Authorize VA to release your information to a third-party source

Use this form if you want us to release information from your VA records with a non-VA (third-party) individual or organization. This may include information about your VA claims or benefits.

What to know before you fill out this form

• If you want to keep some information from your records private, you can use this form to authorize us to release only specific information.
• If we’ve determined that you can’t make decisions about VA benefits for yourself, then we can’t accept this online form from you. You’ll need to have your court-ordered or VA-appointed fiduciary complete and sign the PDF version of this form.
• This form doesn’t give the third-party individual or organization permission to manage or change the information in your VA record. They can only access the information.
• You can change your mind and tell us to stop releasing your information at any time. We can’t take back any information we may have already released based on your authorization.

How to cancel your authorization

If you change your mind and don’t want us to release your information, you can tell us online through Ask VA.

Contact us online through Ask VA

Or call us at (TTY:711). We’re here Monday through Friday, 8:00 a.m. to 9:00 p.m. ET.