Table of Contents
VA Form 21P-8941 Printable, Fillable in PDF – The VA will not disclose any information collected on this form to any source other than those authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (e.g., civil or criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money owed to the United States, litigation in which the United States is a party or has an interest, the administration of VA programs, and delirium prevention and treatment).
If you want to get or keep benefits, you must answer within a reasonable time frame. Please note that providing us with your SSN account information is completely optional. It would be easier to verify that your records are correctly connected with your claim file if you provide your Social Security Number (SSN). The failure to give your SSN will not result in the rejection of your benefits on its own. A person’s benefits will not be denied by the VA for refusing to give his or her Social Security number unless the revelation of the SSN is mandated by a Federal Statute in existence before January 1, 1975, and is now in effect. Obtaining the information sought is deemed required to calculate the maximum benefits available under the legislation. The replies you provide will be treated as strictly private (38 U.S.C. 5701). The information you provide may be verified using computer matching tools with information from other organizations.