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9 Nov 2015 VA Form 21-4142 (Authorization to Release Medical. Docs) (see #7 below) One release for each place of treatment. 2. VA Form 21-4138 (Statement in Support INSTRUCTIONS: Read the Privacy Act and Respondent Burden on Page 2 before completing the form. Complete as much of Section I as possible. 17 Aug 2012 12 May 2016 Most veterans are familiar with VA Form 4138, the Statement in Support Also, make sure that you are giving the VA a complete picture of your A VA Form 21-4138 is commonly used by a veteran to let the VA know important information when they have filed a claim for disability benefits or disability compensation. Fill out, securely sign, print or email your VA Form 21 4138 2017-2018 Video instructions and help with filling out and completing Get and Sign VA Form 21 The VA Form 21-4138 Statement in Support of Claim is, at is most basic level, the The VA Form 21-4138 Instruction section tells you exactly what the VA uses 1.12. VA Form 21-4138 - Statement in Support of Claim. Statement in support of claim. Effective date: Jan 2018. Downloads. VBA-21-4138-ARE.pdf. This page