Va form 21 4142-2025

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The document is a VA Form 21-4142, which is an authorization for veterans to disclose their medical information to the Department of Veterans Affairs (VA). It outlines the types of medical records that can be released, including mental health and substance abuse records, and specifies the process for completing the form. The form requires personal identification information from the veteran and includes instructions on how to authorize the release of information from various medical providers. It emphasizes that signing this form is voluntary but necessary for processing claims.

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Click ‘Get Form’ to open VA Form 21-4142 in the editor.
In Section I, clearly indicate the records you authorize for release. This includes medical records related to your treatment and any specific conditions.
Proceed to Section II and fill in your identification information, including your name, Social Security number, and date of birth. Ensure all details are accurate for processing.
If applicable, complete Section III with the patient’s identification information if it differs from yours.
In Section IV, list all sources of records you wish to disclose. Be thorough to avoid delays in processing.
Finally, sign and date the form in Section V. Make sure to read through the entire document before signing to understand your rights regarding the information shared.

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Versions	Form popularity	Fillable & printable
2021	4 Satisfied (61 Votes)
2018	4.8 Satisfied (95 Votes)
2014	4 Satisfied (36 Votes)
2012	4 Satisfied (63 Votes)
2004	4.3 Satisfied (190 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I fill out VA Form 21-4138 online?

You may complete the form online or by hand.

What VA claims get approved the most?

See which service-connected conditions the VA is most likely to approve for veterans disability benefits. Tinnitus, mental health conditions, musculoskeletal disorders, scars, and presumptive disorders are frequently approved VA disability claims.

What VA claims are hardest to prove?

What is the Hardest VA Claim to Get? Mental Health Conditions (e.g., PTSD, Depression) Sleep Apnea. Tinnitus and Hearing Loss. Military Sexual Trauma (MST) Chronic Pain Without a Clear Diagnosis.

How likely am I to get 100% VA disability?

Ultimately, the VA will make a final rating decision based on the nature and severity of your injury. The more evidence you can provide showing your service-related condition prevents you from performing everyday tasks or maintaining gainful employment, the more likely you will receive a 100 percent disability rating.

What is the easiest disability to claim for VA?

Here are some of the easiest claims to get approved for in 2025: Tinnitus. One of the most commonly approved VA disability claims. Hearing Loss. Knee and Back Conditions. Mental Health Disorders (PTSD, Anxiety, Depression) Scars and Skin Conditions. Sleep Apnea (With CPAP Prescription) Migraines.

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What is the most common 100% VA disability?

Tinnitus Tinnitus is by far the most common condition veterans receive disability benefits for. In 2024, 3,255,323 U.S. military veterans were receiving disability benefits for tinnitus. That number is more than 1 million higher than the next most common condition. That count is increasing rapidly.

What is the VA $3600 payment?

VA disability pay or disability compensation is a tax-free monthly payment given to veterans with a service-related disability and an other than dishonorable discharge. Those veterans may qualify for a tax-free, monthly benefit ranging from $165 to over $3,600.

What do I say to get 100% VA disability?

To receive a rating of 100 percent, there must be sufficient evidence to support the severity of the service-connected condition. This can come from medical documentation as well as testimony from friends, family, co-workers, and others who can attest to the seriousness of the disability.

Va form 21 4142-2025

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How to use or fill out VA Form 21-4142 with our platform

See more va form 21 4142 versions

Complete this form in 5 minutes or less

Got questions?

Can I fill out VA Form 21-4138 online?

What VA claims get approved the most?

What VA claims are hardest to prove?

How likely am I to get 100% VA disability?

What is the easiest disability to claim for VA?

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What is the most common 100% VA disability?

What is the VA $3600 payment?

What do I say to get 100% VA disability?

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