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VA DATE STAMP (DO NOT WRITE IN THIS SPACE) …

INSTRUCTIONS: Before completing this form , read the Privacy Act and Respondent on page 2. Use this form to apply for automobile or other conveyance and adaptive equipment allowance (38 Chapter 39). For more information, contact us at , or call us toll-free at 1-800-827-1000. If you use a Telecommunications Device for the Deaf (TDD), the Federal relay number is 711. VA forms are available at After completing the form , mail to: Department of Veterans Affairs, Evidence Intake Center, Box 4444, Janesville, WI 53547-4444. 8B. SERVICEMEMBER'S PLANNED ADDRESS FOLLOWING RELEASE FROM ACTIVE DUTY (No. and Street or rural route, City or , State and Zip Code)ARMYNAVYMARINE CORPSAIR FORCECOAST GUARDSPACE FORCENOTE: You may complete the form online or by hand.

VA FORM SUPERSEDES VA FORM 21-4502, MAR 2018. JUL 2021. 21-4502. OMB Control No. 2900-0067 Respondent Burden: 15 Minutes Expiration Date: 07/31/2024 PAGE 1. VA DATE STAMP (DO NOT WRITE IN THIS SPACE) 1. VETERAN/SERVICEMEMBER'S NAME (First, Middle Initial, Last) 2. SOCIAL SECURITY NUMBER 3. VA FILE NUMBER (If applicable) 4. …

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