Appoint an individual accredited representative
Appointment of Individual as Claimant's Representative
Appoints an accredited attorney, claims agent, or other eligible individual representative.
Purpose and use
Use when appointing an individual rather than a Veterans Service Organization.
When not to use it
Do not use this form for a different benefit or review path unless current VA instructions identify it for that purpose.
Who completes and signs it?
- Completed by
- veteran or claimant, accredited representative
- Signed by
- veteran or claimant, accredited representative
- Availability
- online and pdf
- Submission
- follow current form instructions
Always start with the official page
Open the current VA version.
Check the revision, instructions, signature requirements, and delivery options immediately before use.
Read before use
Important limitations
- Verify the current revision and submission instructions on the official VA page before signing or sending the form.
- This planner identifies forms that may fit a situation; it does not determine eligibility or filing strategy.