Official VA Form

VA Form 21-22

Appointment of Veterans Service Organization as Claimant's Representative

VA Form 21-22 — Appointment of Veterans Service Organization as Claimant's Representative is an official U.S. Department of Veterans Affairs form used for burials and memorials, careers and employment, disability. The current version was last revised 2023-07-16. It is 4 pages long. Download the up-to-date PDF below — BaseNeed syncs form data directly from VA.gov so you always get the current edition.

Download the official PDF (VA.gov) →

Last revised: 2023-07-16
First issued: 2023-10-26
Pages: 4
Administered by: VBA

Burials and memorialsCareers and employmentDisabilityEducation and trainingFamily member benefitsHealth careHousing assistanceLife insurancePensionService member benefits

Frequently asked questions

What is VA Form 21-22 used for?

Appointment of Veterans Service Organization as Claimant's Representative. It is an official VA form in the Burials and memorials, Careers and employment, Disability categories, administered by VBA.

Where can I download the current VA Form 21-22?

Download the official PDF from VA.gov here: https://www.vba.va.gov/pubs/forms/VBA-21-22-ARE.pdf (last revised 2023-07-16).

How long is VA Form 21-22?

VA Form 21-22 is 4 pages long, last revised 2023-07-16.

Always the current version — synced from VA.gov. BaseNeed is not affiliated with the U.S. Department of Veterans Affairs.

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More Burials and memorials forms

VA Form 21P-10196 — Legal Summary—Burial Benefits, Plot and Internment Allowances, and Transportation Benefits
VA Form VA40-10088 — Request for Reimbursement of Casket/Urn
VA Form VA40-10190 — Funeral Honors Providers Certification Form
VA Form 21-0845 — Authorization to Disclose Personal Information to a Third Party
VA Form VA40-4970 — Request for Disinterment
VA Form VA40-10007 — Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery
VA Form VA40-1330 — Claim for Standard Government Headstone or Marker
VA Form 21P-530a — State Application for Interment Allowance (Under 38 U.S.C. Chapter 23)

Nearby form numbers

VA Form 21-0966 — Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC
VA Form 21-0972 — Alternate Signer Certification
VA Form 21-10210 — Lay/Witness Statement
VA Form 21-22a — Appointment of Individual As Claimant's Representative
VA Form 21-2680 — Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
VA Form 21-4138 — Statement in Support of Claim