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How do I fill out Form 21-4142?

0:21 2:21 VA 21 4142 Authorization and Consent to Release ... - YouTube YouTube Start of suggested clip End of suggested clip Name file number and social security number these boxes must be filled in if a claimant other thanMoreName file number and social security number these boxes must be filled in if a claimant other than the veteran is seeking benefits on behalf of the veteran. They must provide their name relationship.

What is a VA Form 21?

VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE.

Where do I send VA disability forms?

By mail \u2013 directed to the Department of Veterans Affairs, Evidence Intake Center, PO Box 4444 in Janesville, WI 53547-4444.

Where do I send my VA Form 21-4142?

VA forms are available at www.va.gov/vaforms. After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444.

What is a VA Form 21?

VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE.

va form 21 4142a pdf

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What is a VA Form 21 4192?

Use VA Form 21-4192 if you're a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form.

Where do I mail VA documents?

Again, all correspondence pertaining to compensation claims should be sent to the following location: Department of Veterans Affairs. Evidence Intake Center. PO Box 4444. Janesville, WI 53547-4444.

Where do I send VA Form 21-526b?

VA provides multiple ways for veterans to file initial claims using Form 21-526EZ, including the following: Online \u2013 using VA's eBenefits platform. By mail \u2013 directed to the Department of Veterans Affairs, Evidence Intake Center, PO Box 4444 in Janesville, WI 53547-4444.

Is VA Form 21 526b still valid?

NOTE: As of February 14, 2019,*, both VA Form 21-526, Veterans Application for Compensation and/or Pension, and VA Form 21-526b, Veteran's Supplemental Claim for Compensation, will be discontinued from use. These forms will be removed from VA forms websites and will no longer be accepted by our intake centers.

How do I submit a 21 0845 number to VA?

To complete a VA Form 21-0845, you need to provide the following information: Veterans Identification Information. Name of veteran. ... Beneficiary/Claimant's Identification Information. ... Contact Information - specifies the limitations that you would like on your authorization to release information. ... Declaration of Intent.

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