Get Vaform10 5345a

Filing the Vaform10 5345a is essential for individuals seeking a copy of their health information from the Department of Veterans Affairs. This guide provides clear, step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to complete the Vaform10 5345a form online.

1. Press the ‘Get Form’ button to access the Vaform10 5345a and open it in your online document editor.
2. Enter your last name, first name, and middle initial in the designated fields to identify yourself.
3. Provide your Social Security Number. This is necessary to help locate your records. Ensure accuracy to prevent delays.
4. Fill in your date of birth using the format mm/dd/yyyy, as this information is crucial for record identification.
5. In the section for 'description of information requested', check all applicable boxes and specify the nature and extent of the information you wish to receive, including any relevant dates.
6. Indicate the facility where you received treatment if applicable, as this assists in accurately locating your records.
7. Select how you would like the copied health information to be delivered to you: in-person or by mail, and fill in the address if you choose mail delivery.
8. Sign the form where indicated. If someone other than yourself is signing, state the authority under which they are making the request.
9. Provide your phone number for any follow-up required by the VA.
10. Finally, enter the date you are completing the form, ensuring it is formatted correctly as mm/dd/yyyy. Once completed, you can save changes, download, print, or share the form as needed.

Complete your Vaform10 5345a online today to request your health information efficiently.