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DUTY TO ASSIST

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further efforts would be futile. Private. an initial request. one follow-up request ... further efforts obtain records would be futile ... – PowerPoint PPT presentation

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Title: DUTY TO ASSIST


1
DUTY TO ASSIST VCAA NOTICE
  • Texas Veterans Commission
  • Fall Conference 2008

2
OVERVIEW
  • Duty to assist defined
  • Federal Dept. / Agency records
  • Claimants Responsibility
  • VAs Responsibility
  • Private records
  • Claimants Responsibility
  • VAs Responsibility
  • Veterans Claims Assistance Act Notice
  • References

3
DUTY TO ASSIST DEFINED
  • When the VA receives a
  • substantially complete application
  • VA will make a reasonable effort
  • to obtain evidence to substantiate
  • the claim

4
DUTY TO ASSIST DEFINED (Cont.)
  • substantially complete application
  • claimants name
  • claimants relationship to veteran
  • service information
  • benefit claimed
  • disability(ies) claimed
  • claimants or guardians signature
  • income for nonservice-connected disability, death
    pension or parents DIC

5
DUTY TO ASSIST DEFINED (Cont.)
  • Reasonable Effort
  • Federal department or agency
  • records are obtained
  • certain records do not exist
  • further efforts would be futile
  • Private
  • an initial request
  • one follow-up request

6
Federal Dept. / Agency records
  • Claimants Responsibility
  • provide information to identify / locate
    existing records
  • approximate time frame
  • for medical treatment records, the condition
    treatment was provided.

7
Federal Dept. / Agency records(Cont.)
  • VAs Responsibility for federal records
  • as many requests as are necessary to obtain
  • service medical records
  • VA medical facilities
  • non-VA facilities at VA expense
  • Social Security Administration
  • other Federal agencies

8
Federal Dept. / Agency records(Cont.)
  • VAs Responsibility ends
  • records are obtained
  • reasonably certain that records do not exist
  • further efforts obtain records would be futile
  • Note VA must receive a response from the
    custodian of the records before assuming it has
    met its duty to assist.

9
Federal Dept. / Agency records(Cont.)
  • VAs Responsibility to Veteran if federal records
    are unobtainable
  • Identify records unobtainable
  • Explain efforts made
  • Describe further action

10
Private Records
  • Claimants Responsibility
  • provide information to identify / locate
    existing records
  • approximate time frame
  • for medical treatment records, the condition
    treatment was provided.
  • VA Form 21-4142, (Release of medical records, one
    completed for EACH doctor or facility.)

11
Private Records (Cont.)
  • VAs Responsibility for private records
  • After VA receives Form 21-4142
  • Initial request
  • Follow-Up request
  • (VA will wait 30 days between request)

12
Private Records (Cont.)
  • VAs Responsibility if private records are
    unobtainable
  • At time of follow-up request, VA will
  • Notify Veteran of follow-up attempt
  • Remind Veteran He/She is ultimately responsible
    for private records
  • If records are not obtained, VA will make a
    decision on current evidence

13
VCAA Notice Response
  • VCAA Veterans Claims Assistance Act
  • Purpose expedite decisions where no additional
    evidence is available
  • Two Responses
  • No additional information to submit, decide
    ASAP
  • Is additional information to submit, wait 60
    days before deciding

14
VCAA Notice Response (Cont.)
  • Notes
  • Veteran does not have to return form
  • (VA will wait 30 days)
  • Veteran claims no additional evidence is
    available, but later finds relevant evidence, if
    one year from claim date VA must accept evidence

15
REFERENCES
  • Title 38 CFR Part 3, 3.159
  • M21-1MR, Part I, Chapter 1
  • Fast Letter 05-17
  • Fast Letter 06-04
  • Veterans Claims Assistance Act of 2000, PL106-475

16
Review
  • Duty to assist defined
  • Federal Dept. / Agency records
  • Claimants Responsibility
  • VAs Responsibility
  • Private records
  • Claimants Responsibility
  • VAs Responsibility
  • VCAA Notice
  • References

17
  • QUESTIONS?
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