentials for one of the following: ID.Me, Login.gov, DS login or Myhealthevet
The application process takes about 30 min.

https://www.benefits.va.gov/BENEFITS/factsheets/serviceconnected/Auto.pdf

https://www.collins.senate.gov/newsroom/provisions-of-auto-for-veterans-act-signed-into-law#:~:text=Under%20the%20Auto%20for%20Veterans,the%20AUTO%20for%20Veterans%20Act.

https://www.va.gov/disability/how-to-file-claim/

https://www.benefits.gov/benefit/278