This eBook will teach you how to get C-Files (paper and electronic) from the VA Regional Office.
How to Get your VA C-File


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    • Exams during flare up?
      A friend of mine who is a fellow Vet were talking about the C&P process. Like me he has a lot of inflammation issues in his shoulders. I told him how the examiner asked me if I was having a flare up when she examined my knee. We both became curious if that has any effect on a rating.   So if a veteran is experiencing a flare up during a C&P exam. Does the assigned rater take that into consideration and rate it at less of a percentage based on the restriction of movement due to a flare up? Or do they rate it as scheduled no matter what?    
    • My husband died in motorcycle accident
      Page1006 I never intended to up set you in any way and I know all this has to be upsetting to you to say the least. I hope you have sent in statements like this one? for evidence of record   your lay statements will be considered. I agree with you I believe your hubby did have some type of episode just right before his Accident..Proving it will be hard.
    • VSO
      JoebobCVSO Thanks for your service to vets and your honesty about working claims when you can get to them. Frankly, no matter how good you are you needs the Vet's evidence and lots of it to convince the VA. Although many characterize them as the enemy in some cases, I see them as hero's that are working theirs tales off to help Vet's. Have I had some negative experiences with exams, claims and interactions with the VA-yes. But, although my rater did not give me all that I expected, it's on me to provide more solid and compelling evidence. I learned early on, that no one is going to care more about a Vet's claims than themselves. So, it's very important for vets to learn as much as they can about the disability process and help you to help them. Recently, I've agreed to help some relatives with their claims due to what I have learned so far and my claims success. But, many of them just want to hand a pile of medical records and be told when to wait by the mail box for a big check? Before I submitted my claim, I do a great deal of work to put the package together. The head of a VA CP Section looked at my submission packages and remarked that they were the most organized that he had seen in 25 years. I told him that I did not want to leave much to chance and that I had some one once tell me that you have to make it easy for the rater to rate in your favor. For me, my VSO was not very good but I know that their are great one out there doing their best and helping Vets. I for one want to thank you for your incite and help via this post. Can you talk about the 3  to 7 big trends or  no/no-s that are hurting vets as they submit their claims packages right now? Goodspeed Rootbeer22
    • Mental Health C&P
      When possible, posting redacted copies of your Award/Denial letter and discussion of evidence reviewed, would still be of great assistance. Semper Fi
    • New guy here!
      I guess at least on the bright side, I'm pending an MRI via the Choice Program, should find out what's going to happen Tuesday. Beyond that, the first person I'll be calling will be my VSO :-) thanks. Patience is a virtue, Complacency kills. Never settle, never surrender.
    • Mental Health C&P
      I am so glad that you are seeing progress.  YAY!  It's great when a Veteran finally gets a little bit of what they deserve.  This whole process is so convoluted and frustrating.
    • Mental Health C&P
      Gastone, I just ordered a copy of my C file.  My exams were all done at QTC facilities so I can't get them online. It was a MH exam that was requested by the original C&P examiner on 4/26.  He even read me the referral request when I first walked into the room on Wednesday.  He also stated that it wasn't therapy but a fact-finding mission for the VA.  I asked if I could get a copy and he said it wasn't his to give.  It belonged to the VA to use for my claim.  I saw my file during my first C&P and it had a big red EXPEDITE stamp on it so maybe that is why the turn around was so quick?
    • New guy here!
      E Benefits dates are a joke.  You cannot assume that they have much meaning, honestly.  They whip around every so often without explanation, so dont take it seriously. Your best contact for updated info is the VSO, if you can get his cooperation.  He has access to more than any of the RO info that we dont.  If he doesn't, call peggy (800-827-1000).  Sometimes it is just best to forget it for a while and let it go.  Patience can be a killer. If you take a hit on your income, are facing foreclosure, you can also put in for hardship.  I know that losing your job is a lot of stress.
    • Knee Condition
      No yet, I've been on the waiting list. 
    • Assistance With Sleep Apnea Claim
      You will have a fight on your hands no doubt, but with your medical opinions and wife/buddy statements, personally I would pursue the claim.  JMO I am stubborn, however, I fight for what I can prove by medical evidence and medical rationale.  If I didn't I'd still be stuck at 30%.  Just facts, if you file for something, pursue it until the end, otherwise why put a claim in to begin with.   Principle is why I keep going.

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Davo68

Davo68 - New Member With Questions

17 posts in this topic

I'm new to this site, very helpful and informative reading. I filed a claim in early January 2013 and have been going through the process. My claim is for hearing loss and had an audioligy exam by the VA at their hospital in Bonham Texas and at one point my claim was at the Reviewing Evidence stage, it was then sent back to the Gathering Evidence phase and turned over to VES. I was contacted by VES and underwent another audioigy exam. A few questions:

1) Since I was sent for another hearing exam after the evidence was being reviewed stage can I assume that the SC aspect was not an issue?

2) My claim was for Hearing Loss, but the VES examiner also checked out my tinnitus and asked asked a lot of question with regard to the tinnitus. Do i need to file a seperate claim for the tinnitus?

3) If I file for tinnitus will it slow my current claim decision?

4) I am not using a VSO for this claim, should I get VSO support at this stage?

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Welcome.

I moved for post.

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1) Since I was sent for another hearing exam after the evidence was being reviewed stage can I assume that the SC aspect was not an issue?

Do not assume service connection is not an issue. Exams are ordered for specific reasons: to evaluate if the Veteran has a current diagnosis of the claimed condition, to determine if the Veteran's current condition is caused by or due to his/her military service, and to get a nexus linking the Veterans current condition to their military service.

you may have had to go to another exam for a variety of reasons.- the first examiner may not have reviewed your cfile, they may not have addressed tinnitus like they were suppose to, they may have never released the exam and the RO could not get the report and it had to be re-done, the examiner may have been on leave or no longer is employed by VA and never released your exam- there may have been conflicting report of findings that needed clarification, she may have stated her opinion would be speculative - on and on there are so many reasons to be reexamined. Apparently, the VSR or rater needed something to help decide your claim.

2) My claim was for Hearing Loss, but the VES examiner also checked out my and asked asked a lot of question with regard to the tinnitus. Do i need to file a seperate claim for the tinnitus?

The DBQ Audio examination which is mandatory for the examiner to complete, also includes a section for tiniitus. Tinnitus is automatically addressed whether or not it is claimed by the Veteran. If at the time of the exam you tell the examiner you suffer from tinnitus, the examiner will provide his opinion whether or not your current tinnitus is related to your military service, and provide the usual, is less likely than not related to military service, or as likely as not related to military service. If you tell the examiner you do not have tinnitus, the examiner will note on the DBQ exam you have no complaints of tinnitus.

The raters will look at the DBQ. If the examiner says less likely than not related to military service, tinnitus will not be addressed in the decision. If the examiner says you have tinnitus and it is more likely than not related to your service, you will be service connected for tinnitus without ever filing a claim.

3) If I file for tinnitus will it slow my current claim decision?

You do not need to file a claim for this now. It was addressed at the time of your examination. If you file a claim, the VSRs have to send you new due process letters of acknowledgement, and yes it will slow your claim down.

4) I am not using a VSO for this claim, should I get VSO support at this stage?

Personally, I am not in favor of VSO representation however, there are some good ones and some not so good. I find HADIT to be very good at providing advise over the years and there is more knowledge on this board than you will ever get from a 15 minute visit with a VSO. Per advise from HADIT I asked my original VSO to send in my claim for IU, with my original claim for compensation. She did not do it, as a matter of fact- she lied to me and said she did. When my rating was completed, IU was not addressed even though I was 60% for one condition and eligible for IU. I submitted the IU paperwork on my own, and within six months I had IU, but my effective date has been on appeal since 2010. So I do not trust VSOs to do what you ask them to do, they seem to think they know more than we do, which is not always the case. I have always used this website for my own VA compensation claims.- jmho

Edited by harleyman

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1) Since I was sent for another hearing exam after the evidence was being reviewed stage can I assume that the SC aspect was not an issue?

Do not assume service connection is not an issue. Exams are ordered for specific reasons: to evaluate if the Veteran has a current diagnosis of the claimed condition, to determine if the Veteran's current condition is caused by or due to his/her military service, and to get a nexus linking the Veterans current condition to their military service.

you may have had to go to another exam for a variety of reasons.- the first examiner may not have reviewed your cfile, they may not have addressed tinnitus like they were suppose to, they may have never released the exam and the RO could not get the report and it had to be re-done, the examiner may have been on leave or no longer is employed by VA and never released your exam- there may have been conflicting report of findings that needed clarification, she may have stated her opinion would be speculative - on and on there are so many reasons to be reexamined. Apparently, the VSR or rater needed something to help decide your claim.

2) My claim was for Hearing Loss, but the VES examiner also checked out my and asked asked a lot of question with regard to the tinnitus. Do i need to file a seperate claim for the tinnitus?

The DBQ Audio examination which is mandatory for the examiner to complete, also includes a section for tiniitus. Tinnitus is automatically addressed whether or not it is claimed by the Veteran. If at the time of the exam you tell the examiner you suffer from tinnitus, the examiner will provide his opinion whether or not your current tinnitus is related to your military service, and provide the usual, is less likely than not related to military service, or as likely as not related to military service. If you tell the examiner you do not have tinnitus, the examiner will note on the DBQ exam you have no complaints of tinnitus.

The raters will look at the DBQ. If the examiner says less likely than not related to military service, tinnitus will not be addressed in the decision. If the examiner says you have tinnitus and it is more likely than not related to your service, you will be service connected for tinnitus without ever filing a claim.

3) If I file for tinnitus will it slow my current claim decision?

You do not need to file a claim for this now. It was addressed at the time of your examination. If you file a claim, the VSRs have to send you new due process letters of acknowledgement, and yes it will slow your claim down.

4) I am not using a VSO for this claim, should I get VSO support at this stage?

Personally, I am not in favor of VSO representation however, there are some good ones and some not so good. I find HADIT to be very good at providing advise over the years and there is more knowledge on this board than you will ever get from a 15 minute visit with a VSO. Per advise from HADIT I asked my original VSO to send in my claim for IU, with my original claim for compensation. She did not do it, as a matter of fact- she lied to me and said she did. When my rating was completed, IU was not addressed even though I was 60% for one condition and eligible for IU. I submitted the IU paperwork on my own, and within six months I had IU, but my effective date has been on appeal since 2010. So I do not trust VSOs to do what you ask them to do, they seem to think they know more than we do, which is not always the case. I have always used this website for my own VA compensation claims.- jmho

Harleyman, thanks so much for your reply post, what a fantastic site! Just hope I can help someone through my post. Thanks again!

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I'm new to this site, very helpful and informative reading. I filed a claim in early January 2013 and have been going through the process. My claim is for hearing loss and had an audioligy exam by the VA at their hospital in Bonham Texas and at one point my claim was at the Reviewing Evidence stage, it was then sent back to the Gathering Evidence phase and turned over to VES. I was contacted by VES and underwent another audioigy exam. A few questions:

1) Since I was sent for another hearing exam after the evidence was being reviewed stage can I assume that the SC aspect was not an issue?

2) My claim was for Hearing Loss, but the VES examiner also checked out my tinnitus and asked asked a lot of question with regard to the tinnitus. Do i need to file a seperate claim for the tinnitus?

3) If I file for tinnitus will it slow my current claim decision?

4) I am not using a VSO for this claim, should I get VSO support at this stage?

1) it is likely that the first exam was insufficient or they are seeking a medical opinion

2) When they examine a Veteran for hearing loss they also examine for tinnitus both conditions are on the same DBQ because they are interwined.

3) You do not need to file a claim for tinnitus as I said in number 2, they are intertwined if you have hearing loss audiologist is also required to determine whether your tinnitus is a symptom associated with hearing loss and/or whether your tinnitus has the same etiology as the hearing loss (i.e. due to military noise exposure or acoustic trauma)

4. Having a VSO is good to have because they have easier access to VA than you do. They can initiate the review of your decision and determine whether there is error in the decision before the decision gets to you. If you have VSO VA sends them a copy of the rating decision and reviews the decision. They have a couple of days to look through the decision and if they agree then VA goes ahead and sends you the decision. Another reason that it is good to have a VSO is that VSOs are trained with the same laws and regulations that VA adjudicators have been trained on so they know exactly what to look for in the decisions.

Edited by sambo808

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Thanks Sambo808, good information. Sounds like the VSO can be beneficial depending on the VSO. I appreciate the input. I did speak to one VSO and the input I've received from this site was much more informative than the input I received from them. The two replys I have received from this site both stated that the tinnitus would be automatically considered due to the hearing lost claim and the examiner's input concerning tinnitus. The VSO I spoke to said I should submit a tinnitus claim even though I have a Hearing Loss claim in.

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Received some very good information but would like to take this a step further. Trying to figure out if there would be compensation involved based on my hearing results, seemd like most Vets get denied. Not sure how to interpet the audioligy report so will pride some data and see if anyone can determine what my numbers would represent with regard to compensation per centage.

Right ear

500 1000 2000 3000 4000 6000

10 60 65 80 95 95

Left Ear

500 1000 2000 3000 4000 6000

15 50 85 90 105+ 95

The more confusing part

Right Speech Recognition

PBMAX 84

Level 75

ML 40

Left Speech Recognition

PBMAX 72

Level 75

ML 40

Any help here would be greatly appreciated.

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Are these the results from your C&P exam? Or are these results from someone else? If they are the exam have you received your decision? If it's just the C&P report what does the opinion statement say?

The higher the number on the ear decible the worse the hearing. The rater puts these numbers in the evaluation builder and it will tell him the level of the disability. Raters used to use charts, they still have the charts, but the eval builder is much easier. The eval builder also spits out all the verbage that goes into the decision letter so the rater doesn't even have to type anything, just some data entry.

The question I have is, did you get service connection for the hearing loss and tinnitus? Based on these number you should have been hooked up for hearing loss if you have a nexus from the examiner.

There should be an answer to the 50/50 question. Is the Veteran's hearing loss at least as likely as not related to his military service? Also, the opinion statement for the tinnitus.

Edited by harleyman

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Are these the results from your C&P exam? Or are these results from someone else? If they are the exam have you received your decision? If it's just the C&P report what does the opinion statement say?

The higher the number on the ear decible the worse the hearing. The rater puts these numbers in the evaluation builder and it will tell him the level of the disability. Raters used to use charts, they still have the charts, but the eval builder is much easier. The eval builder also spits out all the verbage that goes into the decision letter so the rater doesn't even have to type anything, just some data entry.

The question I have is, did you get service connection for the hearing loss and tinnitus? Based on these number you should have been hooked up for hearing loss if you have a nexus from the examiner.

There should be an answer to the 50/50 question. Is the Veteran's hearing loss at least as likely as not related to his military service? Also, the opinion statement for the tinnitus.

Harleyman, thanks for the quick reply. The numbers came from an exam by the VA, and they did provide hearing aids, which don't help alot. I had an exam through the VES for my claim a month ago but have not received a copy of the exam/report yet. My claim is at the gathering information stage after being kicked back from the reviewing evidence stage. I'm assuming the VES exam is the same as the C&P exam. With the above numbers, do you have an idea of the per cent determination?

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I am at home and I don't have that information available to check it out. I am sure someone here on Hadit has the charts or maybe there is someone who can access their evaluation builder and check it out. I really don't even want to guess on it, but some of your numbers are really high, and your speach recognition also is taken into the consideration on this.

Hang in there is won't be that much longer. I am much more worried that they provided the nexus to service connect the hearing loss to your militaray service resultng in a grant of benefits.

Edited by harleyman

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I wouldn't submit anything else. wait for your rating decision. What I believe you should be concerned about is the minimal loss in the 500 block of each ear. The regulation states that you need at least a 40 in those blocks. You may have enough with the huge loss in your ears at the other levels.

Good luck!

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Have requested a copy of my C&P report (several weeks ago) but have not received it, did get an acknowledgement of my request.

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Have requested a copy of my C&P report (several weeks ago) but have not received it, did get an acknowledgement of my request.

Thanks to all, received by new SC rating, received 50% for hearing loss and 10% for tinnitus, this added to previous SC of 20%, more than satisfied, wishing everyone success.

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WOW Congrats Dave!

Great news!

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WOW Congrats Dave!

Great news!

Thanks Berta and keep up the good work, I read a lot of your post and get a lot from them, Thanks again.

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Welcome to Hadit. Glad that you are satisfied with your rating.

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Congrats Davo68! That is good news, I thought the exam results were high but 50% for heaing loss means a substantial los in hearing. This can be difficult to deal with especially when dealing with spouses and family. Take care of your self, I hope hearng aids help with your loss. I am happy you are satisfied with your rating decision.- Harleyman

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