Supporting evidence for a disability compensation claim
Department of Veterans Affairs
Evidence Intake Center
PO Box 4444
Janesville, WI 53547-4444
VA Form 21-10210 — First-hand lay or witness statement
Provide a truthful first-hand statement supporting your own VA claim or another person’s claim. Describe observations without inventing medical conclusions.
Use the current official form
Revision: July 2024.
The official page lists June 2021; its directly linked PDF is July 2024 and expressly supersedes June 2021. This explanation follows that July 2024 PDF.
Attach it to the applicable claim or review request; sending evidence alone does not necessarily initiate a review. Other benefit destinations are separate.
Submission instructions
In person
Disability compensation documents through the applicable claim or review channel.
A VA regional benefits office