The A - Z Guide: Veterans VA Disability Benefits
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Since 2006, when I started to work with Larry Scott at the old VAWatchdog dot Org site http://www.vawatchdog.org  I've replied to thousands of inquiries from veterans about their benefits.

One reason I started this guide was to reduce the volume of mail and to allow vets to easily find answers to the most frequently asked questions.

These days I still publish Jim's Mailbag over at the Stateside Legal site.

Otherwise I find the most relevant exchanges and I try to post them on the page that is most closely associated with the questions.

I enjoy hearing from my brothers and sisters. I do my best to reply in less than a day. I'm afraid some emails fall through the cracks or are lost in my spam folders.

Keep it coming to me at <jim912@gmail.com>

Letters from veterans are published much as they are received, spelling errors and all. This isn't a spelling bee and if I can understand what you're saying, I'm not very concerned how you spell it.




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Jim;

You once made the statement (VA Watchdog dot Org -- 04-03-2007 #4 ) that if there are multiple claims on one form and one of the conditions are ruled on, that the VA is not required to report the status of the other claims. I have also heard it stated as: If you have multiple claims on one form, and you receive a letter from the VA that one of them has been denied, that they have no obligation to notify you regarding the other claims on that same form submission, and you should consider them as denied also. Can you tell me if my wording/interpretation is correct, and if so, where I can locate any VA document that supports this. Thank you for shedding any light on this matter that you can.

Reply;

The M21-1MR is where your answer lies. It gets very complex but that's correct, VBA isn't always required to notify you of denials.

Look at M21-1MR, Part 3 - General Claims Process, Subpartv - General Authorization Issues and Claimant Notifications, Chapter 2 - Award and Denial Authorization and Notification, Section A - Award and Denial Authorization, 4. Handling Denials Not Processed Through the Benefits Delivery Network (BDN),

"Some denials do not require the VSR to process a formal disallowance with completion of a BDN 405 screen and a system-generated denial.

This topic contains information on handling informal denials that do
not require BDN processing, including information on

• an informal denial
• award and denial action taken at the same time
• temporary award of a benefit pending award of a greater benefit
• grants or continuations of additional benefit amounts
• cases in which evidence warrants no change in the previous decision
• new claim denied for the same reason as previously-denied claim
• denied apportionment claims
• informal claims, and
• applications not substantially complete."

In the second bullet point is the verbiage and it all boils down to the fact that the VSR does not have to process a system generated denial (a letter) if there is an award and denial at the same time. Thus, if you win your first claim and lose three others, the VBA is required to notify you of your win but may never tell you that the others are denied.

There are many definitions and circumstances that play in there too so this doesn't happen often but it does happen. Now you have the link to the M21-1MR, I'll let you dig into the details and Do It Yourself. Happy reading!

Jim;

I have another question for you I have a previous injury (service connected) that I made a claim for and was granted sometime ago but as of right now it has gotten worse according to my doctor I am not sure on what to write on the 21-4138 on how to state my claim for a reevaluation could you help me out with this

Reply;

It's really very simple. In plain language, tell them just what you told me. You believe that your service connected condition has worsened and that you are sure that your compensation rating should be raised.

I usually suggest that a statement is kept simple yet detailed. As an example;

Date
VARO Address

Reference: Your name & numbers

Dear Sir/Madame:

I received a service connected rating of (x) % in (year). My symptoms
at that time were (describe).

In recent months it has become apparent to me that this condition has
worsened. Today I suffer (describe).

The increase in my symptoms and medications has caused me to suffer
more side effects from medicine (describe all medication side
effects...nausea, dizziness, dry mouth, weakness, sleeplessness, etc.)

I must take (x) medicines and that is an increase of (x) amount since
I was last examined.

I have missed work more often because (describe).

I find that I am often unable to (describe any activity of daily
living you may find challenging. Food prep, lawn care, driving,
grooming, etc.).

I believe my condition has affected my mental health. I find myself
frustrated, angry, unable to work well with others, my family
relations are poor, etc.

Respectfully submitted,

Name
Address, etc.

When you mail this to them, use only registered mail, return receipt requested.

You get the idea. You can use the standard form and attach a letter or you may simply write a letter. What you want to do is to effectively communicate every factual detail about your condition and how it has had an impact on your life. Every detail is important...work, sexuality, the ability to participate in a normal life...all should be reported.

Respect and courtesy are important. Expressing anger or financial need doesn't help, it just takes up more time. Stick to the facts of your condition. A raise in a rating is usually a simple matter if you are correct. This letter will trigger a C & P exam and then a decision. If the decision isn't favorable, you appeal.



Jim;

The following may be of interest:

http://www.usdoj.gov/oip/foiapost/2008foiapost29.htm

What the VA did to me is called "Tolling". The twenty day response requirement (which is statutory) is suspended while they 'seek clarification of the request'.

"Section 6(a)(1) of the OPEN Government Act imposes limits on an agency's ability to "toll" or stop the twenty working-day time period to respond to FOIA requests. Specifically, beginning with requests made on December 31, 2008, agencies will be precluded from tolling the time period to respond to requests except in two circumstances. First, an agency will be permitted to “make one request to the requester for information and toll the 20-day period while it is awaiting such information that it has reasonably requested from the requester.” § 6(a)(1)(I) (emphasis added). Second, an agency may also toll the time period “if necessary to clarify with the requester issues regarding fee assessment.” § 6(a)(1)(II). For this second circumstance, where tolling is necessary in order to clarify fee issues, there is no numerical limit given for the number of times an agency may toll the response period, provided it is "necessary" to do so. In both situations, the FOIA now provides that "the agency's receipt of the requester’s response to the agency’s request for information or clarification ends the tolling period.” Id."

5 USC 552 (the FOIA) limits non-fee-related 'tolls' to one. There is no limit on fee-related 'tolls'. Section 6(a) covers this.

Reply;

The readers of VA Watchdog dot Org are often the best source we have for great information like this. The flood of data that occurs daily would be impossible for Larry or I to review, there's just too much. We rely on you; the intelligent, concerned veteran, to percolate much of this stuff up to us as you're using it for your own case and as you discover it.

Veterans helping veterans is one of the keys to getting the job done right.

Thank you for sharing.



Jim;

I have asked for help from every organization and group I know. My congressman, my senators, my state government and even local groups, I have even asked the DAV of which I am a member since 1973 yet no help comes. I may as well be dead, which is probably what everyone wishes? I just thought I joined the Marines to serve my country even though Vietnam was very active in 1968. It never crossed my mind that I would become a prisoner of my own country, or that they would take all my weapons away and lock them up.

When the enemy over ran our unit and killed unarmed young men I never thought I would have so much trouble getting our country to Honor them?

Parents I am telling you right now do not let your son or daughter join this country's military.

They do not respect them and they do not take care of of them when their normal life is over. They do not honor nor do they even acknowledge that you exist or that what you went through even happen! This country runs on filthy greed and as long as they get theirs they don't know you. They have a job and they will not stand up for the truth and say STOP something must be done.

To my comrades of the 1st marines,11th Reg., 2nd Battalion I am sorry that I could not get you the honor you deserve. This country will honor drug addicts, alcoholics, perverts, child molesters, drug dealers and even murderers but not honest Marines that stood and was murdered in the name of the United States of America.

Millions of dollars are spent for liar's and cheaters and thieves and our government argues and fights among themselves. They won't even come together for a common bond of honor for the young men that gave their lives for them to act this way. I will soon join you Marines I just wish I could have done some good for you and your families. I am sorry this country does not even care about the living veterans. America used to be looked upon as Great, now they are a great disappointment.

We the people of the United States, in order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity do ordain and establish this Constitution for the United States of America. Today, I feel that all the lives lost fighting for this country has been a waste and the ones left in wheel chairs and other devices, gave of themselves for what reason?


Reply;

You emailed this to almost 100 people. Your list included Senators and Congresspersons, television news stations, the POTUS, all of your friends and neighbors, the DAV-VFW-AL groups and many more.

You have assured yourself that nobody will read what you've written. Well, I did but only because I'm publishing it on a public site and I wanted to be sure that there wasn't too much colorful language.

In the 453 words that you wrote, you never once got to your point. You opened with, "I have asked for help from every organization and group I know" but you never get around to telling me what help you may need. I have to assume that your frustration must come from a denied claim for a disability benefit.

It's unfortunate that I see a lot of this sort of thing. I understand the frustrations of dealing with VA when you *know* you're right and they're wrong...I do it every day, time after time.

But when you lose control of yourself, you've then lost all control of the situation and your claim. If you're allowing yourself to go off on rants to strangers, your case won't ever be resolved.

Any of us that ever file with VA have to remain focused. VA only cares about 3 elements when you claim that your military service caused you some degree of disability.

(1) Are you eligible to receive benefits? Were you honorably discharged from service? Did you spend enough active duty time to be eligible?

(2) Is there historical evidence available that reasonably proves that there was an event (an injury or illness) that may have caused a continuing disabling condition?

(3) Do you have a current medical diagnosis that you are disabled to any degree and is there reasonable evidence of a link (nexus) that the in-service event caused or contributed to the disability today?

That's all. There is no more. It really is that simple. If you have the 3 pieces of data above, you have already won your claim.

I'll grant you that it becomes more difficult if either one of two things happens.

(1) You screw it up at the start.

You get an attitude at the beginning and carry it through the process. You decide that VA owes you so you don't do your homework and you don't do the hard work for yourself. Hand it off to a VSO who you don't know and haven't investigated and then 6 months later try to ask him or her what's happening. It's their job to do it all for you isn't it? Hey, it's also the job of the VA to gather all those complex records from your doctors, right? So screw 'em, you're too busy to do it for yourself, let them handle it. Why should you have to search around for records or buddies who may sign "Buddy Letters" for you? You told VA what happened and by God, your word should be good enough...do they think you'd lie?

(2) VA screws it up at the start.

We can rely on VA to make a hash of it. I can easily face 10 of you and look you in the eye and tell you that 7 of you are going to have to appeal your case because VA is FUBAR. Knowing that, it's your job to bird-dog every step of what they do all the way through. If you can't say anything else about our friends at the VBA, you have to give them credit for being consistent. It's a sure bet that 7 of 10 of you will have some other guy's records in your folder and the rater won't notice. There isn't any doubt in my military mind that 7 of 10 of you will come to realize that nobody read all the information in your C-File before your claim was denied. The C & P examiner will write a report about 7 of you 10 that is so wrong that you won't know whether to laugh or cry when you finally read it.

You're a smart veteran, right? You did well in your service and after that you made out pretty good as a civilian. You've been reading VA Watchdog dot Org and it's no surprise to you that your claim was completely SNAFUed by the VA.

You know how to fix it. I've written tens of thousands of words about what you do when your claim leaves the tracks. Larry Scott has written even more. I've published works that have contributing authors who are learned lawyers, men and women of distinction who ply their trade before some of the highest courts in our country. Other co-authors are veterans just like you. These are people who have been there, done that and they have all the souvenir t-shirts.

The step by step instructions on how to win your claim are right in front of you.

Writing to the POTUS (and 100 others) won't help you.

VA has a process. You must stick to the process to win. VA doesn't believe that it has to stick to the process. As VA holds all the cards, if that seems unfair to you, get over it. You must stick to the process...end of that story.

Filing a claim for benefits isn't about fair or unfair or how you feel about what goes on in the country. It has nothing to do with criminals and illegal aliens or your political beliefs. Nobody cares that you think, "This country will honor drug addicts, alcoholics, perverts, child molesters, drug dealers and even murderers".

If you have a legitimate claim, your goal is clear. You want to win an award of a fair disability compensation benefit. If you have a legitimate claim and reasonable evidence to support it and if you stick to the process, you'll reach your goal.

Once you start diverting your energy to writing out your angst to 100 others, you've already lost the game.

There isn't one person on that list who can help you until you decide to help yourself.