Supplemental Statement for VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs
VA revised VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs, Jan 2011. The form was revised to add the date of birth of the claimant and minor revisions to certain language on the form. The date of birth will assist the provider in locating and providing the correct medical or other source information. The revisions to the language of the form will clarify the information required by VA. Implementing these revisions will reduce development processing time. This revision will not increase the burden hours.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | VA would like to replace the 21-0844 and with the new certification and VA Forms 21-526EZ and 21-527EZ |
| Author | capcserg |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |