Privacy Act Notice VA will not disclose information collected on this form to any source other than 2025

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Use VA Form 21-0845 to authorize VA to share your personal information with a non-VA (third-party) individual or organization.
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
Businesses cannot disclose certain sensitive information, such as your social security number, financial account number, or account passwords, but they must tell you if theyre collecting that type of information.
The Privacy Act provides protections to individuals in three primary ways. It provides individuals with: the right to request their records, subject to Privacy Act exemptions; the right to request a change to their records that are not accurate, relevant, timely or complete; and.
Right to limit use and disclosure of sensitive personal information: You can direct businesses to only use your sensitive personal information (for example, your social security number, financial account information, your precise geolocation data, or your genetic data) for limited purposes, such as providing you with

People also ask

The general rule under the Privacy Act is that an agency cannot disclose a record contained in a system of records unless the individual to whom the record pertains gives prior written consent to the disclosure.
What is VA Form 21-4138? Form 21-4138 also referred as a Statement in Support of Claim , is offered by the VA to claimants who are interested in offering a written statement that attests to the medical condition preventing them from working.

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