Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)

Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)

OMB: 2900-0736

IC ID: 188786

Documents and Forms

Document Name Document Type
Form 21-0845 Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) Form
21-0845 Authorization to Disclose Personal Information to a Third Party VAF21-0845 (1-11-23).pdf www.va.gov/vaforms/ Form