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

OMB 2900-0736

OMB 2900-0736

VA Form 21-0845 is used to release information in the following circumstances: where the individual identifies the particular information and consents to its use; for the purpose for which it was collected or a consistent purpose (i.e., a purpose which the individual might have reasonably expected).

The latest form for Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) expires 2022-04-30 and can be found here.


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