
About va form 21-22a | veterans affairs
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* Form name: Appointment of Individual As Claimant's Representative Form revision date: July 2023 Related to: Burials and memorials, Careers and employment, Disability, Education and
training, Family member benefits, Health care, Housing assistance, Life insurance, Pension, Service member benefits WHEN TO USE THIS FORM If you want to have an individual help you with your
claim or benefits, have that person complete and submit this form. DOWNLOADABLE PDF Download VA Form 21-22a (PDF) ONLINE TOOL You can fill out your form online, instead of filling out a
paper form. * An accredited attorney, claims agent, or Veterans Service Organization (VSO) representative can help you file a claim or request a decision review.