Please rate Va Form 21 0845 May 2026
You may revoke your written permission at any time, except if VA has already acted based on your permission.
On file: you can only have one VA Form 21-0845 on file with VA at a time.
Person or organization: you may select only one person or one organization.
Tax information: this form cannot be used to disclose federal tax information to third parties.
Duration: Item 13 tells VA the duration of your consent.
Item 6 and Item 10: the information provided in Item 6 cannot be the same information provided in Item 10.
| Question | Answer |
|---|---|
| Form Name | VA Form 21-0845 |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 60 |
| Avg. time to fill out | 10 min |
| Edition | MAY 2026 |
| Where to send | Department of Veterans Affairs Evidence Intake Center, PO Box 4444, Janesville, WI 53547-4444 |
| Who signs | The veteran, beneficiary or claimant |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | VA Form 21-0845, 21-0845, 210845, VA 21-0845, Authorization to Disclose Personal Information to a Third Party |
| Official source | VA Form 21-0845 (Rev MAY 2026), Department of Veterans Affairs |
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Please rate Va Form 21 0845 May 2026
