RECOGNIZED SERVICE ORGANIZATIONS
Membership in an organization is not a prerequisite to appointment of the organization as claimant's representative.
The following is a listing of national, regional, or local organizations recognized by the Secretary of Veterans Affairs in the preparation,
presentation, and prosecution of claims under laws administered by the Department of Veterans Affairs.
African American PTSD Association
National Association for Black Veterans, Inc.
National Veterans Legal Services Program
American Red Cross
National Veterans Organization of America
Navy Mutual Aid Association
American Ex-Prisoners of War, Inc.
Paralyzed Veterans of America, Inc.
American GI Forum, National Veterans Outreach Program
Polish Legion of American Veterans, U.S.A.
Armed Forces Services Corporation
Swords to Plowshares, Veterans Rights Organization, Inc.
Army and Navy Union, USA
The Retired Enlisted Association
Associates of Vietnam Veterans of America
The Veterans Assistance Foundation, Inc.
Blinded Veterans Association
The Veterans of the Vietnam War, Inc. & The Veterans
Catholic War Veterans of the U.S.A.
Disabled American Veterans
United Spanish War Veterans of the United States
Fleet Reserve Association
United Spinal Association, Inc.
Gold Star Wives of America, Inc.
Veterans of Foreign Wars of the United States
Italian American War Veterans of the United States, Inc.
Veterans of World War I of the U.S.A., Inc.
Jewish War Veterans of the United States
Vietnam Era Veterans Association
Legion of Valor of the United States of America, Inc.
Vietnam Veterans of America
Marine Corps League
West Virginia Department of Veterans Assistance
Military Officers Association of America (MOAA)
Wounded Warrior Project
Military Order of the Purple Heart
National Amputation Foundation, Inc.
National Association of County Veterans Service Officers, Inc.
Although agency titles vary, the following States and possessions maintain veterans service agencies which are recognized to present
Northern Mariana Islands
PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized under the
Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (i.e., 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 delivery of VA benefits, verification of identity and status, and personnel administration) as
identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records -
VA, published in the Federal Register. Your obligation to respond is voluntary. However, the requested information is considered relevant and necessary
to recognize a service organization as your representative and/or identify disclosable records. VA uses your SSN to identify your claim file. Providing
your SSN will help ensure that your records are properly associated with your claim file. Giving us your SSN account information is voluntary. Refusal
to provide your SSN by itself will not result in the denial of benefits. VA will not deny an individual benefits for refusing to provide his or her SSN
unless the disclosure of the SSN is required by Federal Statute of law in effect prior to January 1, 1975, and still in effect. The responses you submit are
considered confidential (38 U.S.C. 5701). Information submitted is subject to verification through computer matching programs with other agencies.
RESPONDENT BURDEN: We need this information to recognize the service organization you name to act on your behalf in the preparation,
presentation, and prosecution of claims for VA benefits (38 U.S.C. 5902). We will also use the information to identify any VA records that we may
disclose to the service organization (38 U.S.C. 5701(b)). Title 38, United States Code, allows us to ask for this information. We estimate that you will
need an average of 5 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of
information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not
displayed. Valid OMB control numbers can be located on the OMB Internet Page at If desired, you can call
1-800-827-1000 to get information on where to send comments or suggestions about this form.
VA FORM 21-22, OCT 2014