VA Form 21-0845 ยท v1.0 draft
Authorization to disclose information to a third party
Short authorization form. Drafted from the paper PDF last week and waiting on a mapping decision.
2 fields have no downstream target
Those answers are captured on the intake record but are not sent anywhere yet. A person has to choose the mapping before they can flow downstream.
3 fields in v1.0 draft
Each field records where it came from on the paper form, so a reviewer can always trace a digital answer back to the box it replaced.
| Type | Required | On the paper form | Maps to | |
|---|---|---|---|---|
| veteran_full_nameVeteran's full name | Text | Yes | Page 1, box 1 | claimant.fullName |
| recipient_namePerson or organization receiving the information | Text | Yes | Page 1, box 8 | Unmapped |
| authorization_signatureVeteran signature | Signature | Yes | Page 1, box 12 | Unmapped |
Field schema for VA Form 21-0845
- Field
- veteran_full_nameVeteran's full name
- Type
- Text
- Required
- Yes
- On the paper form
- Page 1, box 1
- Maps to
- claimant.fullName
- Field
- recipient_namePerson or organization receiving the information
- Type
- Text
- Required
- Yes
- On the paper form
- Page 1, box 8
- Maps to
- Unmapped
- Field
- authorization_signatureVeteran signature
- Type
- Signature
- Required
- Yes
- On the paper form
- Page 1, box 12
- Maps to
- Unmapped
Validation rules
A rule can block a submission, warn the person filling it out, or flag the record for a person to review. No rule approves, denies, or prices anything.
| Field | Rule | When it fires | Effect |
|---|---|---|---|
| authorization_signature | Required before anything is disclosed | On submission | Blocks submission |
Validation rules for VA Form 21-0845
- Field
- authorization_signature
- Rule
- Required before anything is disclosed
- When it fires
- On submission
- Effect
- Blocks submission
Downstream mapping
Where each answer lands: Not mapped yet.
Mapped (1)
- veteran_full_nameclaimant.fullName
Not mapped (2)
- recipient_name
Captured on the intake record. Waiting for someone to choose a downstream target.
- authorization_signature
Captured on the intake record. Waiting for someone to choose a downstream target.
Test submissions
Synthetic payloads run against the current schema. A failed test means a rule caught something, which is usually the point.
Run a test submission
Sends a synthetic payload through validation and the downstream mapping. Nothing reaches a real system of record.
| Test case | Run on | Result | What happened |
|---|---|---|---|
| No test submissions have been run against this draft yet. | |||
Test submissions for VA Form 21-0845
No test submissions have been run against this draft yet.