VA Form 21-22a, Appointment of Individual as Claimant's Representative, is an official form used by the Department of Veteran Affairs (VA) in order to select a veteran's representative to claim VA benefits. This form will allow the VA to identify a representative and have their contact information on file. VA Form 21-22, Appointment of Veterans Service Organization as Claimant's Representative is a related form used when a veteran wants a Service Organization to represent them.
VA Form 21-22a is used by accredited attorneys, accredited agents, private individuals, or service organization representatives who assist claimants in the preparation, presentation, and prosecution of claims for VA benefits. The form contains two pages with instructions in the fields. The individual named on this form should be copied on all correspondence issued by the VA regarding the claimant.
A VA Form 21-22a fillable version is available for digital filing and download below.
Send the form to a local VA Office or present it in person.