Get About Va Form 10-5345a

The About VA Form 10-5345a is designed for individuals seeking to request a copy of their personal health information maintained by the Department of Veterans Affairs. This guide will provide a clear and supportive overview of how to effectively and accurately fill out the form online.

Follow the steps to complete the About VA Form 10-5345a online.

1. Select the 'Get Form' button to obtain the About VA Form 10-5345a and open it in the designated editor.
2. Enter your date of birth in the specified format (mm/dd/yyyy) to verify your identity.
3. Provide your full last name, first name, and middle name in the designated fields.
4. Fill in your mailing address, including the city, state, and ZIP code, to ensure the VA can send the requested information.
5. In the section labeled 'Description of information requested,' check the appropriate box(es) corresponding to the information you wish to receive. Be specific about the extent or nature of the information, such as health summaries or lab results.
6. Indicate the preferred method of delivery for your health information: paper, CD-ROM, or another method. If you choose in-person pickup, ensure you provide a reliable contact phone number.
7. If you prefer the information to be mailed, ensure the address is correct. You can choose to have it sent to the same address as provided above or fill out a new address.
8. Sign the form in ink where indicated, confirming your request for the information. If you are signing on behalf of another individual, indicate the authority under which the request is made.
9. Finally, specify the date of signing in the format (mm/dd/yyyy). After completing the form, you can save any changes, download, print, or share the completed form as needed.

Complete your VA Form 10-5345a online to access your health information.