Follow the steps to successfully fill out the form online.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. Section I requires the veteran's information. Begin by entering the veteran's full name in the designated fields and then provide their Social Security number. If applicable, include the veteran's VA file number and date of birth in the correct format (MM/DD/YYYY). Make sure to fill in additional fields such as service number and insurance numbers, if relevant.
3. Next, enter the mailing address including the street address, city, state, and ZIP code. If a unit number applies, include it as well. Additionally, provide a telephone number with the area code and an optional email address.
4. Move on to Section II if the claimant is different from the veteran. Fill in the claimant's name, date of birth, relationship to the veteran, and their complete mailing address using the same format as before. Include their telephone number and optional email.
5. In Section III, select the service organization recognized by the Department of Veterans Affairs as your representative. Next, provide the name of a representative from that organization, their job title, and the organization's email address.
6. Complete Section IV by marking the boxes that authorize the representative to access health records and change the claimant's address if needed. Carefully read through the authorization statements to ensure they accurately reflect your intentions.
7. Sign and date the form in Section V where indicated. Both the veteran or claimant and the service organization representative must sign and date the form for it to be valid.
8. Once all sections are completed, review the form thoroughly for accuracy. Finally, save changes, download a copy, and consider printing the document for your records or to share as needed.

Complete your documents online today for a smoother claim process.