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The Veterans Benefits Administration (VBA) uses VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA), to request private medical records and information regarding the source of records in support of claims for compensation and/or pension benefits.
For VA, military, and other types of federal records, well continue to make requests until we get the records you need. Well stop trying only if were reasonably sure the records dont exist. For private records, well make at least one follow-up request to try to get your records.
Use VA Form 10-2850C if youre seeking employment with VA as a respiratory therapy technician, physical therapist, pharmacist, physicians assistant, or other health professional.
0:41 2:21 How to Fill Out a VA10-2850c Form - YouTube YouTube Start of suggested clip End of suggested clip So leave all the check boxes and fields empty. If you want to check the fulfillment of everyMoreSo leave all the check boxes and fields empty. If you want to check the fulfillment of every required. Field open the fields to fill in toolbar under the done. Button.
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