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Without my express revocation the authorization will automatically expire 1 upon satisfaction of the need for disclosure 2 on date supplied by patient 3 under the following condition s I understand that the VA health care practitioner s opinions and statements are not official VA decisions regarding whether I will receive other VA benefits or if I receive VA benefits their amount. 552a and 38 U.S.C. 5701 and 7332 that you specify. Your disclosure of the information requested on this form is vol ...

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (42 Votes)
2020	4.8 Satisfied (269 Votes)
2005	4.4 Satisfied (324 Votes)
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2003	4.2 Satisfied (102 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are VA customers?

Our Customers: Veterans. VA serves a population of 26 million veterans and their spouses, survivors, and dependents. Nearly three-quarters of living veterans served during a war or period of conflict. Vietnam veterans account for the largest group of all veterans. World War II veterans make up the next largest group.

Who can fill out a VA Form 21 4138?

When filing a VA disability claim, former military service members can fill out the VA Form 21-4138, also known as the Statement in Support of Claim. This is a multi-purpose form that has been used by the VA for many years, on which veterans are able to write any information that they would like the VA to know.

What are the 4 types of veterans?

What is the difference between a combat, war, or peacetime veteran? Combat Veteran. Every service member who meets the active duty requirement is a veteran, but combat veterans and war veterans are entitled to additional VA benefits other veterans do not receive. ... War Veteran. ... Peacetime Veteran.

What is a VA Form 21 4192?

Use VA Form 21-4192 if you're a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form.

What is a VA Form 21?

VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE.

va form 10 5345 instructions

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Where do I send my VA Form 21P 509?

Parents: You can claim parents that you support using VA form 21P-509. This form is not available in eBenefits either, so you will have to complete it on paper. You can fax or mail it to the VA Claims Intake Center once it is done.

What benefits do veterans get?

Other VA benefits to consider as a Veteran Disability compensation. ... Support for Veteran-owned small businesses. ... Veterans Pension program. ... Aid and attendance or housebound allowance. ... Disability housing grants. ... More life insurance options. ... Pre-need eligibility determination for burial in a VA national cemetery.

What is a VA form 3288?

VA Form 3288, REQUEST FOR AND CONSENT TO RELEASE OF INFORMATION FROM INDIVIDUAL'S RECORDS.

Who is eligible for care within the Veterans Health Administration answers?

You may be eligible for VA health care benefits if you served in the active military, naval, or air service and didn't receive a dishonorable discharge.

What is a VA disclosure form?

Authorization to Disclose Personal Information to a Third Party. Related to: Burials and memorials, Careers and employment, Disability, Education and training, Health care, Housing assistance, Life insurance, Pension, Records.

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