About VA Form 21-10210
- Form name: Lay/Witness Statement
- Related to: VBA
- Form last updated: June 2022
When to use this form
Use VA Form 21-10210 to submit a formal statement to support your VA claim—or the claim of another Veteran or eligible family member.
Downloadable PDF
Online tool
You can submit your statement online instead of sending us the paper form.
Helpful links
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Find out how to update your direct deposit information online for disability compensation, pension, or education benefits.
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Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits.
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Submit an online request to get your DD214 or other military service records through the milConnect website.
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Learn how to access your VA records, benefit letters, and documents online.