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About VA Form 21-0845

Form name: Authorization to Disclose Personal Information to a Third Party
Related to: Burials and memorials, Careers and employment, Disability, Education and training, Health care, Housing assistance, Life insurance, Pension, Records
Form last updated: February 2024

When to use this form

Use VA Form 21-0845 to authorize VA to share your personal information with a non-VA (third-party) individual or organization. 

Downloadable PDF

Download VA Form 21-0845 (PDF)

Online tool

You can submit your authorization online instead of sending us the paper form.

  • Securely view, download, and share your medical records.