VA Form 2793 PDF Download | Shop Data Sheet Artificial Limbs

VA Form 2793 PDF Download | Shop Data Sheet Artificial Limbs – VA Form 2793, officially titled the Shop Data Sheet (Artificial Limbs), is a key document in the Department of Veterans Affairs procurement process. Prosthetic providers and contractors use it when bidding on VA contracts to supply artificial limb services to eligible veterans.

This form helps VA evaluate a bidder’s shop capabilities, experience, personnel qualifications, facilities, and equipment to ensure high-quality prosthetic care for veterans across the United States.

What Is VA Form 2793?

VA Form 2793 is a two-page Shop Data Sheet used specifically for artificial limbs (prosthetics). The current version was revised in March 2002 and remains the official form listed on VA.gov.

Bidders must complete it accurately and submit it in duplicate for every shop (including main shops, branch locations, and agent shops) where contract services will be performed. VA reviews the information to assess whether the facility can reliably serve veterans who need prosthetic limbs.

The form collects business details, years of experience, staffing and certifications, floor space, accessibility features, and specialized equipment such as alignment jigs and fabrication tools. Disclosure is voluntary under Title 38 authority, but failure to provide the information delays the bidding process.

Purpose of the VA Form 2793 Shop Data Sheet (Artificial Limbs)

VA uses this form to evaluate potential contractors for artificial limb contracts. The data helps confirm that shops meet standards for fabrication, fitting, and ongoing support for veterans with limb loss.

Key evaluation areas include:

  • Experience in the artificial limb business
  • Qualified and certified prosthetists and fitters
  • Adequate facilities and equipment for precise work
  • Proper accessibility for veteran patients

Accurate completion supports VA’s mission to deliver reliable prosthetic services that improve mobility, independence, and quality of life for veterans.

Who Must Complete and Submit VA Form 2793?

This form is required from bidders responding to VA solicitations for artificial limbs and related prosthetic services. It applies to:

  • Prosthetic and orthotic companies
  • Artificial limb fabricators and fitters
  • Contractors and their agents operating shops that will serve VA patients

Important note for previous contractors: Firms that have already held VA contracts do not need to complete Items 6 through 11 unless there have been changes in their operations or experience.

Each physical shop location (main, branch, or agent) requires its own completed form submitted in duplicate.

Official VA Form 2793 PDF Download

Download the current official version directly from the Department of Veterans Affairs:

Download VA Form 2793 PDF (Shop Data Sheet – Artificial Limbs)

You can also access the form through the official VA forms page:

VA Form VA2793 – Official Page

Always use the official VA source to ensure you have the most current version.

How to Fill Out VA Form 2793? Step-by-Step Instructions

Follow these guidelines for accurate completion. VA verifies the information submitted.

Items 1–5: Basic Shop Identification

  • Enter the bidder’s name, full business name of the shop (if different), complete shop address, trade name, days of operation, and business hours.
  • Be precise with the physical shop address where services will occur.

Items 6–11: Experience, Operations, and References

  • Report years of experience at the current address and other locations.
  • Indicate whether the shop makes its own set-ups (yes/no) and name the principal supplier if applicable.
  • Answer whether a physician’s prescription is typically required for civilian amputee fittings.
  • If the firm has been in business less than three years, provide two business references (including a bank reference).
  • List civilian physicians who have referred patients (previous VA contractors may skip most of this section unless changes apply).

Items 12–17: Personnel, Qualifications, and Shop Location

  • Provide total employees, number involved in limb fabrication, and full-time qualified limb fitters.
  • Detail certified prosthetists who completed post-graduate courses (upper extremity, A/K prosthetics, or other).
  • List names and certificate numbers of certified suction socket fitters.
  • Specify shop location type (private residence or office building) and square footage details.

Items 18–26: Facilities, Accessibility, and Equipment

  • Indicate if the fitting room is on the ground floor and whether elevators are available if not.
  • Enter square footage for total shop space, workshop, fitting room, and office.
  • Check equipment availability: parallel bars for walking training, full-length mirrors, and ramps.
  • Mark all applicable shop equipment (band saw, sanding equipment, lathe, drill press, sewing machine, grinding equipment, paint-spraying, welding equipment, alignment jig, and others). Use the continuation sheet on page 2 for additional details.

Certification Section

  • Sign and date the form, certifying that all statements are true and correct to the best of your knowledge.
  • Include your title.

Use page 2 (continuation sheet) for any fields that need extra space. Attach additional sheets if necessary and clearly reference the item numbers.

Tips for Accurate and Timely Submission of VA Form 2793

  • Double-check all numbers (employees, square footage, years of experience) because VA verifies data.
  • Be specific when listing equipment and certifications — these directly impact VA’s assessment of your capability to serve veterans.
  • Previous VA contractors should still review Items 6–11 and update only if changes occurred.
  • Submit in duplicate for every applicable shop location.
  • Keep copies of everything you submit for your records.
  • If using a PDF editor or filler tool, ensure the final document remains clear and legible for VA review.

Incomplete or inaccurate forms can delay your bid or affect contract consideration.

Frequently Asked Questions About VA Form 2793

Is VA Form 2793 still current?
Yes. The March 2002 version remains the official form available on VA.gov and is referenced in current and recent VA prosthetic solicitations.

Do individual veterans fill out this form?
No. VA Form 2793 is completed by prosthetic providers and contractors bidding on VA contracts, not by veterans themselves.

Can I submit the form electronically?
Requirements vary by specific solicitation. Check the individual contract opportunity on SAM.gov for submission instructions. Many bidders complete the PDF and submit it as part of their proposal package.

What happens if I skip items?
Missing information, especially about personnel qualifications or equipment, can slow down or negatively affect bid evaluation. Provide complete responses wherever applicable.

Additional Resources for VA Prosthetics Providers and Bidders

Here are trusted, current official resources:

For the most up-to-date contract requirements, always refer to the specific solicitation documents on SAM.gov, as they list required forms including VA Form 2793.

Final Notes for Prosthetic Service Providers

Completing VA Form 2793 thoroughly demonstrates your shop’s readiness to deliver quality artificial limb services to veterans. Accurate information about certified personnel, proper equipment (such as alignment jigs), accessible facilities, and relevant experience helps VA award contracts to capable providers who support veterans’ mobility and independence.

Use only the official VA sources linked above, follow the item-by-item instructions carefully, and submit on time for each shop location. This form plays an important role in maintaining high standards for prosthetic care across the VA system.

For questions about a specific solicitation, contact the contracting officer listed in the opportunity documents. Always verify the latest form version directly on VA.gov before submitting your bid.