OMB control number

Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)

OMB 2900-0736 · VA.

OMB 2900-0736

VA Form 21-0845 is used to release information in its custody or control in the following circumstances: where the individual identifies the information and consents to its use; for the purpose for which it was collected or a consistent purpose (i.e., a purpose which the individual might have reasonably expected). By law, VA must have a claimants or beneficiary’s written permission (an "authorization") to use or give out claim or benefit information for any purpose that is not contained in VA’s System of Records, 58VA21/22/28 Compensation, Pension, Education and Veterans Readiness and Employment Records. The claimant or beneficiary may revoke the authorization at any time, except if VA has already acted based on the claimant’s permission.

The latest form for Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) expires 2026-04-30 and can be found here.

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