Va form 10 5345a 2026

1. Click ‘Get Form’ to open the VA Form 10-5345a in the editor.
2. Begin by entering your personal information. Fill in your last name, first name, and middle name, followed by your date of birth in the specified format (mm/dd/yyyy).
3. Provide your mailing address, ensuring to include the city, state, and zip code for accurate delivery.
4. In the 'Description of Information Requested' section, check all applicable boxes that correspond to the health information you wish to receive. Be specific about dates and types of records needed.
5. Indicate how you would like to receive your health information by selecting either paper, CD-ROM, or other options. If opting for in-person pickup, provide a contact phone number.
6. Sign the form in ink where indicated and enter the date of signing. If someone else is signing on your behalf, specify their authority.

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