Va form 10 0137b 2025

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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
Youll need to fill out an Application for Adaptive EquipmentMotor Vehicle (VA Form 10-1394). Bring it to the prosthetic representative at your local VA medical center. We may pay you, or we may pay the equipment seller directly. Note: You must have a service-connected disability to get an adaptive-equipment grant.
Use VA Form 21-686c to submit a claim for additional benefits for a dependent, or to request to remove a dependent from your benefits.
This section of the advance directive form is called a Durable Power of Attorney for Health Care. It lets you appoint a specific person to make health care decisions for you in case you cant make decisions for yourself anymore. This person will be called your Health Care Agent.
Use VA Form 21-674 when claiming benefits for a child who is at least 18 years old, but under 23, and attending school.
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VA Form 21-674c should be completed by the person receiving or claiming benefits for a veterans child who is at least 18 but under 23 and attending school. The veterans child should complete the form only if he or she has reached the age of majority and is or will be entitled to receive direct payment of VA benefits.
This VA Advance Directive form is valid in VA facilities without being notarized. However, you may need to have it notarized to be legally binding outside the VA health care setting.
Use this form to report to VA any change in the childs status, such as termination of school attendance or marriage. Want to apply electronically? You can apply online at .

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