Type of Report: Restricted Unrestricted [ ] We have no record that the Veteran filed a report. Signature: _____________________________ Date: _______________ Name: ____________________________ Title: ___________________ When writing a letter to obtain information from the Veteran regarding a k. MAP-D or VBMS Letters PTSD claim based on personal trauma, use Modern Awards to Use to (MAP-D) or VBMS and select the appropriate personal trauma Obtain special issue on the CONTENTIONS screen Information From the MST (claims for any conditions, mental or physical (including PTSD), Veteran in resulting from MST) Claims Based PTSD Personal Trauma (claims for PTSD resulting from a non-sexual – on Personal personal trauma), or Trauma Non-PTSD Personal Trauma (claims for any condition, mental or physical (other than PTSD), resulting from a non-sexual personal trauma). Enclose to solicit details of the claim, and ensure the VA Form 21-0781a development letter includes the following contact information if the Veteran has questions about the claim, the request for information, and a contact RO’s at the Veterans Health Administration (VHA) for questions concerning health care or counseling If you have any questions concerning your claim or our request for information, please call us at 1-800-827-1000, or visit the following web site to locate the Military Sexual Trauma (MST) outreach coordinator for your area: . If you have questions concerning health care or counseling, you should call [NAME], the Military Sexual Trauma (MST) outreach coordinator at the [CITY] VA Medical Center at [PHONE NUMBER]. Important: Locate the applicable VHA MST information using the MST Coordinator’s Resource SharePoint Page at . Letters used by ROs to solicit details concerning a combat stressful incident are inappropriate for PTSD claims based on personal trauma.
Type of Report: Restricted Unrestricted [ ] We have no record that the Veteran filed a report. Signature: _____________________________ Date: _______________ Name: ____________________________ Title: ___________________ k. MAP-D or VBMS Letters to Use to Obtain Information From the Veteran in Claims Based on Personal Trauma When writing a letter to obtain information from the Veteran regarding a PTSD claim based on personal trauma, use Modern Awards (MAP-D) or VBMS and select the appropriate personal trauma special issue on the CONTENTIONS screen MST (claims for any conditions, mental or physical (including PTSD), resulting from MST) PTSD – Personal Trauma (claims for PTSD resulting from a non-sexual personal trauma), or Non-PTSD Personal Trauma (claims for any condition, mental or physical (other than PTSD), resulting from a non-sexual personal trauma). Enclose VA Form 21-0781a to solicit details of the claim, and ensure the development letter includes the following contact information if the Veteran has questions about the claim, the RO’s request for information, and a contact at the Veterans Health Administration (VHA) for questions concerning health care or counseling If you have any questions concerning your claim or our request for information, please call us at 1-800-827-1000, or visit the following web site to locate the Military Sexual Trauma (MST) outreach coordinator for your area: . If you have questions concerning health care or counseling, you should call [NAME], the Military Sexual Trauma (MST) outreach coordinator at the [CITY] VA Medical Center at [PHONE NUMBER]. Important: Locate the applicable VHA MST Coordinator’s information using the MST Resource SharePoint Page at . Letters used by ROs to solicit details concerning a combat stressful incident are inappropriate for PTSD claims based on personal trauma.