Va form 21 0972-2025

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2020 4.9 Satisfied (30 Votes)
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The VA Form 21-4142 is valid for 12 months from the date signed. It is permissible to authorize release of, and disclose, information created after the consent is signed.
Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA Form 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA); submit completed forms with your claim and VA will attempt to obtain your records through our
Keep in mind that while identifying an error can sound concerning, its an error made by the VA, not the veteran, so having the VA identify and fix their mistake is typically a positive development.
This authorization will remain in effect until the earlier of the following events: (1) I revoke this authorization by filing a written revocation with VA; or (2) I revoke the appointment of the individual named in Item 16A, either by explicit revocation or the appointment of another representative.
Use VA Form 22-1990 if you want to apply for education benefits under any of the following programs: Post-9/11 GI Bill. Montgomery GI Bill (MGIB) Montgomery GI Bill Selected Reserve (MGIB-SR)
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Use VA Form 21-22 when you want to have a Veterans Service Organization (VSO) help you with VA benefits or claims.

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