About VA Form 21-22a
- Form name: Appointment of Individual As Claimant's Representative
- Related to: Burials and memorials, Careers and employment, Disability, Education and training, Family member benefits, Health care, Housing assistance, Life insurance, Pension, Service member benefits
- Form last updated: June 2022
When to use this form
If you want to have an individual help you with your claim or benefits, have that person complete and submit this form.
Downloadable PDFDownload VA Form 21-22a (PDF)
Change your direct deposit information
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Change your address
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Request your military records, including DD214
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Get your VA records and documents online
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