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-21P-4718a-ARE.pdf
Form number
21P-4718a
Row ID
4125
Form title
Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (Fillable)
Issue date
Revision date
Form administration
VBA
Number of pages
2
Deleted
False
Form name
Certificate of Balance on Deposit and Authorization to Disclose Financial Records
Related to
Benefits
VA benefits for spouses, dependents, survivors, and family caregivers
VA pension benefits