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About VA Form 21-0972

Form name: Alternate Signer Certification
Related to: VBA
Form last updated: April 2023

When to use this form

Use VA Form 21-0972 if you’re signing an application form for benefits on behalf of a Veteran or non-Veteran.

Downloadable PDF

Download VA Form 21-0972 (PDF)

Online tool

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

Go to the online tool

Helpful links

  • Find out how to update your direct deposit information online for disability compensation, pension, or education benefits.

  • Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits.

  • Submit an online request to get your DD214 or other military service records through the milConnect website.

  • Learn how to access your VA records, benefit letters, and documents online.

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