21-4142 - Authorization to Disclose Information to the VA

Summary

Product Name	21-4142 - Authorization to Disclose Information to the VA
Product Root URL	www.va.gov/supporting-forms-for-claims/release-information-to-va-form-21-4142
Team Name	Design & Forms Systems
Deployment Status	Maintained
Product Outline	https://github.com/department-of-veterans-affairs/VA.gov-team-forms/blob/main/Forms/21-4142(a)/Product%20Outline.md

Measurement & Monitoring

Datadog Dashboard	https://vagov.ddog-gov.com/dashboard/a9w-jhk-den/simple-forms-api?fromUser=false&refresh_mode=sliding&from_ts=1755356924127&to_ts=1757948924127&live=true
Domo Dashboard	https://va-gov.domo.com/page/447193050
Google Analytics	https://analytics.google.com/analytics/web/#/analysis/a50123418p419143770/edit/8P77wbv7RU-w9uT_BSEVVw
Research Repo	https://github.com/department-of-veterans-affairs/va.gov-research-repository/issues?q=is%3Aissue%20state%3Aopen%20label%3A%22PRDT%3A%20Form%204142%22
Analytics Category	Forms

Team & Ownership

Team ID	23003
Portfolio	Digital Experience
OCTO Crew	Platform Services and Governance
Owned	true

Code & Repositories

Path to Code	src/applications/simple-forms/21-4142
Github Team Label	platform-design-system-team

Technical Details

Product ID	56438c7b-e586-490d-a7f6-7e3c92136564
LOA	3

Testing & Quality (restricted)

Note: Use this form to update these restricted fields.

Has Unit Tests	true
Has E2E Tests	true
Package Dependencies	@department-of-veterans-affairs/platform-forms-system/state/helpers @department-of-veterans-affairs/platform-monitoring/DowntimeNotification @testing-library/react applications/simple-forms/21-4142/helpers chai date-fns enzyme lodash path platform/forms-system/src/js/components/ConfirmationView platform/forms-system/src/js/helpers platform/forms-system/src/js/patterns/array-builder platform/forms-system/src/js/web-component-patterns platform/forms-system/test/pageTestHelpers.spec platform/forms/components/FormFooter platform/forms/save-in-progress/RoutedSavableApp platform/forms/save-in-progress/helpers platform/forms/save-in-progress/reducers platform/monitoring/DowntimeNotification platform/polyfills platform/startup platform/testing/e2e/cypress/support/form-tester platform/testing/e2e/cypress/support/form-tester/utilities platform/user/selectors platform/utilities/environment prop-types react react-redux redux vets-json-schema/dist/21-4142-schema.json ~/platform/forms-system/src/js/web-component-patterns

Contract

Contract Name

VA.gov Product Team - Forms

Last updated: October 24, 2025

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