Skip to Content

Alternate signer certification form

Form name:Alternate Signer Certification (VA Form 21-0972)
Form revision date: February 2023
Related to: VBA

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

Online tool

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

Helpful links related to VA Form 21-0972

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

  • Find other forms that you may need to submit to support your claim. You can download a lay witness statement (or “buddy statement”), an intent to file, and other supporting forms.

Last updated: