VA Form 21-10210
- Form name:Lay/Witness Statement
- Form revision date: June 2021
- Related to: VBA
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. People also sometimes call this statement a “buddy statement.”
Downloadable PDF
Online tool
You can submit your statement online instead of sending us the paper form.