Form 21 0845 - Web authorization to disclose personal information to a third party. This form may not be executed by any beneficiary recognized as incompetent for va purposes, nor can va accept. Validation edits are performed to assure data integrity. Burials and memorials, careers and employment, disability, education and training, health care, housing assistance, life insurance, pension, records. You can submit this form online or by mail. Vba is currently hosting this form on a secure server and does not currently have the technology in place to allow for the complete submission of the form. Please wait while we load the application for you. Web supporting forms for va claims. Instructions:use this form if you want to give the department of veterans affairs permission to release your personal beneficiary or claim information to a third party. Authorization to disclose personal information to a third party.
This form may not be executed by any beneficiary recognized as incompetent for va purposes, nor can va accept. Burials and memorials, careers and employment, disability, education and training, health care, housing assistance, life insurance, pension, records. How to submit this form. Validation edits are performed to assure data integrity. Web authorization to disclose personal information to a third party. You can submit this form online or by mail. Instructions:use this form if you want to give the department of veterans affairs permission to release your personal beneficiary or claim information to a third party. Please wait while we load the application for you. Authorize va to release your information to a third party source. Authorization to disclose personal information to a third party. Vba is currently hosting this form on a secure server and does not currently have the technology in place to allow for the complete submission of the form. Web supporting forms for va claims.