30 January 2013

Air Force Reserve Command Identifies C-123 Assignments

In 2011 the Director Historical Services HQ Air Force Reserve Command was asked to document the assignment of C-123 aircraft to various squadrons during the 1972-1982 timeframe, following their use in Vietnam. These experts worked hard digging up 30 year-old data and admit it might be incomplete, but for what it is worth...and that's a lot!...here is their report. Just click HERE to download.

The document's importance lies in the comparison of aircraft named here and in the various Form 5s, flight orders and other sources with the lists of known spray aircraft. That lets us prove that each unit, Rickenbacker, Westover and Pittsburgh, flew contaminated airplanes, and not just Patches. We then can turn to the Army's Joint Services Records Research Center and update their files so as to then flow proper supporting information back to the Veterans Affairs!

And THANKS to the guys who sent in flight documents today...especially those from Rickenbacker. Keep them coming as we need to document every single AFRES and ANG C-123.

29 January 2013

VA & Army Seek C-123 Source Documents

In his letter to The C-123 Veterans Association dated 4 December 2012, the Director of the Army's Joint Services Records Research Center defended his agency's responses to inquiries about C-123 issues from the Veterans Administration. [CLICK HERE for our response, mailed 31 Jan 2013]

Director Dominic Baldini explained that when JSRRC is asked to provide information about  veteran's service they consult unit histories to form their response. Baldini further explained "it is not the JSRRC's mission to conduct scientific studies or research of this nature or comprehensive scientific literature or documentation reviews." He does, however, promise "if during the course of unit records reviews in individual claims, the JSRRC finds information, however indicative, to any degree, of AO exposure to C-123 air crew members, we would immediately notify our VA contacts."

This is reassuring. What is not reassuring, however, is the fact that twice our Association has provided just those essential source documents to the JSRRC! Of course, because concerns about Agent Orange were not known in the 1972-1982 timeframe when unit histories would have made mention of the issue, we had to turn to other official documents. We provided flight orders showing tail numbers of aircraft, AFMC records from Davis-Monthan detailing which aircraft were known to be spray aircraft, reports from other federal agencies such as the CDC/ATSDR stating that C-123 aircrews were exposed! How much more could Mr. Bonomi demand?

Further, I am confused about how JSRRC could have ignored the initial, 1979 testing on Patches, so clearly documented at both AMC and USAFSAM. The additional testing at The Air Force Museum further substantiated the contamination, and that report was overlooked also. As was all the documentation from Hill AFB and Davis-Monthan.

Confusing.

Conclusion: Get them even more data. Get it from our members, from the 439th and other units which flew the post-Vietnam C-123 fleet, and get it from HQ AFRC. To do this well, I need EVERYONE's collection of official documents, such as flight orders, Form 5s and anything showing tail numbers and units to which the airplanes were assigned. Now, if you can...pretty please?

Otherwise, JSRRC will happily continue to screw every single C-123 claim we submit to the VA!

28 January 2013

Lest We Forget - "the good old days?"

Age does that to you...the good stuff gets priority in the memory banks and we tend to forget the less wonderful stuff.

And the C-123 certainly had its share of the less wonderful stuff! Besides Agent Orange, I mean!

On that list, I'll give first place credit to the AME ladies who had to tote along a porta-potty and a GI blanket to have any measure of privacy when nature called. The operation took two to hold the blanket while the third took care of business. And the rule was, first to use the potty had to empty it. I recall a couple unscheduled stops at places like Newark to use their facilities rather than do the blanket/potty drill!

For the males of the flight species, it wasn't much more fun. Last week I learned that a certain well-known engineer's first patent was for keeping the device below from freezing during use! Perhaps, there was some wisdom on Fairchild's part in not providing us a coffee pot???

24 January 2013

VA Disputes "Exposure" by C-123 Veterans - Ridiculous!

It depends on what your definition of "is" is.  - President Bill Clinton
It depends on what your definition of "exposure" is. - US Department of Veterans Affairs

It seems to be that silly. The VA has fought C-123 veterans' claims to a standstill, countering our official proofs of contaminated airplanes and claims of having been exposed while flying and working on them.

"No Exposure" cry out the VA experts as they claim the impossibility of exposure via "dry dioxin transfer." Because the VA has already accepted the burden of providing Agent Orange exposure benefits to Vietnam vets with "boots on the ground" as well as to other vets able to prove their exposure to military herbicides outside Vietnam. the selected tactic is to pretend there is no exposure when the veterans come up with solid proof of contamination so as to prevent any successful claims...by people
like us!

Let's turn to the experts, however. According to the United States Environmental Protection Agency, EXPOSURE is defined"
Exposure
Definition: Contact made between a chemical, 
physical, or biological agent and the outer boundary
of an organism. Exposure is quantified as the 
amount of an agent available at the exchange 
boundaries of the organism (e.g., skin, lungs, gut). 

It seems perfectly clear...if we as aircrews, aerial port maintenance personnel came into physical contact with Agent Orange (actually, the C.F.R. reads "military herbicide" of which Agent Orange is but one), be it dried, shaken, stirred, upside down, inside out  or blended and tied in a pretty bow...whatever...if we touch it we have been exposed and meet the requirements of the law. There is no mention of "bioavailability," quantities, any amount of toxin or anything else in the law or C.F.R.s. It is only in the VA's mindset.

23 January 2013

Eglin C-123 Maintenance Veteran Wins Agent Orange Claim

This active duty veteran won his AO claim in August 2012, claiming herbicide exposure while working on the flight line at Eglin AFB in 1971. Still, I'm disappointed that this veteran needed five years for his claim to succeed, first from his regional office denial, to the BVA for eventual victory. The time getting through the regional office was probably a year or two as well. 

Too long for old men to wait! Too long for veterans to wait! Too long for Americans to wait! I won't live that long...will you?


Citation Nr: 1226982         

Decision Date: 08/06/12    Archive Date: 08/10/12

 DOCKET NO.  09-32 262            )            DATE

             On appeal from the

Department of Veterans Affairs Regional Office in Boston, Massachusetts

  THE ISSUES

 1.  Entitlement to service connection for diabetes mellitus, type II. 

 2.  Entitlement to service connection for a heart disability, to include the residuals of coronary artery bypass graft surgery.  

  REPRESENTATION

 Appellant represented by:       Steven M. Richard, Attorney

  WITNESSES AT HEARING ON APPEAL

 Appellant and his spouse

   ATTORNEY FOR THE BOARD

 Emily L. Tamlyn, Counsel

  INTRODUCTION

 The Veteran served on active military duty from July 1968 to November 1971. 

 These matters come before the Board of Veterans' Appeals (Board) from a January 2007 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Boston, Massachusetts.  In that decision, the RO denied the claim for service connection for a heart disability and confirmed and continued the prior denial for service connection for diabetes mellitus (as explained further below, the issue involving diabetes mellitus is not a new and material evidence claim). 

 In April 2012, the Veteran testified before the undersigned at a Board hearing.  A copy of the transcript has been associated with the file.  The Virtual VA file has been reviewed in this case and no new records were available. 

 The claims for service connection for bilateral hearing loss and tinnitus have been raised by an August 2010 letter, but have not been adjudicated by the Agency of Original Jurisdiction (AOJ).  Therefore, the Board does not have jurisdiction over them, and they are referred to the AOJ for appropriate action. 

FINDINGS OF FACT

 1.  Resolving all doubt in the Veteran's favor, the Veteran was exposed to herbicides while in service and diabetes mellitus, type II is related to active service. 

 2.  Resolving all doubt in the Veteran's favor, the Veteran was exposed to herbicides while in service and the residuals of coronary artery bypass graft surgery are related to active service. 

  CONCLUSIONS OF LAW

 1.  The criteria for service connection for diabetes mellitus, type II, are met.  38 U.S.C.A. §§ 1110, 1116, 5103, 5103A, 5107(b) (West 2002 & Supp. 2011); 38 C.F.R. §§3.102, 3.159, 3.303, 3.307, 3.309 (2011). 

 2.  The criteria for service connection for the residuals of coronary artery bypass graft surgery are met.  38 U.S.C.A. §§ 1110, 1116, 5103, 5103A, 5107(b) (West 2002 & Supp. 2011); 38 C.F.R. §§ 3.102, 3.159, 3.303, 3.307, 3.309 (2011). 

REASONS AND BASES FOR FINDINGS AND CONCLUSIONS

 I. VA's Duty to Notify and Assist

 As the Board's decision to grant the claims for service connection constitutes a complete grant of the benefit sought on appeal, no further action is required to comply with the Veterans Claims Assistance Act of 2000 and the implementing regulations. 

II. Service Connection

 Under VA regulations, if VA receives or associates with the claims folder relevant official service department records at any time after a decision is issued on a claim that had not been associated with the claims folder when VA first decided the claim, VA must reconsider the claim.  38 C.F.R. § 3.156(c) (2011).  Here, pertinent service personnel records were not associated with the file until June 2006 and service connection for diabetes mellitus was denied in May 2001.  The service personnel records were not considered in the prior rating decision and the claim is reconsidered without regard to the previous final denial.  Id. 

 Service connection may be established for disability resulting from personal injury suffered or disease contracted in the line of duty in the active military, naval, or air service.  38 U.S.C.A. § 1110 (West 2002).  If a condition noted during service is not determined to be chronic, then generally a showing of continuity of symptomatology after service is required for service connection.  38 C.F.R. § 3.303(b) (2011).  Service connection may also be granted for any disease diagnosed after discharge when all the evidence, including that pertinent to service, establishes that the disease was incurred in service.  38 C.F.R. § 3.303(d) (2011). 

 In each case where a veteran is seeking service connection for any disability, due consideration shall be given to the places, types, and circumstances of such veteran's service as shown by such veteran's service record, the official history of each organization in which such veteran served, such veteran's treatment records, and all pertinent medical and lay evidence.  38 U.S.C.A. § 1154(a) (West 2002). 

 VA regulations provide that service connection may be granted on a presumptive basis for certain diseases associated with exposure to certain herbicide agents, even though there is no record of such disease during service, if they manifest to a compensable degree anytime after service, in a veteran who had active military, naval, or air service for at least 90 days, during the period beginning on January 9, 1962 and ending on May 7, 1975, in the Republic of Vietnam, including the waters offshore, and other locations if the conditions of service involved duty or visitation in Vietnam.  38 U.S.C.A. §1116 (West 2002); 38 C.F.R. §§ 3.307, 3.309(e), 3.313 (2011).  This presumption may be rebutted by affirmative evidence to the contrary.  38 U.S.C.A. §1113 (West 2002); 38 C.F.R. §§ 3.307, 3.309. 

 Certain diseases include diabetes mellitus type II and ischemic heart disease.  These diseases shall be service-connected if the Veteran was exposed to an herbicide agent during active service even though there is no record of such disease during service, provided that the requirements of 38 C.F.R. § 3.307(d) are satisfied.  38 C.F.R. § 3.309(e) (2011) (Ischemic heart disease includes, but is not limited to, acute, subacute, and old myocardial infarction; atherosclerotic cardiovascular disease including coronary artery disease (including coronary spasm) and coronary bypass surgery; and stable, unstable and Prinzmetal's angina.)  Generally, 38 C.F.R. § 3.307(a)(6)(ii) provides that the diseases listed at § 3.309(e) shall have become manifest to a degree of 10 percent or more at any time after service. 

 However, as the Veteran's attorney pointed out in June 2012, during the notice and comment period when VA promulgated its herbicide presumption in 2001, the issue of herbicide exposure outside Vietnam was also addressed.  66 Fed. Reg. 23166 (May 8, 2001).  VA explained if a veteran did not serve in Vietnam but was exposed to an herbicide agent defined in 38 C.F.R. § 3.307(a)(6) during active military service and has a disease on the list of presumptive service connection (which includes diabetes mellitus type II and ischemic heart disease), VA will presume that the disease is due to the exposure of herbicides.  See 66 Fed. Reg. 23166; 38 C.F.R. § 3.309(e). 

 Additionally, despite the foregoing presumptive provisions, a claimant is not precluded from establishing service connection with proof of direct causation.  See Combee v. Brown, 34 F.3d 1039, 1042 (Fed. Cir. 1994). 

 Here, the Veteran does not allege, nor does the evidence show that he had diabetes mellitus or any heart disability in service.  As a result, for establishing a presumptive disability this case comes down to not whether the Veteran served in Vietnam, but whether he was exposed to herbicides as listed in § 3.307(a)(6) (a chemical in an herbicide used in support of the United States and allied military operations in the Republic of Vietnam during the period beginning on January 9, 1962 and ending on May 7, 1975, specifically: 2,4-D; 2,4,5-T and its contaminant TCDD; cacodylic acid and picloram).  Also, the Veteran is not precluded from establishing direct service connection without the benefit of the presumption. Combee, 34 F.3d at 1042. 

 In adjudicating this case, the Board must discuss competency and credibility.  A lay witness is competent to testify as to the occurrence of an in-service injury or incident where such issue is factual in nature.  Grottveit v. Brown, 5 Vet. App. 91, 93 (1993).  The Court has stated before as well that where symptoms are capable of lay observation, a lay witness is competent to testify to a lack of symptoms prior to service, continuity of symptoms after in-service injury or disease, and receipt of medical treatment for such symptoms.  Layno v. Brown, 6 Vet. App. 465, 469-71 (1994); Charles v. Principi, 16 Vet. App 370, 374 (2002).  Competent lay evidence means any evidence not requiring that the proponent have specialized education, training or experience.  38 C.F.R. §3.159(a)(2) (2011).  Lay evidence is competent if it is provided by a person who has knowledge of the facts or circumstances and conveys matters that can be observed and described by a lay person.  Id. 

 It is the Board's principal responsibility to assess the credibility, and therefore the probative value of proffered evidence of record in its whole.  See Owens v. Brown, 7 Vet. App. 429, 433 (1995) and Madden v. Gober, 125 F. 3d 1477, 1481 (Fed. Cir. 1997).  In determining whether documents submitted by a veteran are credible, the Board may consider internal consistency, facial plausibility, and consistency with other evidence submitted on behalf of the claimant.  Caluza v. Brown, 7 Vet. App. 498, 511 (1995). 

 When there is an approximate balance of positive and negative evidence regarding any issue material to the determination of a matter, the Secretary shall give the benefit of the doubt to the claimant.  38 U.S.C.A. § 5107 (West 2002); 38 C.F.R. § 3.102 (2011). 

 The Veteran contends that while in service he cleaned out spray nozzles of Agent Orange defoliant at Eglin Air Force Base (AFB); he said he would put the nozzles to his lips to clean the defoliant out.  See April 2006 claim.  His theory was that he had diabetes mellitus, type II and a heart disability secondary to diabetes mellitus.  In a February 2009 statement, the Veteran stated his job was to repair, maintain and service aircraft at Eglin AFB from December 1968 to November 1971.  The Veteran claimed he worked on C-123 planes which he believed were spraying defoliant to clear out vegetation along power lines; he learned this information from conversations with the flight crew.  He cleaned out the spray nozzles of the planes by blowing on them with his mouth sometimes.  He noted a performance report stated that he coped with a variety of problems maintaining aircraft assigned to the base as well as transient aircraft.  

 The Veteran's testimony at the April 2012 Board hearing shows that the Veteran's statements continued to be consistent.  He stated that he worked on planes (C 123s) that were tested at his base which he believed were used for spraying vegetation in Vietnam.  (Transcript, p 6.)  The Veteran related in detail spray apparatuses that were on these planes and said he cleaned them.  (Transcript, pp 6-7.)  He also said he had been on insulin for his diabetes mellitus and that he had open heart surgery in 1999 or 2000.  (Transcript, pp 11-12.) 

 In May 2012, the Veteran submitted an affidavit of W.T., who served with the Veteran at Eglin and worked on various types of aircraft.  W.T. remembered that there were C-123 planes for maintenance outside the hanger that had "Smokey the Bear" logos on them with the statement: "We prevent forests."  He heard through others at the base that the C-123s were used to spray herbicides like Agent Orange. 

 In support of his claim, the Veteran submitted an article regarding herbicide use by the Air Force at Eglin AFB and the Department of Defense information regarding herbicide use outside of Vietnam (available on VA's website).  The chart notes that Agent Orange and other herbicides were used in a two square mile test area at Eglin from 1962 to 1970 (Agent Orange specifically in 1968).  Also submitted was an Agency for Toxic Substances and Disease Registry (a Center for Disease Control and Prevention agency) report from October 2009 regarding Eglin AFB. 

 Service treatment records show that at separation in 1971, the Veteran denied a past family history of diabetes mellitus.  This was also noted in a Massachusetts Air National Guard examination in 1977; the Veteran said his health was good and he was on no medications.  In November 1976, a private record from Dr. R.W. shows the Veteran appeared for a nutrition appointment with the problem of "diabetes" and was put on a diet. 

 Service personnel records show the Veteran's military occupational specialty was aircraft maintenance specialist and the many positive performance reports show he had extensive contact with aircraft.  A July 1968 to July 1969 performance report noted the Veteran performed duty which required him to be familiar with various types of aircraft, even some foreign to his station.  An August 1970 to January 1971 performance report noted duties required knowledge of all different types of aircraft. 

 More recent medical evidence from July 2002 shows the Veteran was diagnosed with emergent "cabg" or coronary artery bypass graft.  Past medical history included insulin dependent diabetes mellitus, unstable angina, hypertension, and orthopedic surgery.  His FMLA form states that he had emergency coronary artery bypass surgery and acute coronary syndrome.  In a letter from the same month, Dr. H.R. stated the Veteran underwent emergent off pump aortocoronary bypass times five.  In April 2012, a private record showed the Veteran was noted to have diabetes mellitus type II with renal manifestations. 

 In July 2009, the RO received information via email from VA Compensation and Policy (C&P) Staff (in keeping with protocol of the M21-1MR, Part IV, Subpart ii, Chapter 2, Section C.10.o).  This email confirmed that herbicide spraying technique testing at Eglin occurred from June 1968 to September 1968 and a two square mile area was used to test herbicides from 1962 to 1970 (sources showed the base to be at least 1,000 square miles in size).  Agent Orange was tested from 1962 to 1968.  Testing was done at a remote forested site that was not located near base personnel.  Staff noted that there was normally no acknowledgement of "secondary exposure" based on performing maintenance on aircraft that may have sprayed Agent Orange.  The email also acknowledged that the Veteran was present during the testing period and if he did clean the test spray equipment that would indicate some exposure to the tested herbicides.  The military occupational specialty showed he maintained aircraft, though not necessarily test aircraft. 

 A May 2012 letter from Dr. R.D. provides a positive nexus for diabetes mellitus and atherosclerotic cardiovascular disease.  Dr. R.D. stated he reviewed information regarding the Veteran and his claim.  He cited to evidence that there was testing of "Herbicide Orange" and other defoliants at Eglin AFB; personnel records show the Veteran was attached to the aircraft repair and field maintenance section at Eglin during the time of testing; and he had diabetes mellitus type II. Dr. R.D. also pointed out an association between diabetes mellitus type II and atherosclerotic cardiovascular disease.  Dr. R.D. stated despite lack of detailed records of the Veteran and Air Force, the Veteran's memory of his exposure to herbicides was detailed, technical, logical, coherent and credible. 

 The Board finds that claims for service connection for diabetes mellitus, type II, and the residuals of coronary artery bypass graft surgery are in equipoise.  The competent evidence of record shows the Veteran has a current disability of diabetes mellitus, type II and that he currently is status post coronary artery bypass graft times five; these are disabilities listed under 38 C.F.R. §3.309(e).  April 2012 evidence shows the Veteran's diabetes mellitus is insulin dependent and is on continuous medication for his heart.  See 38 C.F.R. § 4.104, Diagnostic Code 7005, 7017 (2011); 38 C.F.R. § 4.119, Diagnostic Code 7913 (2011); 38 C.F.R. § 3.307(a)(6)(ii) (2011) (providing that the diseases listed at § 3.309(e) shall have become manifest to a degree of 10 percent or more at any time after service). 

 Regarding exposure to herbicide in service, as the C&P email noted, testing was done at a remote forested site and there is no documentation that the Veteran worked on test aircraft.  However, the Board finds the Veteran to have been consistent and therefore credible regarding his exposure to Agent Orange while in service.  Caluza v. Brown, 7 Vet. App. 498, 511.  There is also no reason to doubt the veracity of the corroborating affidavit of W.T., as it is also consistent. Id.  There is objective evidence regarding herbicide testing (specifically Agent Orange) at Eglin AFB while the Veteran was present in December 1978 and service personnel records showing the Veteran worked in aircraft maintenance at that time.  Under these particular circumstances, the Board will resolve doubt and find that the Veteran was exposed to herbicide in service.  The Board finds that under the circumstances and in consideration of 38 U.S.C.A. § 1154(a) the claim is at least in equipoise. 

 A positive nexus opinion has been obtained via the May 2012 letter of Dr. R.D.  At least in the case of diabetes mellitus II, there is evidence for direct service connection and an opinion stating that atherosclerotic cardiovascular disease is related to diabetes mellitus.  See Combee, 34 F.3d at 1042 and 38 C.F.R. § 3.310 (addressing secondary service connection).  However, since the Board finds the Veteran was exposed to herbicide in service, the presumptive service connection applies.  38 C.F.R. §§ 3.307, 3.309; 66 Fed. Reg. 23166.  The Board will grant service connection for these claims under the benefit of the doubt rule.  See 38 U.S.C.A. §5107; 38 C.F.R. § 3.102. 

ORDER: The claim for service connection for diabetes mellitus, type II, is granted. 

 Service connection for the residuals of coronary artery bypass graft surgery is granted. 

____________________________________________

C. TRUEBA

Veterans Law Judge, Board of Veterans' Appeals

 Department of Veterans Affairs

Ranch Hand Combat Hits Tally Board


22 January 2013

One Vet's Advice on Successful VA Claims


One Vet’s Perspective (and his attorney’s) on the VA Claims Process…read and consider!
The Dirty Dozen

This is a list of 13 things that you must do or more importantly, not do, while you attempt to win your compensation benefits. These aren't in any particular order, each is as important as the next. I know these are important. I see the mistakes every day and I know the results of making simple errors.

Following these simple rules won't win your claim for you but it will help ensure you don't lose it.

(1) Don't call the toll free number. Don't email the VA Regional Office. Don't use the electronic system to file your claim. Do not ever, under any circumstances communicate with the VARO except by certified mail, return receipt requested. If you break this rule, you are sure to get the wrong information. When you call or email you aren't contacting your VA Regional Office, you're in touch with a call center.

The call center has access to a computer system that is rumored to be powered by
kerosene and data is stored on IBM punch cards. The employees are under orders that
you are allowed 3 minutes and not any more. They will tell you anything you want to hear to
get you off that telephone. If you insist, try calling 3 days in a row. Ask the same question
each time. It's likely you'll hear 3 completely different answers, all wrong.

(2) Know who is representing you. Every day I get at least one email that tells me, "The
VA representative called me to tell me I was going to receive 80% on my award." I always
ask, "Who is this VA representative and what is his title and who does he work for?" The
answer is always the same, "Oh. I just thought he was a VA representative. He works for
the VFW. I'm not sure what his last name is but his first name is Jim...I think. I've seen him
around for a long time."

You hand over the future of one of the most important legal moves you'll ever make where
the stakes are counted in the hundreds of thousands of dollars and you aren't sure who
the person works for?

Before you go out and buy a new washer-dryer combo, you'll scout the ads in the papers,
do some research on the Internet, go to Sears, Best Buy, and Home Depot and you'll
spend hours making a decision that will cost around $1000.00.

On the other hand, you'll walk into any office that looks official, sign over a power of
attorney (!), complete financial paperwork that exposes your weaknesses to the world and
walk away not knowing what to expect or when to expect it.

If you'll spend as much time thinking about your claim and who that representative works
for as you did that big-screen  plasma TV you had to have, you'll be a lot happier down the
road.

(3) Be patient. Take 2 hours of quiet time early in the process and read from all the stuff
that is available here and at other web sites. The VA site itself is a wealth of information
and will answer a lot of your questions completely.

Your application for benefits will follow a process. If you've done your part that paper you
submitted is going to slowly wind its way to the first step in the process, then the second
step in the process, then the third step and so on right through over 100 steps that must
be accomplished before it is adjudicated.

Whether you think all that is necessary or not doesn't matter. It's the process that counts
and you need to accept that very early in the game.

Once you've submitted your paperwork and you're confident that you have given VA all the
evidence that there is, you're done. There is nothing else to do but wait. Calling the VA
(see #1) to ask where your folder is is a waste of your time. Don't write any more letters to
VA. Don't call your VSO to ask if she has heard anything about your claim. She hasn't.

Read War & Peace. Build model airplanes. Watch all the Jerry Springer shows you can in
the year that you're waiting and score them according to the types of family values they
teach us. Get a salt water aquarium and watch expensive fish die. Buy more fish. Do
anything at all but think about your claim.

Your claim will be adjudicated when it gets adjudicated and not a minute before. Live with
that.

(4) Don't ever display any anger to a VA employee. Yeah, OK...we're all pissed off.
Every last veteran I know can feel their blood boiling at the mention of how the VA treats
those it's supposed to serve.

We were trained to be angry. From day one, before I even got off the bus at Ft. Benning,
Georgia on that miserable hot and humid summer day, I had 3 guys in heavy boots and
stiffly starched combat fatigues screaming their lungs out at me. I was called everything but
a child of God.

I was promptly informed I no longer had a mom, she had been replaced by a guy with 3
Vietnam campaign ribbons who was going to teach me something called 'jungle warfare'.

I had to yell "KILL KILL KILL" for weeks on end, beat my friends to a pulp with a big stick,
stab a lot of things with a mounted bayonet and I learned that ultra-violence was the
answer to every problem I would encounter as a soldier. Extreme pain was a sign that
weakness was leaving my body. My most basic and most important  job was to kill people
and destroy their stuff. We were not emissaries of peace, we were warriors.

That was then and this is now.

If you show your angry side to a VA employee by yelling, expressing your displeasure at
waiting, slamming a fist down on a desk, cursing, storming out of a room and slamming the
door or making a direct or veiled threat...you have created trouble for yourself and all
those who have to follow in your footsteps…and the VA security may just be hurrying you
along with your footsteps!

Most, not all but most VA employees at the clinics, hospitals and regional offices want to
help you. They're usually every bit as frustrated as you are at the bureaucracy they work
for. They have the same problems of paying bills, raising teenagers, flat tires and
headaches that you have. Many of them are veterans. Many others weren't born yet when
you injured your back. The bureaucracy wasn't intentionally made tougher for you by that
23 year old student intern sitting across from you.

A lot of these people are afraid of you. I was born with a scowl. At my happiest, my brow is
furrowed and my eyes narrow down to slits and I sigh a lot. I've been told often that I
intimidate people so I work hard to overcome that.

Before you interact with a VA employee...in person, on the phone or by letter...take a deep
breath and let that anger go. The amount of courtesy, respect and smiles you give is
directly correlated to what you'll receive.

Otherwise, you may find that your record is flagged to warn others about your erratic,
threatening behavior and if you think you have problems with getting things done now, you
ain't seen nothing yet.

Worst case...the VA police are serious. Most VA police officers are real cops, not 'security
guards'. The handcuffs they use are pretty much guaranteed to show you what they think
of your attitude.

Think before you open your mouth. You'll be glad you did. The rest of us will appreciate it
too.

(5) A well written letter is your best friend. I hear it every day. A veteran sends me an
email that begins, "The VA lowered my benefits because I didn't show up for an exam. I
didn't know I had any exam scheduled. They say they sent me a letter but the idiots mailed
it to my old address. I changed my address by telling my VSO and I also called the VA toll
free number and I emailed them too. Now what do I do?"

Now you try to get the train back on the tracks.

When you moved and changed your mailing address, it appears you told everyone but the
VA Regional Office that handles your folder. Neither the toll free number or the IRIS email
system is at your regional office. Your VSO can't be relied on to run errands for you.

If you had written a letter, mailed it to the correct address and used certified mail with
return receipt requested and kept the receipt along with your copy of that letter, it is very
likely the address change would have happened just as it should have. If it didn't, you have
good evidence that you did your part correctly and timely. Without that little green
postcard, you got nothing.

This applies to every action you take with the VA.

Any time you want VA to accomplish anything for you, you must put it in writing and you
must be precise in telling them exactly what it is you want. When you put your request in
writing, you've just created a piece of evidence that can be held in the hands and reviewed
by another person months or years down the road. It's real, it's solid and if it disappears
from your folder, you have a back up copy and that little green post card to prove it was
delivered.

A telephone call is a faint memory the moment the connection is broken. An email may roll
up and off the screen, out of sight and out of mind. Emails are often purged whether by
accident or intent.

Your letter and your copy of that letter are the most powerful tool you have. A single letter
that is brief and tells the reader just exactly what you want is more potent than a hundred
phone calls.

I've provided a number of templates for you to use in other articles. There is just no reason
for you to communicate with VA by any other method.

(6) Don't call your Congressperson or a Senator. I get a lot of email telling me how the
veteran got frustrated at delays so they decided that their Senator would storm the walls of
the VA for them and tell those bad people to straighten up and fly right. Most of these
emails end by telling me that months later they received a form letter telling them that the
VA is still working on their claim and that ends that.

Your elected representatives in Washington make laws, they don't enforce them. Each of
them maintains a number of very busy offices staffed by a dozen or more people. In that
mix are "Military & Veterans Liaisons" or an individual with a similar title and responsibility.

When you write or call to complain about the VA and your claim, your call is routed to that
person. He or she will ask you to complete documents that allow them to view your folder...
privacy issues must be addressed as you have medical records in there.

Then they send a "Congressional Inquiry" to your VARO. The VARO maintains a team of
people to respond to such inquiries within 45 days. Your folder is located, pulled out of line
and examined for any particular glitches or errors…strictly their “CYA” process. Then it may
be sent to the Representative's liaison for a review.

If the folder and your application are merely going through the usual routine of numbingly
slow progress, that's what you'll hear. If there is missing evidence and VA can't find records
or something is lost, they'll assure the Representative that they're doing all they can and
that message will be passed on to you.

Your Congressperson or Senator won't be aware that you've done any of this with their
office. They each have hundreds of these requests every year. Almost every one of these
inquiries I've seen are initiated by a veteran displaying impatience. Often enough, the
impatience is rooted in ignorance. The vet doesn't understand the process and nobody
told him that his claim may take as long as 18-72 months.

Some requests and complaints are filed with these offices because the veteran is in dire
financial straits and is depending on a compensation benefit to save the day. The wolves
are at the door, the car is being repossessed, the credit cards are maxed out and the vet
needs the money right now. This is probably the worst reason to call as an inquiry may
cause even more delays. Your folder could have been next in line to be distributed to the
desk of a Ratings Veterans Service Representative (RSVR) and you caused it to be pulled
out of its place in the line.

(7) Don't ask advice from everyone you meet. Once you begin the journey to that
compensation benefits award, you should soon develop a plan and stick to it. An integral
part of the plan is where you'll get guidance from.

Have you decided to use a Veterans Service Officer who you trust?  Are you going to DIY?
Are you in an appeal and you've signed some agreements with a lawyer? Whatever path
you choose, stick to it.

There is no one perfect answer to any of the thousands of questions that may come up
during the course of your claim. Different people will have different experiences and those
experiences will shape the way they will advise you to handle your claim.

I'm often contacted by a veteran who will tell me (for example) that his VSO has advised
him that he should not submit another claim for a new condition until an existing claim is
finished. The vet will ask my opinion. Most of the time I'll agree with that advice as long as it
isn't completely out in left field.

A day or two later that veteran will write back to tell me that he checked with his friend, the
one with a wealth of experience in VA claims, and he has a different idea about it all. He
now wants my opinion on what his friend has to say. I'm a bit more cautious in my answer
because I can see where this is going.

Sure enough, I'll usually get a set of emails from the veteran and he will have contacted his
Congressman, looked at other web sites and sometimes even called the VA toll free
number.

This happens in appeals too. The veteran speaks with a lawyer who agrees to take him as
a client. Papers are signed and the lawyer begins the process by notifying VA of the new
POA and requesting a copy of the folder. Six months pass and the veteran hasn't heard
anything so he calls the lawyer to discover the VARO only delivered the copied folder 2
weeks ago.

The veteran once again starts looking for advice elsewhere and the result is always the
same...this vet is lost, confused and unsure of what to do next.

Changing representation in the middle of the process may be one of the worst actions a
veteran can take unless there is a very good cause. That the claim is taking too long or the
lawyer isn't calling you every week to tell you nothing has happened isn't good cause.

You should only change your POA in a circumstance where you've discovered and can
prove incompetence, your representative is on an extended leave or the representative
dies. Even then, you will want to give a lot of thought to upsetting the flow of progress, as
slow as it may be. It's perfectly reasonable to believe that it's better to allow the claim to
proceed to a denial than to try to make a course correction during the process.

There's a good reason for that old saying, "Too many cooks spoil the broth".

When you make the decision to file a claim, give a lot of thought to how you're going to
proceed and choose your representative carefully. If you've done your homework up front,
when you hit those bumps and delays that come with working with VA, you'll remain
confident that it's just the routine and you'll be happier for it.

(8) Prepare for the worst. Approach your claim as if it is already determined that you'll
lose and have a lengthy appeal.

There are no reliable, precise statistics that allow us to predict which claims will be
approved or the ones that are doomed to failure. We know that even when you submit a
perfect claim with perfect evidence there's a good chance that you will be tied up for a year
or more and then receive a denial letter.

When you get that denial, you'll be stunned as you read along. In the required explanation
from VA you'll see that it's almost as if not one single person actually read your evidence
and/or they just ignored it all. The language they use might make you think that they're
speaking of someone else’s claim, not yours. You may read incomplete sentences, pages
that don't seem to connect from one to the next or the date on your letter may be days,
weeks and even months previous to the day you get the documents.

The truth is that it's entirely possible that your complete folder was never examined for all
the evidence. It's possible that evidence you delivered wasn't ever matched to your file. It's
not rare for papers from one file to be accidently included in another file and your denial
may be based on a single page of a report from another veterans medical record.

If you are already in need of the financial help that you deserve when you take that first
step towards compensation, you must begin to develop your budget as if you aren't ever
going to see any help from the VA.

I meet way too many vets who are suddenly unemployed or underemployed due to their
service connected disability when they decide to file for a benefit. They hear from friends of
the retroactive pay and that monthly deposit and the free medical care and they file and sit
back and wait for it.

Six months later, I hear the panic in their voices after the car was repossessed, they're
behind on the rent and their marriage is in trouble.

This is when the veteran writes to me and asks, "Jim, how can I speed this up? Things are
really bad in my life right now. I need the money."

I always have the same answer; there isn't any way to speed things up. In some very rare
circumstances, a veteran may ask for an expedited decision due to an unusual hardship.
Most often this will only be approved if there is a sudden critical illness that would easily
appear to be service connected. An example might be a catastrophic illness that results
from a complication of diabetes in a Vietnam veteran.

It's very unlikely that you're going to find any sympathy for the knee injuries that you've
asked for and been denied 3 years earlier. Even if your claim is valid and you're unable to
find work, unless you have a situation that is life threatening, you probably won't see any
help at all from VA.

No matter what your situation, after you've completed your filing of the paperwork for your
claim, you must then address your long term finances. You should involve your family in
the discussion so that everyone understands that you're facing a long road ahead.

If you start the process knowing how you'll pay bills each month until the point that you are
awarded your deserved compensation, the time you wait will be less of a stress on you as
well as your family.

(9) Read the fine print. Each time the VA writes to you you'll find a page that applies to
your claim and a number of pages of boilerplate instructions regarding your rights to
appeal and other matters.

Too many of us get to the part that reads, "We propose to reduce your benefits...", or
"Your claim for compensation is denied...", or any one of a number of messages that we
didn't want to receive and we never read past that. The blood boils up in the brain, eyes
cloud over and we get tunnel vision and we never see the instructions that can save us
time and trouble.

The fine print included with a VA letter is as good as it gets. Often enough it will detail why
a particular action is taking place and once you understand that, you can correct the
problem in short order. In a denial letter you may see that they didn't consider an important
piece of evidence that would have supported your claim and you have an instant reason to
appeal.

The most important detail you'll find is that of timing. Your VA is obsessed with timing...
yours, not their own. That fine print will tell you that if you wish to halt the apportionment of
the money your ex is trying to withhold from your compensation, you must take certain
actions within 30 days or 60 days.

If you reply 'timely' you can request a personal hearing that can halt proceedings for
months while VA makes room in the schedule for you. This can give you valuable time to
gather evidence or get advice on how to fight a proposed negative action by VA.

Reading those pages of legalese will provide the veteran with almost never-ending routes
of appeals, hearings and opportunities to prevent decisions from going against us or to
reverse decisions that aren't favorable. Using the law to enforce your rights is smart.
Getting smart beats getting angry every time.

(10) Get involved. You served your country. You wore the uniform, took the oath and you
agreed that if ordered to do so, you would lay your life on the line for the principles we
believe in.

That isn't enough. You aren't done yet.

When you were active duty, you could vote and that was about it. Now you're a veteran
and you have the knowledge and experience required to understand how our military
forces need the support of the civilian leadership that control them.

If you haven't ever written to your elected representatives before, don't embarrass yourself
by thinking that they should jump up to help you when you have an issue with the VA.

Your Congressional representatives want to hear from you on an ongoing basis. Your
Senators each have an easy, simple section on their web site for you to write them a note
to let them know how you feel. Once each month, it may take all of 5 minutes of your busy
schedule to write to say that you support some piece of legislation for veterans.

If you do that on a regular basis, if you aren't a ranter and if you are contributing your
thoughts to them even when you don't need their help, they'll pay more attention when
veterans’ issues come before them.

Today, the younger veterans need your wisdom, your guidance and the benefit of your
experience. When you returned to the world in 1969, there were few people who were
willing to offer you a hand up.

If you haven't lifted a finger to help our newest veterans but you have time to bitch and
whine and cry about your own benefits, you need to reassess the situation you're in.

Giving your time to assisting these warriors will give you something to do while VA muddles
around with your claim. You won't get the sort of reward from the VA that you'll discover
helping a young veteran rebuild a life.

(11) Learn how to use your computer.  If you're reading this, the odds are you're
reading it on a computer. It's often said that filing an application for disability compensation
isn't a spectator sport. It's time for you to get in the game.

Hardly a day goes by that I don't get an email from a veteran who asks, "Jim, who do I call
to get a form to file for disability compensation?" or, "Jim, what are the rates that VA will pay
if I have my rating increased from 20% to 50%?" or I may even get a comment that says,
"Dude, why won't the VA put up a web page that will tell us about benefits for our
dependents?"

I confess that I have moments where I stare at those emails in amazement and wonder.

What I wonder is, "How can a person who manages to log on and use email not know about
that phenomenon known as the Google search engine?"

The Internet is as amazing an invention as the wheel or sliced bread. To have Internet
access is something most of us couldn't have imagined in our wildest dreams as we
entered our military service. Today's soldier can't recall a world without the Internet.

If we take it in it's simplest terms, the Internet is nothing more than a library that houses
information. We all access the same Internet. It doesn't matter if your portal is AOL or GMAIL,
Bellsouth or Comcast, those are just doors that open to allow you access. Once you step
through the door your Internet Service Provider (ISP) has for you, you are surfing along
the same "Information Superhighway" as everyone else.

Once you've arrived on the Internet, the "library" is full of billions and billions of pages of
information. That information is piped up into the Internet from other computers, called
servers, from colleges and governments and private citizens and even businesses that
want to sell things to you. If you want to see what they have to offer, you have to be able to
arrive at their Internet address and then view the information they provide.

To get to a specific place or find specific information on the Internet requires that you know
the exact address of the place you're looking for. If you don't know where you're going, how
on earth can you find your way among those billions of addresses?

Thankfully, that was made easier for you years ago by the development of the "Search
Engine". The first Internet search engine came about 1993 and has quickly evolved into

While there are plenty of competitors around, many consider that the Google engine is the
best available. How do you use it? Simple.

If the Google search bar isn't already a fixture on the landscape of the web page you're
looking at, go to the address bar of your browser and type in http://www.google.com and
you're ready to search.

The majority of questions I receive in my mail box are relatively simple and are about basic
facts from the VA. Let's say you want information about benefits for your dependents if you
should die. It's a pretty sure bet that the VA is a good resource for that but you don't have
any clue about where the VA keeps that information. In the Google search bar, type in
"veterans administration" (leave off the quotation marks). The search engine isn't case
sensitive so you don't need to worry about capitalization.

Now hit the enter key.

Bingo, you're on a page that shows you the results of the search by the engine. It may tell
you that it found hundreds of thousands of "hits" of pages that are relevant to your query.
The engine, being as smart as it is, has listed them in the order it thinks you'll want to see
them.

You'll see the main page of the DVA site (http://www.va.gov) and also the main page of the

Congratulations! You've just learned how to use a search engine. You entered a "search
term" and then directed the engine to find a likely page of information for you.

Once at the DVA web site you'll see links to almost everything the DVA has available. A
"link" is a word, phrase or symbol that you may click on that will take you to another place
on the Internet or within the pages of the site you're on.

To find the facts about dependents benefits is easy once you're on the VA site. Look
around, you'll see links to benefits, from there links to dependent's benefits and so on. I
recommend the DVA web site as a first stop for almost everything you need to know about
the VA. The site is massive and it can be complex but with a little time, you'll soon discover
all you ever wanted to know about VA.

The search engine responds to "key words". In the earlier example we found the DVA web
site. If you're seeking information about your time in Vietnam and you need details about
the dates your unit was there, go the Google search engine and type in your unit name
and numbers. Did you serve with the 9th Marine Amphibious Force? Type in those words.
Were you in Germany? Try "US Army Europe", again, without the quotation marks.

Play with your search terms. Use a combination of words to find information on the
condition you're claiming, Agent Orange, benefits and almost anything else you can think
of. If you see an interesting site, go ahead and explore it, it probably has links embedded
that will lead to other sites of interest to you.

Now that you've mastered the Google search engine, learn how to use the search engine
that is provided on VAWatchdog. (http://www.yourvabenefits.org) It works the same way but
will restrict its search to the published articles of the site. You can use the VAWatchdog
search engine to find articles that you may have missed on a particular topic or you may
find comments from readers in my Mailbag columns.

The search engine is another of the powerful tools you have to use as you seek the
disability compensation benefits you've earned. Take a tutorial and you'll be an expert in
no time.  You'll be glad you did. Finally, if you’re “of a certain age” you’re certain to find
computer help at the senior center, library or from other veterans. Maybe…your kids?

(12) Retrieve and then organize your own documents and evidence. It happens
every day. I open my email to read, "Jim; I have been treated by a number of civilian
doctors ever since my honorable discharge. I gave the VA the names and I thought they
were going to get those records for me. Well, they didn't and my application has been
denied. Isn't the VA required to assist me and help me get my records? Can I sue them for
this harm they caused me?"

The VA has a duty to assist you. The obligation to help you includes a reasonable effort to
track down records and to notify you of your rights. The word you want to pay attention to
is "reasonable".

If ten years have passed since you were treated at the infamous Our Lady of Pain and
Suffering Medical Center, located in beautiful Dog's Breath, Georgia and you want those
records, you better work on getting them yourself. The first mistake I often see is that the
veteran provided the name of the hospital and the city but no street address or direct
telephone number. The VBA Veterans Service Representative who is trying to gather your
records is under no particular obligation to go rummaging through a directory to look that
up for you.

That VSR may fire off a letter in the direction of that hospital and include a copy of your
release but there is never any guarantee they're going to respond. He may even try again.
After that, it's your problem, not his.

Many hospitals have medical records outsourced to a vendor in another city and
state. If the VA writes to the hospital asking for your records they may get a message to
contact the vendor. In turn, that vendor may require a fee to research and copy
records...yes, they can do that. The vendor may require a photocopy of your driver's
license or other identification for security. Their rules may require all of that and then they
send the records back to the hospital to release them to you...or the VA.

Upon encountering those kinds of barriers, the VSR at your VARO will note his attempts
and move on...without your important records.

If you were treated by a handful of different physicians over the years, practices may have
changed hands, doctors may have moved on. If you were teated by Dr. Quackenbush 9
years ago and his notes will prove your disability, you've got problems if he gave up
medicine and is now a ukulele player in a south seas band. Your file may be in storage, it
could be that the entire practice moved to another building or that the practice, including
your chart, was sold to another group of doctors.

The VSR may send a letter and might even make a phone call on your behalf. If that isn't
productive, he'll move on.

In the circumstances above, had you taken the initiative yourself, you may have been able
to track down your record. Yes, it may have taken you 30 phone calls and days of
frustration but if you are persistent and you find the right person, the one with the keys to
the storage facility, you may get that single piece of paper that wins your case.

(13) You’re not in the military anymore. You no longer have to accept answers you get
as if it was handed down from authority and, or through the chain of command. Question
everything. If the answer or decision is not favorable to you, disagree with it.

Our government’s agencies do not always get things right, do not have your best interests
in mind, and will not always tell you everything you need to know. If you think your claim
has merit, and your belief is based on facts, law, and evidence directly on point to your
claim, then appeal and persevere. Do not shrug your shoulders, give up, and think the VA
must know better and, or must be right. They make wrong/bad decisions all the time;
hence, the incredible backlog that exists in the VBA claims process today.

The disclaimer: These tips are provided to you to describe general processes and procedures
that occur during the application for disability compensation and pension and other
benefits within the Department of Veterans Affairs System. Any author you find here is not
providing you with legal advice. Any information provided by this Knol or any contributor to
this Knol is not intended as and should not be construed as legal advice. You should
always consult an attorney to help answer specific questions regarding how VA laws apply
to you and/or your situation. The summaries provided here are incomplete, and the DVA
laws and regulations are subject to change. We do not guarantee and we are not liable for
the accuracy or completeness of any of the information provided, or any results or outcome
as a result of the use of this information.

This article was written by Jim Strickland of VA Watch Dog, a US Army
Veteran and Veterans Advocate and Katrina Eagle, a lawyer who specializes
in Veteran-Related Legal Issues.  
What to Do (& Not DO!) When Filing a VA Claim