VA Form 21-4142 Authorization to Disclose Information to the Department of Veterans Affairs
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Official Source:U.S. Department of Veterans AffairsChecked May 2026What is 21-4142 used for?
Use this form to authorize the Department of Veterans Affairs to request your private records, such as medical records, from a provider to support your VA claim.
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From the issuer: https://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf
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Agency
U.S. Department of Veterans Affairs
Form identifier
21-4142
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May 2026
Jurisdiction
Department of Veterans Affairs, Federal, USA
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