Alternate Signer Certification (VA Form 21-0972)

OMB 2900-0849

OMB 2900-0849

VA Form 21-0972 is used to collect the alternate signer information necessary for VA to accept benefit application forms signed by individuals on behalf of veterans and claimants. The information collected is used to contact the alternate signer for verification purposes.

The latest form for Alternate Signer Certification (VA Form 21-0972) expires 2023-01-31 and can be found here.

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