Buddy / Lay Statement
BUDDY/LAY STATEMENT I, {witness_name}, make the following statement in support of the VA disability claim of {veteran_name}. RELATIONSHIP TO VETERAN: {relationship} PERIOD OF OBSERVATION: {time_period} STATEMENT: {observations} I am competent to observe a…
Fields
- witness_name
- veteran_name
- relationship
- observations
- time_period
Template
BUDDY/LAY STATEMENT
I, {witness_name}, make the following statement in support of the VA disability claim of {veteran_name}.
RELATIONSHIP TO VETERAN:
{relationship}
PERIOD OF OBSERVATION:
{time_period}
STATEMENT:
{observations}
I am competent to observe and report on these matters based on my personal knowledge and direct observation (Buchanan v. Nicholson, 451 F.3d 1331 (Fed. Cir. 2006); Jandreau v. Nicholson, 492 F.3d 1372 (Fed. Cir. 2007)).
I certify under penalty of perjury that the foregoing is true and correct.
___________________
{witness_name}
Date: {date}
Address: {address}
Phone: {phone}