2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
Easily complete & submit your VA 21-4142 form
Follow these simple steps to fill, sign, and send your VA 21-4142 form online.
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What is a VA 21-4142 used for?
VA Form 21-4142 is used by veterans to authorize the Department of Veterans Affairs (VA) to obtain medical records from healthcare providers. This form facilitates the gathering of necessary documentation to support veterans' benefits claims.
Who needs to fill out a VA 21-4142 form
Veterans who need to authorize the VA to obtain medical records from non-VA healthcare providers for their benefits claims.
How to fill out a VA 21-4142 online?
Follow these steps to complete your VA 21-4142 form online.
Frequently Asked Questions
Find quick answers to common questions about our PDF editor.
It is a form that allows veterans to authorize the VA to obtain their medical records necessary for benefits claims.
The form is not required if the veteran's claims are based solely on service records or if all treatment records are from VA facilities.
You can check the status by contacting the regional VA office where you submitted the form.
