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Va 21-22 Form: What You Should Know

The forms are used to help Veterans and Service Members claim certain benefits. 2. RECOMMENDATION: If SO wants to receive VIA benefits that are beyond the ERA, the Appointment of Veterans Service Organization will be used. However, the SO must file an appointment with the VA within ten days of filling out this form. There are other forms that can be used by SO that will still be able to receive the VA benefits that are beyond the ERA. (Note: You must use a new Appointment of Veterans Service Organization form for each new claim, as a SO will have to preregister with the VOST when they request to be allowed to receive claims that are beyond the ERA.) VIA and other agencies may request an Appointment of Veterans Service Organization within ten days of receiving the request for appointment. 3. APPENDIX: VA Form 21-22a | 10-page Appointment of VA Claims Representative form Page 1 of 10 — Fillable VA Form 21-22a | Free PDF Sample VA Form 21-22a — Sample Appointment of Veterans Service Organization form (PDF, 28 MB) Page 2 of 10 — Fillable VA Form 21-22a | Free PDF Sample Appendix: 1. What to include in the Appointment of Veterans Service Organization Form? On page 1 of the Appointment of Veterans Service Organization form, fill out the following information: Your name and business address (if different for VA); Your telephone number and e-mail address (if you want more information on VA Form 21-22a than the form provides); Your business name or trade name if you own and operate a service or nonprofit business; A description of your business, including where the organization can be found on the internet and in a newspaper if they offer a blog or website that can speak directly to the public about the organization's mission and/or accomplishments; An indication of how much time you can spend working full-time as a Veterans' Service Organization representative, not including weekend time when you are not in the office; For each appointment that you sign, indicate whether you are a United States citizen, if the Veterans Affairs office where you are trying to get the appointment is located overseas. Do not include a signature, date, and notarized signature. 4.

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