Existing long-document QA benchmarks rarely combine large-scale human-authored questions with detailed visual evidence annotations, limiting diagnosis of evidence localization and interpretation failures. We present VELD-QA, a large-scale benchmark for Visual Evidence grounding and question answering in Long Documents. It contains 15,000 fully human-authored question-answer pairs across 5,859 real-world PDFs totaling 372,445 pages, balancing chart, table, and complex-layout tasks. Human annotations identify supporting pages and evidence elements and describe cited visual content, enabling separate retrieval and interpretation evaluation. We evaluate nine vision-language models under four evidence settings and seven retrieval-augmented and agentic systems. Our analysis identifies bottlenecks in evidence localization and interpretation. Retrieval-based methods substantially underperform the oracle setting with ground-truth supporting pages; full-document access does not close the gap. Localization alone is insufficient: oracle accuracy peaks at 81.7%, highlighting persistent visual interpretation and reasoning challenges. Enriching inputs with our visual-element annotations narrows the performance gap by 17-24%, demonstrating value beyond evaluation and motivating data enrichment for multimodal document QA. Our code is available at https://github.com/oracle-samples/veld-qa.

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