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The document is VA Form 21-22, which allows veterans to appoint a recognized service organization as their representative for claims related to benefits from the Department of Veterans Affairs. It includes instructions for completing the form, privacy notices, and details about the authorization for access to medical records. The form also outlines the responsibilities of both the veteran and the appointed organization.

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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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What is the difference between VA Form 21 4142 and VA Form 21 4142a?

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

What is the purpose of VA form 21 22?

Use VA Form 21-22 when you want to have a Veterans Service Organization (VSO) help you with VA benefits or claims.

What is the VA form 21 22?

If you prefer to have a VSO assist you with your claim instead of an individual, complete, VA Form 21-22, Appointment of Veterans Service Organization as Claimants Representative. For more information, you can contact us through Ask VA: , or call us toll-free at 800-827-1000 (TTY:711).

Is VA unemployability the same as 100% disability?

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)

How long is a VA form 21/22 good for?

In such cases, the assignment of the service organization as the veterans representative is valid for only five years from the date the claimant signs this form for purposes restricted to the verification match. Signed and accepted subject to the foregoing conditions.

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