The following information about this VA form comes from the VA forms database, and any changes are updated here nightly. Contact the form administration for further information.
Link to form
http://www.vba.va.gov/pubs/forms/VBA-21-22A-ARE.pdf
Form number
21-22a
Row ID
3242
Form title
Appointment of Individual As Claimant's Representative (Fillable)
Issue date
Revision date
Form administration
VBA
Number of pages
3
Deleted
False
Form name
Appointment of Individual As Claimant's Representative
Form Language
English
Related to
VA burial benefits and memorial items
Careers and employment
VA disability compensation
VA education and training benefits
VA benefits for spouses, dependents, survivors, and family caregivers
VA health care
VA housing assistance
VA life insurance
VA pension benefits
VA benefits for service members
When to use

If you want to have an individual help you with your claim or benefits, have that person complete and submit this form.