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Expidited Claims--waiver Of Review By Aoj
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allan
Expidited Claims--Waiver of Review by AOJ
Consideration of Evidence Submitted
After Statement of Case
Under current laws and regulations,
claimants have the right to have the AOJ
consider evidence submitted or received
after issuance of an SOC. 38 U.S.C.
7104(a). Claimants also have the right to
issuance of a Supplemental Statement of
the Case (SSOC) if there are material
changes in, or additions to, the
information in the SOC or any prior
SSOC. 38 U.S.C. 7104(a), 7105(d); 38
CFR 19.9(a), (b)(3), 19.31, 19.37, 20.800,
20.903(b) and 20.1304©. As prescribed
in proposed § 20.1508(b)(2), if ECA
participants or their representative
submit additional evidence after the
SOC is issued, and continue to pursue
their appeal by filing a timely
Substantive Appeal, they are deemed to
have waived their right to initial review
of this evidence by the AOJ, including
readjudication of their claim and
issuance of any required SSOC. Rather,
as an ECA participant, they will agree to
have any such evidence reviewed by the
Board in the first instance. In agreeing
to this waiver by virtue of electing to
participate in the Initiative, claimants
would acknowledge that their claim
may be granted or denied based on the
Board’s consideration of this new
evidence in the first instance. By
executing an ECA Agreement with their
representatives, ECA participants would
essentially be offering such waiver at
the outset of the claims process. Because
participants and their representatives
are already aware of the evidence they
are submitting, an additional waiver of
AOJ review of such evidence, outside of
that waiver already contained in the
ECA Agreement, would be unnecessary.
If, however, VA obtains new relevant
evidence in an appeal that was not
submitted by the participant or his or
her authorized representative, under
proposed § 20.1508(b)(1) VA would
provide a copy of the new evidence to
the participant and his or her
representative and solicit from the
appellant a waiver of AOJ review of the
new evidence pursuant to the
procedures outlined in § 20.1304©. In
other words, unlike evidence submitted
by the appellant or representative, AOJ
review of evidence obtained by VA
would not be automatically waived by
virtue of the execution of an ECA
Agreement. Rather, VA would actively
solicit a waiver of AOJ review of such
evidence, as such waiver would not be
inherent in ECA participation. If the
appellant declines to provide a waiver
at that time, his or her participation in
the Initiative would end. The claim
would then be processed using ordinary
and established procedures under the
rights afforded under current statutes
and regulations applicable from that
point forward.
http://www1.va.gov/orpm/docs/20080416_AM77...djudication.pdf
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