VA Form 3288 Request for and Consent to Release of Information From Individual's Records

What Is VA Form 3288?

The VA Form 3288 or the Request for and Consent to Release of Information is one of the Department of Veterans Affairs (VA) forms used for obtaining a veteran's records (or C-files). A veteran's C-file is a folder created by the VA that contains all relevant information on a veteran, such as their service medical records, post-service treatment records, VA correspondence, C&P Exam Request letters, and other relevant information.

The latest VA Form 3288 fillable edition was released by the VA in December 2014 and supersedes the now obsolete 1995 edition. An up-to-date version of the form is available for digital filing and download below or can be found on the VA website.

ADVERTISEMENT
Form Approved: OMB No. 2900-0028
Respondent Burden: 7.5 minutes
REQUEST FOR AND CONSENT TO RELEASE OF INFORMATION FROM INDIVIDUAL'S RECORDS
PRIVACY ACT STATEMENT: The execution of this form does not authorize the release of information other than that specifically described below.
The information requested on this form is solicited under Title 38, United States Code, and will authorize release of the information you specify. The
information may also be disclosed outside VA as permitted by law to include disclosure as stated in the "Notices of Systems of VA Records" published in
the Federal Register in accordance with the Privacy Act of 1974.
RESPONDENT BURDEN:
VA may not conduct or sponsor, and the respondent is not required to respond, to this collection of information unless it
displays a valid OMB Control Number. The Privacy Act of 1974 (5 U.S.C. 552a) and VA's confidentiality statute (38 U.S.C. 5701) as implemented by 38
CFR 1.526(a) and 38 CFR 1.576(b) require individuals to provide written consent before documents or information can be disclosed to third parties not
allowed to receive records or information under any other provision of law. The information requested is approved under OMB Control Number
2900-0028 and is necessary to ensure that the statutory requirements of the Privacy Act and VA's confidentiality statute are met.
Responding to this collection of information is voluntary. However, if the information is not furnished, we may not be able to comply with your request.
Public reporting burden for this collection is estimated to average 7.5 minutes per respondent, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspects of this collection of Information, including suggestions for reducing this burden, to the VA Clearance Officer
(005E3), 810 Vermont Avenue, NW, Washington, DC 20420. Send comments only. Do not send this form or requests for benefits to this address.
Department of Veterans Affairs
NAME OF INDIVIDUAL (Type or print)
TO
VA FILE NO. (Include prefix)
SOCIAL SECURITY NUMBER
NAME AND ADDRESS OF ORGANIZATION OR INDIVIDUAL TO WHOM INFORMATION IS TO BE RELEASED
VETERAN'S REQUEST
I hereby request and authorize the Department of Veterans Affairs to release the following
NAME
information from the records identified above to the organization, agency, or individual named
hereon:
INFORMATION REQUESTED (Number each item requested and give the dates or approximate dates - period from and to - covered by each.)
PURPOSE(S) FOR WHICH THE INFORMATION IS TO BE USED.
NOTE: Additional information may be listed on the reverse side of this form.
SIGNATURE OF INDIVIDUAL OR PERSON AUTHORIZED TO SIGN FOR INDIVIDUAL (Attach authority to sign, e.g., POA)
DATE
3288
VA FORM
OCT 1995(R)
Form Approved: OMB No. 2900-0028
Respondent Burden: 7.5 minutes
REQUEST FOR AND CONSENT TO RELEASE OF INFORMATION FROM INDIVIDUAL'S RECORDS
PRIVACY ACT STATEMENT: The execution of this form does not authorize the release of information other than that specifically described below.
The information requested on this form is solicited under Title 38, United States Code, and will authorize release of the information you specify. The
information may also be disclosed outside VA as permitted by law to include disclosure as stated in the "Notices of Systems of VA Records" published in
the Federal Register in accordance with the Privacy Act of 1974.
RESPONDENT BURDEN:
VA may not conduct or sponsor, and the respondent is not required to respond, to this collection of information unless it
displays a valid OMB Control Number. The Privacy Act of 1974 (5 U.S.C. 552a) and VA's confidentiality statute (38 U.S.C. 5701) as implemented by 38
CFR 1.526(a) and 38 CFR 1.576(b) require individuals to provide written consent before documents or information can be disclosed to third parties not
allowed to receive records or information under any other provision of law. The information requested is approved under OMB Control Number
2900-0028 and is necessary to ensure that the statutory requirements of the Privacy Act and VA's confidentiality statute are met.
Responding to this collection of information is voluntary. However, if the information is not furnished, we may not be able to comply with your request.
Public reporting burden for this collection is estimated to average 7.5 minutes per respondent, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspects of this collection of Information, including suggestions for reducing this burden, to the VA Clearance Officer
(005E3), 810 Vermont Avenue, NW, Washington, DC 20420. Send comments only. Do not send this form or requests for benefits to this address.
Department of Veterans Affairs
NAME OF INDIVIDUAL (Type or print)
TO
VA FILE NO. (Include prefix)
SOCIAL SECURITY NUMBER
NAME AND ADDRESS OF ORGANIZATION OR INDIVIDUAL TO WHOM INFORMATION IS TO BE RELEASED
VETERAN'S REQUEST
I hereby request and authorize the Department of Veterans Affairs to release the following
NAME
information from the records identified above to the organization, agency, or individual named
hereon:
INFORMATION REQUESTED (Number each item requested and give the dates or approximate dates - period from and to - covered by each.)
PURPOSE(S) FOR WHICH THE INFORMATION IS TO BE USED.
NOTE: Additional information may be listed on the reverse side of this form.
SIGNATURE OF INDIVIDUAL OR PERSON AUTHORIZED TO SIGN FOR INDIVIDUAL (Attach authority to sign, e.g., POA)
DATE
3288
VA FORM
OCT 1995(R)
Form Approved: OMB No. 2900-0028
Respondent Burden: 7.5 minutes
REVERSE OF VA FORM 3288, OCT 1995 (R)

Download VA Form 3288 Request for and Consent to Release of Information From Individual's Records

1440 times
Rate
4.4(4.4 / 5) 86 votes
ADVERTISEMENT

VA Form 3288 Instructions

There are three main ways to request your C-files:

  • visit your local VA Regional Office;
  • complete Form 3288 VA and mail it to your VA regional office;
  • submit a Freedom of Information Act (FOIA) to the VA.

It is recommended to call ahead of time to schedule an appointment. Do not expect to obtain a copy of your C-file upon your arrival, as it may take some time.

If you submit an FOIA request, the VA normally gives a response within 20 business days. The VA can charge a fee to make a copy of a claims file.

How to Complete VA Form 3288?

The form is a two-page document.

  • Enter the address of the VA office in the "To" box;
  • Enter your name and your Social Security number;
  • Enter your VA file number;
  • Veteran's Request. Enter your name in the "Name" box;
  • Provide complete information as to why you need the data, as well as specify what kind of information you need exactly;
  • The form should be signed by you or by a person authorized by you to do so.

Where to Mail VA Form 3288?

The completed form should be mailed to a local VA Regional Office. You can find a list of the VA offices on the official VA website.

Page of 2