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-21-0845-ARE.pdf
Form number
21-0845
Row ID
4870
Form title
Authorization To Disclose Personal Information To a Third Party (Fillable)
Issue date
Revision date
Form administration
VBA
Number of pages
3
Deleted
False
Form name
Authorization to Disclose Personal Information to a Third Party
Form Language
English
Related to
Benefits
VA burial benefits and memorial items
Careers and employment
VA disability compensation
VA education and training benefits
VA health care
VA housing assistance
VA life insurance
VA pension benefits
VA records
When to use

Use VA Form 21-0845 to authorize VA to share your personal information with a non-VA (third-party) individual or organization. 

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