Lay/Witness Statement (VA Form 21-10210)

OMB 2900-0881

VA Form 21-10210 will be used by the claimant to gather lay or witness statements that support an existing claim for benefits or services. Without this information, VA may not be able to efficiently and successfully process claims that may require additional statements associated with a claim for benefits or services.

The latest form for Lay/Witness Statement (VA Form 21-10210) expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21-10210 Lay/Witness Statement (VA Form 21-10210) Form and Instruction
30-Day FRN (published).pdf Supplementary Document
2024-06021, 60-Day FRN (2900-0881).pdf Supplementary Document
2900-0881, Supporting Statement (VAF21-10210) km.docx Supporting Statement A
Lay/Witness Statement (VA Form 21-10210) Form and Instruction

All Historical Document Collections

202403-2900-003 Approved without change	Revision of a currently approved collection	2024-05-30
202009-2900-002 Approved without change	Reinstatement without change of a previously approved collection	2021-03-11
202007-2900-007 Approved without change	New collection (Request for a new OMB Control Number)	2020-07-27