Address to mail va 21-0845 Form 2020-2024

Address to mail va 21-0845 Form: What You Should Know

USA May 17, 2024 — Use in conjunction with a non-VA individual or organization, other than the beneficiary's or claimant's personal physician or physician's assistant; or as a means to authorize an individual or organization to access or otherwise use information about an individual who is a veteran, a disabled veteran, under the age of 21, or who has died and is covered by VA health care or TRI CARE (preferred health plan) on behalf of another person who is not the veteran, under the age of 21, or who has died. The non-VA individual or organization will be required to present an Individual Consumer Consent form and a signed authorization for the disclosure of the veteran's personal information and will be responsible for the processing of the authorization. The non-VA employee or contractor must provide a copy of the individual's signature and the original of the authorization to the VA or TRI CARE administrator on or before the release date of the information. You may find an explanation of the use of this form for the VA in its online Privacy Center. It is your responsibility to ensure that you fully understand the information that you are requesting before providing it to a third party. Use VA Form 21-0845 — Veterans Affairs to authorize the VA to share your personal information with a third party (such as for a non-VA medical provider, insurance company or third party employee or independent contractor). For Veterans, this form is only used as a formality to authorize the VA to disclose personal information to a non-VA entity (the beneficiary). The information that is contained in VA Form 21-0845 is used for a variety of purposes such as (but not limited to) verifying the beneficiary's eligibility for VA benefits, reporting service-related injuries, deaths and illness to VA, conducting investigations, administering benefits, identifying employment and job opportunities, and verifying the beneficiary's military service. The information may also be shared publicly to identify eligible veterans or military service in connection with commemorative services and activities that are conducted as part of Veteran Affairs celebrations or events. For more information on VA Form 21-0845, call the toll-free Veterans Service Contact Center at and ask for the Veterans Information Line.

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