VA Form 10-5345a


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Get your VA Form 10-5345a in 3 easy steps

  • 01 Fill and edit template Fill VA Form 10-5345a
  • 02 Sign it online Sign VA Form 10-5345a
  • 03 Export or print immediately Export VA Form 10-5345a

What is VA Form 10-5345A?

VA form 10-5345a is also known as the Individual’s Request for a Copy of Their Own Health Information template. It is a document that requests unique information protected by the privacy act. Without this form, the Department of Veterans Affairs is not able to provide you with even your personal data. The VA keeps personal information on each veteran’s health issues. If a veteran wants to request a copy of these records, it is better to use the VA form 10-5345a download option. The copy may be provided to the health care insurer or to the medical center. According to the law, all veterans can claim their own medical records. Veterans can contact a trustable representative to act on his/her behalf. However, VA can only deliver the copy to your personal address. If you want to grant the rights to the third party to receive the form, you have to fill in another document.

The VA form 10 5345a PDF document can be used by veterans to claim benefits for disability and receive help from the government. The information can be used to get the impairment rating as well. It might be helpful to the dependents of the veteran too.

VA Form 10-5345a on PDFLiner

What I need the VA Form 10-5345A for?

  • Veterans need VA form 10-5345a printable version to receive personal health records that the VA department keeps in archives. This form allows to receive these records and claim for the health benefits and impairment rating;

  • VA Department needs VA form 10-5345a fillable by the veteran to provide personal information. This document must be kept in the records of the veteran as well. Without this template VA can’t approve the claim for personal data;

  • The doctor who works with veterans can use the 10-5345a VA form to receive the history of the disease and to ask for disability benefits on behalf of the veteran.

How to fill out VA Form 10-5345A?

You can easily find printable VA form 10-5345a on the official website of the VA Department. There you can also read the form. It is not available for online editing, and you may need to use a third-party PDF editor like PDFLiner to open and work with the template. Before you do it, you need to learn how to fill out VA form 10-5345a. It may look simple, but if you make mistakes your claim will be declined. This is why it is important to follow basic instructions. Once you fill it, re-read it, check for mistakes, and save the copy on your device. After that, you can print the document or send it via email to the other party. Here is what you need to include in VA form 10–5345a:

  1. Provide information about the name and the location of the health care facility of veterans you apply to;

  2. Provide information about you, including full name, address, and date of birth;

  3. Describe the information you need. Pick the statement that matches your demand and put a tick in the appropriate box;

  4. Sign the document and put the date there.

Organizations that work with VA Form 10-5345A

  • United States Department of Veteran Affairs.

Where to send VA form 10-5345A?

You can send this document to the official email of the VA department you work with. You also can contact the department of veterans affairs health care facility directly. To do this, you need to know which one keeps the records and accepts such claims from the veterans. You also can use regular mail and send the document to the Department’s box. Yet, it may take some time to be delivered and you have to wait for approval. You can hand the paper version to the professional from the department if it is located nearby and you can easily travel there.

Fillable online VA Form 10-5345a
(4.5 / 5) 99 votes
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