Buck, My last claim involved a little over 100 pages of documents which I initially sent certified mail return receipt requested and then hand delivered a second copy of the documents to my RO after the VA lost the documents I had mailed. Due to the volume of pages and to simplfy it for the VA, I added a Table of Contents at the front of my claims package and tabbed the different sections according to subject matter (e.g.- Statements in Support of Claim, Military Records, Service Medical Records, VA Medical Records, Private Provider Medical Records, Dependents Information, etc.). I also numbered my pages in the following manner: 1 of 100, 2 of 100, etc. I tabbed my sections and numbered the pages just in case VA employees disassembled my claims package or accidently dropped it, It also makes it much easier for them to find something in your claims package with minimal effort. Also make sure your documents have your VA claims number listed on the top of each page. I highlighted my claims number and other parts of my documents which I deemed to be most relavent to my claims and necessary for VA rating officials to see and read. They will probably not read every word of every document but chances are they would be more likely to focus their attention on highlighted sections of your documents. JMO Good luck with your claim. GP