VA Form 21-0845: Authorization to Disclose Personal Information to a Third Party
VA Form 21-0845 gives VA written permission to discuss or release your personal claim information to a specific person or organization you choose, such as a spouse or a member of Congress's office.
This is the genuine VA PDF, unmodified. Source: VA official page.
What is VA Form 21-0845?
VA Form 21-0845, Authorization to Disclose Personal Information to a Third Party, is a privacy release. Without it, VA cannot discuss the details of your claim with anyone other than you or your appointed representative. The form lets you name a third party, either an individual or an organization, and define what VA may share with them.
You can limit the disclosure to specific information and set a security question or code the third party must provide. The authorization is not the same as appointing a representative: the named person can receive information but cannot act on your claim. You can revoke the authorization in writing at any time.
Who files VA Form 21-0845?
- Veterans who want VA to be able to discuss their claim with a spouse or family member
- Claimants authorizing a congressional office or other organization to receive claim information
- Beneficiaries who want a trusted helper kept informed without appointing a representative
- Anyone updating or revoking a previous third-party disclosure authorization
How to fill out VA Form 21-0845
- Enter your name, file number, and identifying information.
- Name the individual or organization VA may release information to.
- Specify what information VA may disclose, or authorize release of any information about your claim.
- Set the optional security question or code the third party will use, then sign and date the form.
- Submit it online, upload it through va.gov, or mail it to the address in the form instructions.
Quick fill VA Form 21-0845 on this page
Prefer to see the form itself while you type? Open VA Form 21-0845 in the editor to fill it on the actual pages, add a signature, and download.
Frequently asked questions
Does VA Form 21-0845 let someone act on my claim?
No. It only authorizes VA to release information to that person or organization. To have someone act for you, appoint a representative with VA Form 21-22 (for a service organization) or 21-22a (for an individual).
Can I cancel the authorization later?
Yes. You can revoke it at any time by sending VA a written statement. The revocation takes effect when VA receives it and does not undo disclosures already made.