21a 2026

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The document is an application form for accreditation as a claims agent or attorney to represent claimants before the Department of Veterans Affairs (VA). It outlines the necessary personal and employment information required from applicants, including background checks related to character and fitness. Claims agents must pass a written examination, while attorneys need to be in good standing with a state bar. The form emphasizes the importance of truthfulness in responses and details the consequences of providing false information. Additionally, it includes sections for educational history, military service, and character references.

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Click ‘Get Form’ to open the 21a application in the editor.
Begin by entering your personal information in Section 1, including your last name, first name, and middle name. Ensure accuracy as this is crucial for identification.
In Section 2A, provide your home address. Double-check the street, city, state, and ZIP code for correctness.
Section 2B requires your phone number. Include the area code to ensure proper contact.
If applicable, fill out Section 3A regarding your employment status. If employed, complete Section 3B with your work address.
Proceed to Sections 4 through 10 to provide details about your date of birth, military service, employment history, and education. Use additional sheets if necessary.
Answer all background questions in Sections 13 through 25 honestly. This includes any legal issues or disciplinary actions that may affect your accreditation.
Finally, review all entries for completeness and accuracy before signing and dating the application at the end of the form.

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