Get Va21a

The VA21a form is an application for accreditation as a claims agent or attorney, designed to collect personal and employment data essential for the accreditation process. This guide will provide you with a clear and structured approach to successfully complete the VA21a form online.

Follow the steps to fill out the VA21a form effectively.

1. Click ‘Get Form’ button to obtain the VA21a form and open it in the editor.
2. Enter your last name, first name, and middle name in the respective fields at the top of the form.
3. Provide your home address, including street, city, state, and ZIP code.
4. Fill in your phone number, ensuring you include the area code.
5. If available, provide your e-mail address.
6. Indicate your employment status by selecting employed, unemployed, self-employed, or student. If employed, complete the work address section.
7. For employed individuals, provide the branch of service and your character of discharge.
8. List your date of birth in the format of month, day, and year.
9. Provide the place of birth, including city, state, and country.
10. List the dates of all active military service, if applicable.
11. Complete the employment section for the past five years, detailing employer name and address, phone number, position title, and employment dates.
12. Fill out the education section by listing high school graduation and any colleges or universities attended, including the degree received.
13. Answer questions regarding bar membership and registration status, including jurisdiction and date of admission.
14. Complete the background information questions truthfully, providing details and attachments for any 'Yes' responses.
15. Provide character references by listing their full names, addresses, and current phone numbers.
16. Certify the accuracy of your information by signing and dating the application.
17. After completing the form, save changes, download, print, or share the application as necessary.

Complete your VA21a form online to streamline your accreditation process.