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Search results with tag "Form 21 4142"

(DO NOT WRITE IN THIS SPACE) AUTHORIZATION TO …

(DO NOT WRITE IN THIS SPACE) AUTHORIZATION TO …

www.vba.va.gov

authorization to disclose information to the department of veterans affairs (va) section iii - information regarding source of record(s) va form jul 2021 21-4142€ supersedes va form 21-4142, mar 2018. omb control no. 2900-0858 respondent burden: 5 minutes expiration date: 07/31/2024. page 1. instructions:

  Form, Disclose, 1244, 21 4142, Form 21 4142

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