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7 lut 2024 · Use VA Form 21-0845 to authorize VA to share your personal information with a non-VA (third-party) individual or organization. You can submit your authorization online instead of sending us the paper form. Securely view, download, and share your medical records. Get VA Form 21-0845, Authorization to Disclose Personal Information to a Third Party.
The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
You should make a copy of your signed authorization for your records before mailing it to VA. You can only have one VA Form 21-0845, Authorization to Disclose Personal Information to a Third Party, on file with VA at a time. Send your signed authorization in by utilizing the following methods:
Select the security question you would like us to ask your designated third party and provide the answer. This question will be asked each time your designated third party contacts our office. VA FORM MAY 2010. 21-0845 (Continued on reverse) At VA, we recognize and respect the importance of privacy. Personal information that we collect is kept
1 kwi 2020 · Download Fillable Va Form 21-0845 In Pdf - The Latest Version Applicable For 2024. Fill Out The Authorization To Disclose Personal Information To A Third Party Online And Print It Out For Free.
Use Case: The veteran completes the VA Form 21-0845, naming the VSO as the authorized third party and indicating the specific financial information to be disclosed. This allows the VSO to provide expert assistance and representation throughout the benefits claim process.
Tell us when to stop releasing your personal benefit or claim information to your authorized third party. Check the box that applies and fill in dates, if applicable. ITEMS 9A & 9B - VA will give your personal benefit or claim information to the person(s) or organization(s) you fill in here. You may fill in more than one person or organization.
