Get Va 21-0845 2016-2025

Filling out the VA Form 21-0845, Authorization to Disclose Personal Information to a Third Party, is an essential step in granting permission for the Department of Veterans Affairs to share your benefit or claim information. This guide provides clear, step-by-step instructions to help you complete the form online with confidence.

Follow the steps to accurately complete the VA 21-0845 online.

1. Press the ‘Get Form’ button to access the online version of the VA 21-0845. Ensure that you have a stable internet connection to facilitate a smooth experience.
2. In Section I, provide the veteran's identification information. Fill in the name (first, middle initial, last), social security number, VA file number, date of birth, and service number if applicable.
3. Proceed to Section II to complete the beneficiary or claimant's identification information. Enter the name of the beneficiary or claimant who is not the veteran, their address, preferred phone number, and optional email address.
4. In Section III, indicate your authorization for VA to contact the designated person or organization by selecting either 'Any Information' or 'Limited Information'. If limited information is selected, specify the details you wish to disclose.
5. If you selected 'Any Information', specify the duration of the authorization in Item 12. Choose a one-time release, state a specific date to stop, or opt for ongoing permission until written notice is given to VA.
6. Fill in the name and address of the person or organization to which VA is authorized to disclose information in Item 13. Make sure if you select an organization, you also provide a representative's name.
7. Choose a security question in Item 14A that will be used to verify the identity of your designated third party and provide the corresponding answer in Item 14B.
8. To complete the form, review all entered information for accuracy, and then sign and date the form in Section IV to certify that the statements are true and correct.
9. Once completed, save changes, download, and print the form. Make a copy of your signed authorization for your records before mailing it to the appropriate VA address.

Take action today and complete your VA 21-0845 online to ensure your information is shared as needed.