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va form 21 4142
va form 21 4142

Fillable AUTHORIZATION AND CONSENT TO RELEASE INFORMATION TO ... - vba va

Description

OMB Control No. 2900-0001 Respondent Burden: 5 minutes AUTHORIZATION AND CONSENT TO RELEASE INFORMATION TO THE DEPARTMENT OF VETERANS AFFAIRS (VA) RESPONDENT BURDEN: We need this information to obtain your treatment records. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 5 minutes to review the instructions, find the information and complete this...
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