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VA Buddy Statement Builder

A buddy statement, also called a lay or witness statement, is a written account from someone who saw what the veteran went through: a fellow service member, a spouse, a family member, a friend, or a coworker. This builder walks the witness through it, using the structure the VA reads for. The person writing it fills this out, not the veteran.

🔒 Private: it runs entirely in your browser. Nothing is uploaded or sent. Your draft is saved on this device so you don't lose it — use Start fresh to wipe it, especially on a shared computer.

The one rule that matters most

Write only what you personally saw. A buddy statement is firsthand testimony — specific, dated, observable facts. That's exactly the evidence the VA can use.

  • Don't diagnose or give a medical opinion. "He favors his right knee on stairs" carries weight; "he has arthritis" is the doctor's call, not yours.
  • Be specific and put dates or how-often on it. "She stops from the pain a few times a month" beats "she's always hurting."
  • Everything you write is a legal declaration. Keep it true — a made-up statement is fraud and can sink the whole claim.
Who you are
See an example
ExamplesFellow service member · unit leader · spouse · sibling · close friend · former coworker.
What you witnessed in service
The specific thing you saw happen. When and where, as close as you remember.
See an example
Example — write your ownThe vehicle rollover during a convoy near Kandahar in the spring of 2010. I was in the truck behind his and saw it happen.
The veteran's condition immediately after — what you observed, not what a medic concluded.
See an example
Example — write your ownHe was limping and holding his lower back, and he couldn't carry his own gear for the rest of that mission. He said his back never felt right after.
What you've seen since then
Specific, observable symptoms over time — put one per line. Add how often or rough dates wherever you can. Not medical conclusions.
See an example
Example — one per lineHe favors his right knee going up stairs and takes them one at a time.
I've watched her stop what she's doing from the pain several times a month.
He's awake in visible discomfort at night, most nights that I'm around.
He's cancelled family events because of the pain about six times this past year.
A strong buddy statement covers
Who you are and how you know the veteran
The in-service event, if you served together
Specific things you've observed since
Dates or how-often on your observations
Style

The statement

0 words
Fill in the fields and the statement builds here.

How to use it

The witness fills in the prompts, then Copy or Download the statement. Send it to the VA one of two ways: put it on VA Form 21-10210 (PDF) and mail or upload it, or use the online Submit a lay or witness statement tool on VA.gov. It can also go on VA Form 21-4138. The person who witnessed it signs it — read it over first and make sure every line is true. For how lay evidence fits the rest of a claim, see the Evidence That Wins guide.

This tool is a drafting aid, not legal advice. It helps a witness organize what they personally saw; it does not supply a medical opinion or diagnosis, and it does not guarantee any outcome. A medical nexus opinion must come from a qualified provider. Veteran Field Manual is an independent educational resource, not affiliated with, endorsed by, or representing the U.S. Department of Veterans Affairs or any government agency. Informational only, not legal, medical, or VA-accredited claims advice. Review the statement, make sure it is true and complete, and submit it on the official VA Form 21-10210 or VA Form 21-4138.

0 words in the statement