What is VA Form 10-10172?
VA Form 10-10172 is the Request for and Authorization to Release Medical Records or Health Information. This form is crucial for veterans seeking to obtain their medical records for various purposes such as disability claims, treatment, or personal records. By accurately completing and filing this form, veterans can ensure that their medical information is securely and legally shared with authorized individuals or organizations.
What is VA Form 10-10172 used for?
Form VA 10-10172 is used for requesting a copy of a deceased veteran's military records:
- to access important information.
- to apply for benefits.
- to research family history.
How to fill out VA Form 10-10172?
- 1
Review Form Instructions: Carefully read VA Form 10-10172 instructions to understand requirements.
- 2
Enter Personal Information: Fill in your full name, Social Security number, contact details, and any other requested info accurately.
- 3
Provide Specific Details: Include relevant details such as dates, addresses, and specific information as needed.
- 4
Attach Supporting Documents: If required, submit additional documents to support your claim or application.
- 5
Review for Accuracy: Double-check all entries for errors or missing information before submission.
- 6
Sign Form Appropriately: Follow current signature guidelines from official sources for valid completion.
- 7
Submit form: Mail the completed form to the appropriate VA office or send it by fax or electronically.
Who is required to fill out Form VA 10-10172?
The VA Form 10-10172 is typically completed by veterans or their representatives for medical or healthcare-related purposes. After completion, the form is usually used by the Department of Veterans Affairs (VA) for processing and maintaining accurate medical records.
When is Form VA 10-10172 not required?
If you are not a veteran or a beneficiary eligible for VA benefits, you do not need to fill out VA Form 10-10172. This form is specifically for individuals applying for VA benefits and services. If you do not fall into this category, you can skip filling out this form. It is important to only complete forms that are relevant to your specific situation to avoid any unnecessary paperwork.
When is Form VA 10-10172 due?
The deadline for the VA Form 10-10172 submission is determined by the specific requirements of the entity or organization requesting the form. It is essential to check with the relevant authority or department to confirm the due date for this form. Be sure to allow ample time for completion and submission to meet any deadlines.
How to get a blank VA Form 10-10172?
To get a blank VA Form 10-10172, issued by the Department of Veterans Affairs, on our platform, simply click "Fill Form" on the landing page. The blank version will load in our editor, ready for you to fill out the necessary fields. Once completed, click "Done" to download the form for future use. Remember, our platform helps with filling and downloading forms, not filing them.
How to sign Form VA 10-10172?
To sign VA Form 10-10172, you can use an electronic signature or a wet signature. PDF Guru supports simple electronic signatures only, not digital ones. For a wet signature, print the form, sign it by hand, and send it as needed.
Check for any updates on signature requirements for this form to ensure compliance.
Where to file Form VA 10-10172?
Form VA Form 10-10172 can be filed by mail to the Department of Veterans Affairs. Online filing is possible through the HealthShare Referral Manager portal. Remember to double-check all information before submission to ensure accuracy.
