INSTRUCTIONS: Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to provide your written authorization to obtain your treatment records, so the VA can …

Dec 18, 2025 · Learn about the steps for filing a claim for disability compensation or increased disability compensation. Learn about filing a Supplemental Claim and adding new evidence to support your case.

Feb 21, 2025 · This supplemental form lists all private medical providers from whom the VA should request records. Veterans submit one copy of this form with all providers’ names, alongside …

Apr 4, 2023 · By signing Form 21-4142, you allow the VA to obtain information regarding your medical history and any treatments received. You are usually charged when requesting medical records from …

Mar 15, 2023 · What Is VA Form 21-4142 Used For? The Department of Veterans Affairs (VA) Form 21-4142, Authorization to Disclose Information to VA, gives VA permission to obtain a veteran’s medical …

The VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by Federal Statute of law in effect prior to January 1, 1975, and still in effect.

INSTRUCTIONS: Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to provide your written authorization to obtain your treatment records, so the VA can …

INSTRUCTIONS: Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to provide your written authorization to obtain your treatment records, so the VA can …

You can provide this authorization by signing VA Form 21-4142. Federal law permits sources with information about you to release that information if you sign a single authorization to release all your …