Va form 21 22 2012-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the veteran's last, first, and middle name in the designated fields. This is crucial for identifying the claimant.
  3. Input the VA file number, ensuring accuracy to avoid processing delays.
  4. Select a recognized service organization from the list provided in section 3A. Include the name and job title of the official representative in section 3B.
  5. Fill out the claimant's information, including their relationship to the veteran and contact details such as phone numbers and email address.
  6. Review sections 12 through 14 carefully. These sections pertain to authorizations regarding access to records and changing addresses. Make sure to check any applicable boxes.
  7. Finally, sign and date the form in sections 15 and 16. Ensure that all entries are complete before submitting.

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Versions Form popularity Fillable & printable
2019 4.8 Satisfied (110 Votes)
2015 4.4 Satisfied (29 Votes)
2014 4.3 Satisfied (57 Votes)
2012 4.4 Satisfied (125 Votes)
2003 4.3 Satisfied (33 Votes)
2000 4.1 Satisfied (30 Votes)
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You can apply online at .va.gov. If you sign in or create an account, we can prefill parts of your application and save your work in progress. You can also upload all your supporting documents with your claim, and submit it through the Fully Developed Claims (FDC) program, then track claim status online.
Documents may be submitted by mail, in person at a VA regional office or electronically. However, VA recommends submitting correspondence electronically as this is the fastest method of receipt.
A VA accredited representative can help you file a claim or request a decision review. Use our online tool to pre-fill your VA Form 21-22 to appoint a Veteran Service Organization (VSO). Or, use our online tool to pre-fill your VA Form 21-22a to appoint a VA accredited attorney or claims agent.