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carlie, February 15, 2012 in VA Claims Read First Pinned Topics
The Fully Developed Claims (FDC) Program :
What is a Disability Benefits Questionnaire or DBQ FAQ'S
Disability Benefits Questionnaire :
Disability Benefits Questionnaire : List By Symptoms :
Disability Benefits Questionnaire : List By Condition :
I have completed over 400 fully developed claims this past year. All have been adjuicated with 90 days. The only exception is those military members that are retiring that have been awarded 50% or greater. Their claims are taking approx. 30 days longer because, DFAS has to compute the pay.
Hey all, sorry for the long absence, been working 2.5 jobs.
Anyway, we just had a team meeting & I heard something that is going to make life interesting re claims. The VA judges have ruled that in addition to the change of all claims being put on the Form 526 EZ (whether it's FDC or not), that if a veteran does not SPELL OUT that claimed conditions are due to service, they can be denied. In other words, say you claim a back condition. Your service records indicate you had some treatment for you back, & you were in service about 10 yrs or more ago. You put down "back problems" on the form, nothing else. You do not submit medical evidence, or u might have some VA Med. Ctr treatment but neither the doc nor u ever said it was due to service. If there is nowhere in those records or ON THE CLAIMS FORM that you have had back problems SINCE SERVICE, we do not order an exam for u & it can be denied.
If you are filing a new claim, PLEASE write in there somewhere that your condition is since service...those 2 little magic words may mean the difference between getting service connected or not!
Veldrina- good to see you here again!
Your point is well taken!
I hope that doesn't happen often but it sure pays to tell the VA that the claim is for a disability that is due to one's service.
Particularly "back problems:' or heart problems' , stomach problems, etc ....it is .not a good idea for using a generic way of describing a diagnosed disability.
Good info . Technically if one does Not specifically claim something is due to their service, it makes sense to me that VA would not order a C & P exam at all.
And I feel it sure doesn't hurt to state that the disability claimed is due to say ' my inservice jeep accident of (date) at ----Air Base, or my inservice exposure to acoustical trauma, as a gunner, or when describing the MOS that caused the disability ,it pays to spell out what the MOS entailed. Right away...why wait.
Then again, is there enough room on the Form 526 EZ to be specific and/or to refer the VA to additional Remarks?
Glad you are back briefly but we know how hard you work!!!!!
Good to "see" u too Berta! :)
While yes, it makes sense that they shouldn't order an exam if one doesn't say it's due to service, in the past it's been assumed. Now you actually have to spell it out....I see a lot bad juju coming the VA's way for this just for 2 little words, so PLEASE everyone just write them in.
There should be space right in the area where you list what you're claiming on the EZ form to just add it (i.e. "back condition SINCE SERVICE, residuals of sprained ankle IN SERVICE, hypertension due to high blood pressure readings FROM SERVICE, GERD - continuation of vomiting and abdominal pains FROM SERVICE, etc.)
Good point and glad to see ya, Veldrina.
Don't work yourself to death and enjoy one of them big turkey legs for me!