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DBQs help collect necessary medical information to process your disability claims. You can use these forms to submit medical evidence from your health care providers.
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
When to use this form. Use VA Form 21-4192 if youre 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.
Even though the VA discontinued the availability of public use Disability Benefit Questionnaires (DBQs) in March 2020, DBQ forms never actually went awaythey CAN STILL BE used by private providers to help support a veterans VA disability claim.
The VA Form 21-4142 is valid for 12 months from the date signed. It is permissible to authorize release of, and disclose, information created after the consent is signed.
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The VA has over 70 different DBQs based on specific conditions or groups of related conditions. This extensive range ensures that nearly every possible health issue a veteran might face, such as: Ear, Nose, Throat Conditions.

list of dbq forms