OMB control number
Appointment of Veterans Service Organization as Claimant's Representative (VA Form 21-22), Appointment of Individual as Claimant's Representative (VA Forms 21-22a)
OMB 2900-0321 · VA.
VA Forms 21-22 and 21-22a are used to collect the information needed to determine whom claimants have appointed to represent them in the preparation, presentation, and prosecution of claims for VA benefits. The information is also used to determine the extent of representatives’ access to claimants’ records. Without this information VA would be unable to determine whom claimants have appointed to represent them in the prosecution of VA claims, the extent of such representation, and access to appropriate records.
The latest form for Appointment of Veterans Service Organization as Claimant's Representative (VA Form 21-22), Appointment of Individual as Claimant's Representative (VA Forms 21-22a) expires 2026-07-31 and can be found here.
Document Name |
|---|
Form |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Form 21-22 Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a)
Comment-Response (Nos. 1,2,3)(VAF21-22 Series)(6-13-23).docx
Appointment of Veterans Service Organization as Claimant's Representative (VAF21-22), Appointment of Individual as Claimant's Representative (VAF21-21-22a)