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Va 10-5345 Form: What You Should Know

Veterans Affairs. VA Form 10-5345b The purpose of this form is to provide an employee in the Office of Health Care Management an individual opportunity to initiate a prompt change of  their data.  Use EXISTING STOCK OF VA FORM 10-5345, DATED NOV 2005. If you wish to use the new form, you will need to bring this one with you. When you use the new VA form, you should use this one.  The form is not to be used in conjunction with current forms, or as a substitute for current forms. Please do not mail in or e-file this form.  Use only the new form. Do not e-file the new form with other forms. VA Form 10-5345b — US HHS/MSS/MVA The purpose of this form is to authorize VA to make such decisions/dispositions as are reasonably requested and in  the best interest of any Veteran, as determined by the Chief of Staff, Office of the Chief of  Veterans Affairs. VA uses this authorization to make determinations of financial or health  requests for benefits provided by the Department. Use EXISTING STAFF CHAIR OF VA HEALTH CARE COMMAND AND  AUTHORITY FORM NO. 08-0118. VA uses this form to authorizations VA to respond to, modify or make any other decisions or actions that relate to health care plans and other benefits, as determined by the Chief of Vietnam Veterans Affairs. VA Form 10-5345c (ex. 10-5345c) The purpose of this form is to authorize VA to provide necessary financial information to a federal, state, county,  municipality, or similar public agency (such as a municipal insurance company) to verify eligibility for any benefits provided  by the Department, including, if appropriate, to obtain proof of VA claims or mayor information. Use current  VA Form 10-4952, VA Form 5150, or an order issued under 29 CFR Part 8. VA uses this form. VA Form 10-5345d (ex. 10-5345d) The purpose of this form is to provide an individual the means for making a written request for a copy of their  information in accordance with the Health Insurance Portability and Accountability Act.

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