What is a VA 21-4142 authorization for release of information?

Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care. About VA Form 21-4142 Veterans Affairs VA.gov Home Veterans Affairs https://.va.gov find-forms about-form-21-4142 VA.gov Home Veterans Affairs https://.va.gov find-forms about-form-21-4142

What is the difference between VA Form 21-4142 and VA Form 21 4142a?

Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA For 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 ... Private Medical Evidence - Compensation Veterans Benefits Administration https://.benefits.va.gov compensation dbq FAQs Veterans Benefits Administration https://.benefits.va.gov compensation dbq FAQs

What is VA Form 21 22a used for?

NOTE: If you prefer to have a veterans service organization assist you with your claim instead of an individual please complete VA Form 21-22, Appointment of Veterans Service Organization as Claimant's Representative. See Page 3 on how to submit completed form. VA forms are available at .va.gov/vaforms.

Where can I download VA forms?

VA forms are available at .va.gov/vaforms. A separate expedited claims processing program available for current active duty Servicemembers is explained on page 5 under Compensation Claims Submitted Prior to Discharge. VA Form 21-526EZ - Veterans Benefits Administration Veterans Benefits Administration - VA.gov https://.vba.va.gov pubs forms Veterans Benefits Administration - VA.gov https://.vba.va.gov pubs forms

What is the difference between 21-4142 and 21 4142a?

While VA Form 21-4142 authorizes the Department to access a veteran's non-VA treatment medical records, Form 21-4142a must be completed at the same time to disclose all medical providers or facilities that administered medical treatment to the veteran.

How long is a VA Form 21-4142 good for?

The VA Form 21-4142 is generally valid for 12 months from the date signed. The VA Form 21-4142 clearly states at the heading "EXPIRES" that the authorization is good for 12 months from the date signed.

Do I need to fill out 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 VA form 21P 4171?

VA Form 21P-4171 is used to gather information that is needed to determine veteran's spouses' eligibility for benefits based on a common law marital relationship. The latest form for Supporting Statement Regarding Marriage (VA Form 21P-4171) expires 2021-03-31 and can be found here. Supporting Statement Regarding Marriage (VA Form 21P-4171) OMB.report https://omb.report omb OMB.report https://omb.report omb

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Q: Do I need to fill out VA Form 21 4192?

Use VA Form 21-4192 if you&#039;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.

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Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care. About VA Form 21-4142 | Veterans Affairs VA.gov Home | Veterans Affairs https://.va.gov › find-forms › about-form-21-4142 VA.gov Home | Veterans Affairs https://.va.gov › find-forms › about-form-21-4142
Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA For 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 ... Private Medical Evidence - Compensation Veterans Benefits Administration https://.benefits.va.gov › compensation › dbq_FAQs Veterans Benefits Administration https://.benefits.va.gov › compensation › dbq_FAQs
VA forms are available at .va.gov/vaforms. A separate expedited claims processing program available for current active duty Servicemembers is explained on page 5 under Compensation Claims Submitted Prior to Discharge. VA Form 21-526EZ - Veterans Benefits Administration Veterans Benefits Administration - VA.gov https://.vba.va.gov › pubs › forms Veterans Benefits Administration - VA.gov https://.vba.va.gov › pubs › forms
VA Form 21P-4171 is used to gather information that is needed to determine veteran's spouses' eligibility for benefits based on a common law marital relationship. The latest form for Supporting Statement Regarding Marriage (VA Form 21P-4171) expires 2021-03-31 and can be found here. Supporting Statement Regarding Marriage (VA Form 21P-4171) OMB.report https://omb.report › omb OMB.report https://omb.report › omb

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