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Va 21p-4703 Form: What You Should Know

This e-mail will also: send a written letter from the Secretary of Veterans Service (SSA) or the Secretary of Governmental Affairs (SGA) if there is no SSA Director who has responsibility over a particular benefit (e.g., a medical benefits benefit). • The letter will inform the VA fiduciary appointee(IES) that the government does not disclose beneficiary status information (such as Social Security numbers, medical information, or other confidential information relating to the beneficiary) for private use, and that the fiduciary appointees are not required to disclose the fact that the claimant is the beneficiary of a federal program (e.g., a medical benefits program) for which the fiduciary appointee(IES) are responsible. All correspondence to or from the fiduciary  assignee(IES) will be sent in an email. • All correspondence with the fiduciary appointees will reference that they are acting on behalf of the government and will not be private messages. • The correspondence will mention the potential risks that and potential benefits that may be incurred by the beneficiary or the beneficiary's dependents when assigning the appointment(IES) and advise the fiduciary appointee(IES) not to sign the appointment if the fiduciary appointee does not agree to these risks. Additionally, the correspondence may mention that the appointing officer may request a report from the VA's Office of the Inspector General (OIL) that indicates that the fiduciary appointee(IES) performed their fiduciary duties properly. If an OIL report does not determine that the appointing officer performed his or her fiduciary duties properly, then there will be no legal or fiduciary obligation to make the appointment. • If the appointment is to be made under certain  programs (e.g., an OIL report states that the fiduciary appointee(IES) violated their duties), then the appointment will be automatically disapproved.

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