VA Form 21-0845: Authorization to Disclose VA Info – VA Form 21-0845: Authorization to Disclose Personal Information to a Third Party is a key document for U.S. veterans, beneficiaries, and claimants who need the Department of Veterans Affairs (VA) to share their personal benefit or claim information with a trusted non-VA individual or organization.
This form helps family members, caregivers, advocates, or organizations assist with VA claims, benefits inquiries, and related matters while protecting privacy under federal law.
What Is VA Form 21-0845?
VA Form 21-0845, titled Authorization to Disclose Personal Information to a Third Party, allows the VA to release specific personal information from your VA records to a designated third party.
It applies to details about your VA claims, benefits (such as disability compensation, pension, health care), payments, and related records. The form complies with the Privacy Act and other confidentiality rules. VA will only disclose information with your explicit written consent, except where legally required.
Important note: Only the veteran, beneficiary, or claimant (or their court-appointed fiduciary in certain cases) can complete and sign this form. It cannot be used by someone recognized as incompetent for VA purposes without proper fiduciary involvement.
When Should You Use VA Form 21-0845?
Use this form when you want to:
- Allow a spouse, family member, friend, caregiver, or neighbor to inquire about your VA claim status or benefits.
- Authorize an organization (e.g., a veterans service organization or advocate) to receive information on your behalf.
- Share limited details, such as claim status, payment history, or benefit letters, without granting full access.
- Facilitate communication for help with appeals, payments, or record updates.
Common scenarios include veterans who need assistance due to health issues, distance from VA offices, or complexity of the claims process. Note that this form does not appoint a representative for decision-making (use VA Form 21-22 or 21-22a for that) and does not allow the third party to change benefits or make decisions.
You can only have one active VA Form 21-0845 on file at a time.
Key Features and What the Form Allows
- Limited or Full Disclosure: Choose to release specific information (e.g., claim status, payment history, benefit rate) or “any information.”
- Duration: One-time release or ongoing until you revoke it in writing.
- Security Question: Set a verification question (e.g., mother’s birthplace, first pet’s name) that the third party must answer when contacting VA.
- Person or Organization: Designate one individual or one organization (with named representatives).
The form does not authorize release of federal tax information.
How to Fill Out VA Form 21-0845 Step by Step?
The form is straightforward and takes about 5 minutes. You can complete it by hand (print neatly in ink) or online.
Section I: Veteran’s Identification Information
Provide your full name, Social Security Number, VA file number (if known), date of birth, and service number (if applicable).
Section II: Beneficiary/Claimant’s Identification Information (if different from the veteran)
Include name, address, telephone, and email for the beneficiary or claimant.
Section III: Contact Information for the Third Party
- Name and address of the person or organization.
- For organizations, name specific representatives.
- Specify the type of information to disclose and duration.
Section IV: Declaration and Signature
Sign and date the form. Your signature is required.
Pro Tip: Make a copy for your records before submitting.
How to Submit VA Form 21-0845?
Options:
- Online (recommended): Use the secure online tool on VA.gov for faster processing.
- Mail: Send to the Evidence Intake Center, PO Box 4444, Janesville, WI 53547-4444.
You can also submit via VA.gov direct upload.
Download VA Form 21-0845 PDF
Download VA Form 21-0845 (PDF) – Official Version
Revision: February 2023 (current as of latest updates).
Official VA Page: Visit VA Form 21-0845 on VA.gov for more details and the online submission tool.
How to Revoke Authorization?
If you change your mind, notify VA in writing, by phone at 1-800-827-1000, or via Ask VA. Authorization stops for future disclosures (but prior releases stand).
Frequently Asked Questions (FAQs)
Can a third party sign the form?
No—only the veteran/beneficiary/claimant (or authorized fiduciary) can sign.
Is this the same as appointing a VSO or attorney?
No. Use VA Form 21-22/21-22a for representation.
How long does it take to process?
Online submissions are generally faster. Keep a copy and follow up if needed.
Who can I designate?
Any trusted non-VA person or organization. Only one at a time.
For the most current instructions, always refer to the official VA form and website, as processes can evolve.
Get Help with VA Benefits and Forms
If you need assistance filling out forms or navigating benefits, contact a VA-accredited representative, Veterans Service Officer (VSO), or use VA’s resources:
- Call 1-800-827-1000
- Visit VA.gov
- Use Ask VA for questions
This article provides general information based on official VA sources. For personalized advice, consult the VA or a qualified veterans benefits professional. Accurate and up-to-date as of 2026.