HadIt.com Elder allan Posted May 6, 2007 HadIt.com Elder Share Posted May 6, 2007 ##### START ##### IV. Advice to Advocates A. At The Regional Offices - Suggested Boilerplate Advocates should submit the following boilerplate (suggested language) in support of all pending claims and with all new claims for VA benefits. The Veterans Claims Assistance Act of 2000 (VCAA or Act) was signed into law on November 9, 2000. See Pub. L. No. 106-475, 114 Stat. 2096 (2000). The VCAA eliminates the well-grounded claim requirement and requires the VA to explain to all claimants what evidence is needed to substantiate their claims. The Act requires that the VA comply with the duty to assist unless the VA determines that no reasonable possibility exists that VA assistance would aid in substantiating the claim. Therefore, if you decide not to assist this claimant please explain why no reasonable possibility exists that the claimant could obtain benefits. See 38 USC. § 5104 (where the Secretary denies a VA benefit, he must provide a statement of reasons for the decision and a summary of the evidence considered). Please note that the VCAA requires the VA to make reasonable efforts to obtain relevant (non-federal) records. Also, the VCAA requires the VA to continue to attempt to obtain relevant federal records until it is reasonably certain the federal records are unobtainable or that they do not exist. Of course, we request that if you can make a favorable decision on all or some of the claims submitted by the claimant that you do not wait to make such decisions. Also, please let my client know if additional information is needed in order to obtain relevant private or federal records. If a medical examination and/or medical opinion is needed to determine nexus or linkage issues please delay that examination until my client has a reasonable opportunity to submit continuity of symptomatology and other supportive evidence. Also, we request that you advise the VA examiner that linkage does not have to be established to a medical certainty because the standard of proof in VA claims is the “benefit of the doubt” or the “as likely as not” standard. Also, when you schedule an examination please advise the examiner what facts have been accepted as true by the regional office. A medical opinion would be inadequate if the examiner based the opinion on facts that were not accepted as true by the RO. Under the VCAA, 38 U.S.C. § 5103(a) mandates that, in the case of every claim submitted to the VA, the VA shall (must) notify the claimant and the claimant’s representative of “any information, and any medical or lay evidence, not previously provided to the Secretary that is necessary to substantiate the claim.” In addition, the VA is required to explain to the claimant what evidence the claimant must obtain and what evidence the VA will attempt to obtain. Therefore, please explain to the claimant what types of evidence would help substantiate this claim. We specifically want to know if lay or “buddy” statements are needed to substantiate (1) what happened in service, (2) allegations of continuity of symptomatology by the veteran, and/or (3) the current severity of any disability at issue. For example, if a lay statement from a family member indicating that the veteran, during service, told the family member of an in-service knee injury would help substantiate that a knee injury occurred during service, please suggest that we submit such evidence. in some instances, there may be positive and negative evidence in the VA record. If you determine there is negative evidence in this claimant’s record please let my client know what this evidence is and please let us know what types of evidence would tend to rebut this negative evidence and thus substantiate this claim. If a decision (RO, BVA, CAVC, or Federal Circuit) became final on or after July 14, 1999, wherein the claim was denied as not well grounded, advocates representing claimants before ROs should file a request for readjudication with the RO. Advocates can use VA Form 21-4138 to request readjudication, or simply submit a written request for readjudication. The request for readjudicatton should indicate that the VCAA mandates that a denial of a claim as not well grounded, which became final on or after July 14, 1999, must be readjudicated as if the denial or dismissal had not been made. An advocate’s action on this front should make it possible for claimants to obtain the earliest possible effective date. Advocates or claimants have two years from November 9, 2000, to make a written request for readjudication. -------------- END Boiler Plate -------------- B. At The BVA Advocates should ask for a remand when either the notice requirements of the VCAA have not been satisfied or when the RO denied the claim as not well grounded. Of course, other failures by the RO (for example, failure in the duty to assist, or misinterpretation of a statute or regulation) should also be argued. Most likely many remands will be generated because the VA failed to explain to the claimant what evidence, including evidence such as medical opinions and lay statements, would substantiate the claim. ##### END ##### Link to comment Share on other sites More sharing options...
Founder Tbird Posted May 6, 2007 Founder Share Posted May 6, 2007 army here is a link to stuff that has been posted about vcaa - please read through this there has been a lot written already. http://www.google.com/custom?domains=HadIt...D%3A1&hl=en Link to comment Share on other sites More sharing options...
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allan
##### START #####
IV. Advice to Advocates
A. At The Regional Offices - Suggested Boilerplate
Advocates should submit the following boilerplate (suggested language) in
support of all pending claims and with all new claims for VA benefits.
The Veterans Claims Assistance Act of 2000 (VCAA or Act) was signed into
law on November 9, 2000. See Pub. L. No. 106-475, 114 Stat. 2096 (2000).
The VCAA eliminates the well-grounded claim requirement and requires the VA
to explain to all claimants what evidence is needed to substantiate their
claims.
The Act requires that the VA comply with the duty to assist unless the VA
determines that no reasonable possibility exists that VA assistance would
aid in substantiating the claim. Therefore, if you decide not to assist
this claimant please explain why no reasonable possibility exists that the
claimant could obtain benefits. See 38
USC. § 5104 (where the Secretary denies a VA benefit, he must provide a
statement of reasons for the decision and a summary of the evidence
considered).
Please note that the VCAA requires the VA to make reasonable efforts to
obtain relevant (non-federal) records. Also, the VCAA requires the VA to
continue to attempt to obtain relevant federal records until it is
reasonably certain the federal records are unobtainable or that they do not
exist. Of course, we request that if you can make a favorable decision on
all or some of the claims submitted by the claimant that you do not wait to
make such decisions. Also, please let my client know if additional
information is needed in order to obtain relevant private or federal records.
If a medical examination and/or medical opinion is needed to determine
nexus or linkage issues please delay that examination until my client has a
reasonable opportunity to submit continuity of symptomatology and other
supportive evidence. Also, we request that you advise the VA examiner that
linkage does not have to be established to a medical certainty because the
standard of proof in VA claims is the “benefit of the doubt” or the “as
likely as not” standard.
Also, when you schedule an examination please advise the examiner what
facts have been accepted as true by the regional office. A medical opinion
would be inadequate if the examiner based the opinion on facts that were
not accepted as true by the RO.
Under the VCAA, 38 U.S.C. § 5103(a) mandates that, in the case of every
claim submitted to the VA, the VA shall (must) notify the claimant and the
claimant’s representative of “any information, and any medical or lay
evidence, not previously provided to the Secretary that is necessary to
substantiate the claim.” In addition, the VA is required to explain to the
claimant what evidence the claimant must obtain and what evidence the VA
will attempt to obtain. Therefore, please explain to the claimant what
types of evidence would help substantiate this claim. We specifically want
to know if lay or “buddy” statements are needed to substantiate (1) what
happened in service, (2) allegations of continuity of symptomatology by the
veteran, and/or (3) the current severity of any disability at issue. For
example, if a lay statement from a family member
indicating that the veteran, during service, told the family member of an
in-service knee injury would help substantiate that a knee injury occurred
during service, please suggest that we submit such evidence.
in some instances, there may be positive and negative evidence in the VA
record. If you determine there is negative evidence in this claimant’s
record please let my client know what this evidence is and please let us
know what types of evidence would tend to rebut this negative evidence and
thus substantiate this claim.
If a decision (RO, BVA, CAVC, or Federal Circuit) became final on or after
July 14, 1999, wherein the claim was denied as not well grounded, advocates
representing claimants before ROs should file a request for readjudication
with the RO. Advocates can use VA Form 21-4138 to request readjudication,
or simply submit a written request for readjudication. The request for
readjudicatton should indicate that the VCAA mandates that a denial of a
claim as not well grounded, which became final on or after July 14, 1999,
must be readjudicated as if the denial or dismissal had not been made. An
advocate’s action on this front should make it possible for claimants to
obtain the earliest possible effective date. Advocates or claimants have
two years from November 9, 2000, to make a written request for readjudication.
-------------- END Boiler Plate --------------
B. At The BVA
Advocates should ask for a remand when either the notice requirements of
the VCAA have not been satisfied or when the RO denied the claim as not
well grounded. Of course, other failures by the RO (for example, failure in
the duty to assist, or misinterpretation of a statute or regulation) should
also be argued. Most likely many remands will be generated because the VA
failed to explain to the claimant what evidence, including evidence such as
medical opinions and lay statements, would substantiate the claim.
##### END #####
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