VA Form 21-4192 is used by the Department of Veterans Affairs to gather employment information from a veteran's employer. This information is necessary to evaluate a veteran's claim for disability benefits, particularly when the claim involves unemployability due to service-connected conditions.

Employers of veterans who have filed a claim for disability benefits with the VA, particularly when the claim involves unemployability.

It is a form used by the VA to request employment information from a veteran's employer for disability benefit claims.

The veteran's employer completes the form to provide necessary employment information to the VA.

The form can be mailed to the appropriate VA office as instructed on the form.