How To File A Claim
At any point after a veteran has completed military service and he or she believes that military service has caused an injury or illness (called a "condition" by the VA) or that a preexisting condition was aggravated by military service, the veteran may file an application for disability compensation.A related article is here.
Evidence
A gold standard for disability compensation evidence is the Service Medical Record (SMR). If there is clear documentation that an event occurred, the circumstances surrounding the event, subsequent treatment records of how the injury or illness was addressed at the time and then a record of any follow-up care or treatment, that evidence will be given significant consideration and weight by the VBA personnel charged with evaluating the evidence and deciding a rating.Other evidence that will be considered may be records of the history of a unit engaging in combat or other hazardous operations, ship's logs and flight records or individual awards such as Purple Heart medals and other commendations for meritorious action.
Statements from individuals are often called "buddy letters" and are often called into play by veterans with little or no other documentation of events that they claim led to the condition that they claim is disabling. These statements will have a wide variation of usefulness depending on the credibility of the author.
If the person who writes the statement was an eyewitness to an event and was an officer or senior NCO with leadership or command responsibility, the statement may be given a great deal of weight. Statements by a spouse, friends, family or others without direct knowledge of the alleged causative event may not be seen as credible and are ignored.
In complex cases where there may be reasonable doubt of the cause and effect relationship of an event and a later disability claim, the VBA is known to lend a great deal of weight to expert testimony. The "nexus letter" is a document prepared by an expert, usually an M.D. physician, that states that in the opinion of the expert that the claimed disability is more likely than not the result of the documented event.
Almost anything can be submitted as evidence. Photographs, maps, letters to loved ones and recordings have all been considered as evidence to document events.
Also see Evidence Requirements.
A related article is here.
How To Gather Evidence
The VBA has a 'duty to assist' the veteran in gathering evidence. The wise veteran will ignore this and act as if there were no such requirement.As the veteran begins to complete the VA Form 21-526 the efforts to secure copies of all available records should also begin.
The VBA will ask the veteran to provide the names, addresses and telephone numbers of all treating physicians and other health providers. Along with this request will be forms the veteran must complete to allow for the release of medical information to the VBA by the provider.
While it's important to accurately prepare and return these forms to the Regional Office (RO), it's more important that the veteran does not rely on the VBA to complete the task of gathering that information.
While the VBA has a required "duty to assist" in the gathering of evidence, that duty does not guarantee that any extraordinary effort will be made. After trying once or twice without a result, the VBA Veterans Service Representative (VSR) who has the task of retrieving such data is under little or no obligation to continue.
There are numerous barriers to releasing confidential health records today. An overall misunderstanding of the HIPAA Privacy Rule has left many providers reluctant to release records even to the patient. Some providers now charge for copies of records and in many busy provider's offices, sending records to the VBA for a patient who may have moved away or otherwise have an inactive file simply isn't a priority.
The use of 3rd party vendors to operate a hospital's or provider's medical records function has become a popular alternative in the health care arena. The records you believe held at the civilian hospital where you were a patient 5 years ago may be in a facility in another state archived by a firm that handles 100 different hospital accounts.
To ensure that all critical records are available for the adjudication of the claim, the veteran must accept the task of retrieving and documenting the records to VBA. To leave this task to the VBA VSR or a VSO is a mistake that may cost a great deal later.
Similarly, military records are often lost or misplaced. The veteran should gather and copy and organize for safekeeping all records that are available and begin the search for those not immediately available.
For military records the National Personnel Records Center (NPRC) is a good place to begin. The NPRC is the repository for most military records and if your records aren't there, they explain other opportunities for you to find them.
A formal request to the VARO is in order if you've ever had any previous interactions with VA. Ask for a copy of your file or folder to be delivered to you.
The Internet itself becomes more valuable each day. Navy ship's deck logs can be an invaluable source of records to provide evidence that supports your claim. Records of battles and troop movements through hazardous areas may be just what the VA will require to validate the injury that caused your condition.
The Freedom of Information Act (FOIA) is a tool that you may need to use if you participated in covert activities or if you had a high level of security clearance. Government agencies all provide a relatively simple guide that assists the veteran to obtain documents that may be available to use as evidence.
For example, the Army provides the FOIA Service Center and the Records Management and Declassification Agency. Other branches of the federal government can be accessed using the Google search engine as in this example. The Naval Postgraduate school maintains Navigating the Military Internet with dozens of links and helpful instructions to research your FOIA.
Adam has written a nice piece about how to find a buddy. Click here to learn more of how to find a military veteran.
Andy has written another nice piece about People Search that will provide you with even more ways to find that buddy you haven't heard from in years.
How To Increase An Existing Rating
The veteran who has an existing condition or conditions that are rated and compensated as service connected may experience a worsening of the condition with time.Communication To The VARO
The stories of lost folders, misplaced evidence, folders and files containing papers from one or more other veterans and worse are legend. Ask any veteran who has had dealings with their VBA and the odds are good that you will soon hear a story of a lost piece of paper that resulted in an unjust denial.
While VBA provides a set of services on-line that allow the veteran to apply electronically for benefits or to ask questions via email, I recommend that these services be avoided. The VBA also provides a national toll free number that is there to ask questions of a VBA representative and once again, I recommend avoiding this service.
I recommend that the only communication from the veteran to the VBA is that done by certified mail with a return receipt requested. Faxing, emailing, calling or even hand delivering to an intermediary to pass your documents on to the VBA do not provide the security and guarantee of a certified letter. Once you have the green postcard returned to you with an official stamp or signature in place, you can be confident that your documents are delivered.
It's often repeated that a fax machine provides proof positive of delivery by its production of the print out that will verify transmission of the documents. While the machine does provide proof that a transmission was made, there is no way to tell how well the machine that received it was functioning at that moment. Paper jams, empty toner cartridges and other mechanical malfunctions are commonplace.
Your documents should be delivered neatly and readable by the individual who will have influence on your case. Each page should be numbered in order and your name and Social Security number should be affixed appropriately.
You should keep copies of every document you send and as soon as you have your return receipt, correlate the receipt with those documents just in case. Spending a little extra time getting organized at this point will be well worth it if there is any question of what evidence was provided and when.
A related article is here.
How To Write VA A Letter
The well written letter is the most powerful tool in your belt.Knowing that telephone calls to the RO don't connect you to an RO and knowing that a fax may misprint even though it sends you a positive message, writing a letter is usually the first, best and only solution for any issue you may have with the VBA.
While you don't need the skills of an English teacher to write an effective letter, there are a few things you shouldn't do as well as those you must.
As a giant bureaucracy, the VBA is a paper machine. Although the dawning of the computer age was to rid all our offices of paper, it seems to have just given everyone their own printer along with reams of paper.
The format of a letter to a veteran from the VBA is stark.
Although italics, boldface and large font sizes are used for emphasis, there is no other attempt to do anything but convey a factual message. Reference numbers and dates are clearly visible for the ease of the reader.
Your correspondence in return to the VBA should mimic this closely. Never use colors in the font schemes, rarely use and bold fonts and never type IN ALL CAPS to emphasize your points. Use plain white sheet paper of a medium grade quality.
Your message on that piece of paper becomes a legal document. If your case should happen to enter into a lengthy appeals process, the document you write today may be read again in a court room setting in Washington 5 or more years in the future.
Your letter establishes the tone of who you are and your level of professionalism to the reader. Since you aren't appearing in front of the person who will read your communication, this letter becomes your opportunity to impress them with your knowledge and to seel them on why that should adjudicate your request favorably.
When writing to VBA you should only make statements of fact that are relevant to your case. The reader will not be able to respond or consider your personal theories of how unfair the VBA is to veterans or how you may have fallen on hard times.
Your insults toward the VBA will be ignored. I believe that most VBA Veterans Service Representatives will do their best to allow a veteran a little leeway if they are angry and have to blow off a little steam. However, a steady stream of insults is just a waste of everyone's time and I can't imagine that it doesn't have some negative effect on a decision maker.
If you feel compelled to write such a letter, do so. Then throw it away and set about the task of writing what will help you with a minimum waste of everyone's energy.
You will find that you may address any issue with the VBA most effectively with a letter. Whether making a statement to support your claim, requesting an increase to your existing benefit, asking for copies of your records, protesting or disagreeing with an action or attempted action by the VBA, you should respond by letter.
Below are the basics of writing an effective letter to VA.
Always include the date at the beginning of the document, the correct address of your VA Regional Office, your full name and any reference numbers such as your Social Security number of VA C-File number. If you are replying to correspondence from VA, they will often tell you to use a coded number when replying so insert that here too. The salutation should be worded to ensure that you are addressing either a male or a female reader.
The first part of every letter to VA will look like this;
01/01/2009
Department of Veterans Affairs
Regional Office
1234 Anywhere Street
VA City, VA State
ZIP 09876-4321
Reference: Your Name
Relevant Numbers
Dear Sir/Madame;
Once you've addressed your letter properly, you then state your case as briefly as possible. Your letter must be courteous, to the point, simple to read and factual. Making demands, criticisms, telling your life story or otherwise straying from a professional appearance will slow down the process and may hurt your case.
The body of your letter should look like this with appropriate verbiage to describe your particular request or issue;
I am writing you to (request an increase in my existing benefit, tell you that this is my Notice of
Disagreement with a decision, advise you that I have added a dependent through marriage or childbirth,
If you have evidence that will support your request or actions, it is appropriate to include copies in this letter. In the body of the letter, list the evidence you're including and remember to put your name and a reference number (most often your SSN) on each page. If your letter will run more than 2 pages each page should be labeled as "Page 1 of 3", etc.
You should write the letter in your own words. Include all the details that you believe matter while remembering the individual who will read it has limited time. I've heard it said that anything beyond a 2 or 3 page document or a letter that rambles endlessly isn't going to be read thoroughly.
Make your points and close your document courteously and professionally;
Thank you for your kind consideration of my request.
Respectfully submitted,
Signature
Your Name
Address
Email Address
Telephone Number(s)
Finally, don't quote or copy and paste endless paragraphs of verbatim Title 38 references. This may be the most common error I see when a veteran writes to the VA. If you believe that a rule, regulation or law has a direct correlation to your claim, you should cite it as a reference to support your argument but don't copy it all into your communications.
They have their own copies of all the rules and when you add more unnecessary work to the pile that waits on their desk, it's hard to imagine that it wouldn't annoy the person making decisions on your case.
Your communication to the VA is similar to a sales pitch. You have a theory that you want the reader to agree to. The reader is most often a Veterans Service Representative or a Ratings Veterans Service Representative and it's your task to convince that individual that to honor your request or award your benefit is the right thing to do. This letter is one of your best opportunities to close the deal.
A related article is here.
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Anonymous
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THANK-YOU
Sharon Neth
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Thank-you so much for writing this!