Step 1 of 1 — Power of Attorney

Start your VA claim

This is the appointment of representative authorization (VA Form 21-22a). Once you sign and submit, your authorization is sent directly to JJ Torres for review and is filed with VA OGC. We'll email you a link to your dashboard to upload medical records, schedule your initial call, and review your fee agreement.

Where do you live?

Select your country first. The form will adapt for U.S. or international addresses.

Country *

Veteran identity

As shown on your DD-214 or military ID.

First name *Last name *Middle name (full) Date of birth *

Format: MM / DD / YYYY (e.g., 05 / 15 / 1994)

VA file number (if known) Branch of service *

Social Security Number *

All nine digits. Stored encrypted; never displayed back in full.

First 3 *Middle 2 *Last 4 *Service number (if any)

Physical address

Where you actually live. Used for in-person verification and for service-connection where residency matters.

Street address *Apt / Suite (optional) City *State / territory *ZIP code *

Mailing address is the same as my physical address (where VA correspondence should go).

Contact

We'll send your dashboard sign-in link to this email and use this number for case calls only — never marketing.

Email *Phone *

I agree to receive SMS messages from Veteran Claims USA at the phone number above. Messages will include: one-time login codes, appointment reminders for VA C&P exams and case calls, and case status updates. Message frequency varies. Message and data rates may apply. Reply STOP to opt out, HELP for help. Consent is not a condition of representation. See our privacy & SMS terms.

Tell us about your claim

Two minutes of context here saves a 30-minute first call.

Claim type *Conditions you intend to claim (or have claimed) *Anything else we should know

Authorization & disclosure

These are required by VA Form 21-22a, Section VI. The defaults below are the standard answers for a normal representation engagement and are pre-selected. You can change them.

I authorize my representative to access my VA records.Required for JJ to read your claims file, exam reports, and decision letters. Item 19 on Form 21-22a.I authorize my representative to act on my behalf.Lets JJ file evidence, appeals, and correspond with VA on your claim. Item 21 on Form 21-22a.

Item 21 — Limitation of Consent (optional)

Any other limit you want to place on this representation — e.g., “PTSD claim only,” “through initial decision only,” “exclude appeals.” Leave blank for an unrestricted engagement.

Preview your VA Form 21-22a

Once your identity, address, and contact fields are complete, click the button below to render your filled form. Review it carefully — this is the actual VA-published form that will be filed on your behalf.

Fill in identity, address, and contact fields above to enable preview.

Sign your VA Form 21-22a

By typing your name and drawing your signature below, you certify under penalty of perjury that the information you have provided is true and correct, and you intend the drawn signature to be your legally binding electronic signature under 38 C.F.R. § 14.629 and the federal E-SIGN Act (15 U.S.C. § 7001) for VA Form 21-22a (Appointment of Representative). The Fee Agreement is a separate contract that we will send to you after your representative reviews this filing — see "What happens next" below.

Type your full legal name *Date *

Draw your signature

Sign above with mouse or finger

Verification

Your forms are emailed to JJ for review. No fee is charged for services rendered before VA's first decision (38 C.F.R. § 14.636(c)).