Get Fillable VA Form 10091, FSC Vendor File Request

The mission of the Nationwide Vendor File Division of the Department of Veterans Affairs—Financial Services Center (VA–FSC) is to add, modify, or delete vendor records in the Financial Management Services (FMS) vendor file.

How to submit a medical records request. You'll need to fill out an Individuals' Request for a Copy of Their Own Health Information (VA Form 10-5345a). Submit your completed form to your VA health facility's medical records office. This office is also called a Release of Information Office.

The VA Toll Free # is: 1-800-827-1000 - it will connect the caller to the nearest VA office. Use eVetRecs to Get Copies of most Health & Medical Records.

Please fax the completed form to 512-460-5221 for processing. PRIVACY ACT NOTICE: The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). All information collected on this form is required under the provisions of 31 U.S.C.

➢ OGC may request that you complete a VA Form 3288 - Request for and Consent to Release of Information from Individual's Records, which permits the disclosure of your complaint to the individual or organization.

Use VA Form 21-4142a to give us permission to get medical provider information from a non-VA source like a private doctor or hospital. This will allow us to gather information like the name and address of a facility and your medical treatment dates.

What purpose does the VA Form 21-4138 serve? In summary, this form is used to provide information to corroborate a veteran's claim for benefits. This form is filled out by a veteran's friends, families, or former service members.

VA Form 10091 is used to gather essential payment data from vendors (Commercial, Individuals, Veterans, etc.) to establish or update vendor records in order to process electronic payments in ance with Title 31 of the Code of Federal Regulation Part 208 (31 CFR Part 208).