AUTHORIZATION FOR RELEASE OF INFORMATION

In accordance with applicable law, you hereby authorize Veteran Ratings and its designated representatives to request, obtain, and review my DD214 and associated medical records for the sole purpose of assisting with and/or evaluating my VA disability claim.

1. Scope of Authorization

This authorization specifically includes:

• All Medical records directly related to my service-connected conditions including, but not limited to, the complete medical record, laboratory reports, imaging reports, treatment plans, etc.
• Any Military service documents, including my DD214 and related records, that are associated with my VA disability claim.
• Correspondence with the VA pertaining to my disability claim.

2. Terms of Authorization

You acknowledge and agree that:

• Voluntary Authorization: This authorization is voluntary, and you may revoke it at any time by submitting a written request to Veteran Ratings.
• Limited Use: My personal information will be used exclusively for assisting with and/or evaluating my VA disability claim and will not be shared with third parties or otherwise redisclosed without my written consent, except as required by law (e.g., 45 C.F.R. Part 164).
• No Impact on VA Benefits: Refusing to sign this authorization will not affect my VA benefits eligibility, but it may limit Veteran Ratings’s ability to evaluate my eligibility and/or provide assistance.
• Confidentiality & Security: Veteran Ratings agrees to handle my personal data in compliance with all applicable laws and take reasonable precautions to prevent unauthorized disclosure.
• Limited Liability & Indemnification: You understand that Veteran Ratings and its employees, agents, or representatives assume no liability for any claims, disputes, or damages that may arise from the retrieval, use, or review of my records. You agree to indemnify and hold Veteran Ratings harmless from any legal claims arising from the authorized use of my information.
• Duration of Authorization: This authorization will remain in effect for one (1) year from the date of signature, unless revoked in writing before that time.