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VA Form 26-4555 — Apply for adapted-housing benefits

Apply for Specially Adapted Housing or Special Home Adaptation benefits. VA evaluates eligibility before grant approval.

Use the current official form

Revision: August 2026.

These are reviewed, scoped methods. Read the current official program and PDF instructions for conditions, signatures, additional methods and exceptions.

Submission instructions

Mail

Applicable adapted-housing grant request

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

Official references

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FACILITY REFERENCE