VA Form 10-3203 – Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and/or Video or Audio Recordings by VA

VAFORMS.NETVA Form 10-3203 – Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and/or Video or Audio Recordings by VA – The Department of Veterans Affairs (VA) is committed to protecting the privacy of Veterans and their families. In order to ensure that Veterans and their families are aware of how their personal information may be used, VA has developed the VA Form 10-3203 – Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and or Video or Audio Recordings by VA.

Download VA Form 10-3203 – Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and/or Video or Audio Recordings by VA

Form Number VA Form 10-3203
Form Title Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and/or Video or Audio Recordings by VA
Edition Date November 2014
File Size 755 KB

What is a VA Form 10-3203?

A VA Form 10-3203 is a document that provides consent for the production and use of verbal or written statements, photographs, digital images, and/or video or audio recordings by the Department of Veterans Affairs (VA). The form must be signed by the individual who is providing the consent.

The purpose of the VA Form 10-3203 is to obtain permission from individuals who may be recorded or photographed while participating in events or activities that are sponsored or conducted by the VA. For example, if an individual will be interviewed as part of a VA-sponsored research project, they must sign a VA Form 10-3203 in order to give their consent for the interview to be recorded.

Where Can I Find a VA Form 10-3203?

If you are a veteran receiving benefits from the Department of Veterans Affairs (VA), you may be asked to sign a VA Form 10-3203. This form gives the VA permission to use your words, pictures, or voice in its marketing and advertising materials.

The VA Form 10-3203 is also known as the “Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and or Video or Audio Recordings by VA.” By signing this form, you agree that the VA can use your name, picture, voice, and story in its advertisements and marketing campaigns.

You may be asked to sign this form if you participate in a focus group, interview, or event that is recorded by the VA. You may also be asked to sign it if you give the VA permission to take your picture or record your voice.

VA Form 10-3203 – Consent for Production and Use of Verbal or Written Statements, Photographs, Digital Images, and/or Video or Audio Recordings by VA

VA Form 10-3203 is a consent form that allows the Department of Veterans Affairs (VA) to produce and use verbal or written statements, photographs, digital images, and/or video or audio recordings of an individual. The individual must provide their consent before the VA can produce or use these materials. The VA may use the materials for a variety of purposes, including but not limited to: training, marketing, public relations, and educational outreach. The individual has the right to revoke their consent at any time.

VA Form 10-3203 Example

VA Form 10-3203 - Page 1 VA Form 10-3203 - Page 2

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