on completing … … personal assault during service VA Form 21-0781a, Statement in Support of Claim for Service Connection for PTSD Secondary to Personal Assault. in-service stressors other than VA Form 21-0781, Statement in Support of personal assault Claim for Service Connection for PTSD. Stressor verification and completion of one of the above forms Important: are required if the participant was diagnosed with PTSD during service. not This includes diagnosis during a VA examination conducted as part of the IDES the participant is still on active duty at the time of the examination. if When conducting an initial interview by telephone or video conference, d. Completing Initial MSCs Interviews by Telephone or are responsible for taking all actions described in M21-1, Part III, Subpart Video i.2.D.3.a-c, and Conference must document the telephone interview on and upload VA Form 27-0820 the into the eFolder VA Form 27-0820 participant’s MSCs must provide the participant with an opportunity to claim Important: any chronic, service-related disabilities (in addition to the conditions referred by the service department) during the initial interview. e. During the initial interview, if an IDES participant claims any conditions Documenting his/her service department did not identify in Section 1 of VA Form 21-0819, Conditions then MSCs must note the claimed conditions Claimed During the in Section III Number 11 of and VA Form 21-0819, Initial on VA Form 27-0820. Telephone or Video must be uploaded into the VBMS Important: VA Form 27-0820 participant’s Conference eFolder. Interview If the claimed conditions will not fit on it is Note: VA Form 21-0819, acceptable to list additional claimed conditions on VA Form 21-4138, In these instances, must be Statement in Support of Claim. VA Form 21-4138 submitted at the time at the time the is signed, and should VA Form 21-0819 be attached to the VA Form 21-0819. As part of the initial interview, MSCs must provide the participant with f. Obtaining VA the and ask the participant to sign and return the form Form 21-0819 Participant’s immediately. Signature on VA Form MSCs may use a secure fax or encrypted e-mail to provide the Note: to the participant. VA Form 21-0819
on … completing … personal assault during service VA Form 21-0781a, Statement in Support of Claim for Service Connection for PTSD Secondary to Personal Assault. in-service stressors other than personal assault VA Form 21-0781, Statement in Support of Claim for Service Connection for PTSD. Important: Stressor verification and completion of one of the above forms are not required if the participant was diagnosed with PTSD during service. This includes diagnosis during a VA examination conducted as part of the IDES if the participant is still on active duty at the time of the examination. d. Completing Initial Interviews by Telephone or Video Conference When conducting an initial interview by telephone or video conference, MSCs are responsible for taking all actions described in M21-1, Part III, Subpart i.2.D.3.a-c, and must document the telephone interview on VA Form 27-0820 and upload the VA Form 27-0820 into the participant’s eFolder Important: MSCs must provide the participant with an opportunity to claim any chronic, service-related disabilities (in addition to the conditions referred by the service department) during the initial interview. e. Documenting Conditions Claimed During the Initial Telephone or Video Conference Interview During the initial interview, if an IDES participant claims any conditions his/her service department did not identify in Section 1 of VA Form 21-0819, then MSCs must note the claimed conditions in Section III Number 11 of VA Form 21-0819, and on VA Form 27-0820. Important: VA Form 27-0820 must be uploaded into the participant’s VBMS eFolder. Note: If the claimed conditions will not fit on VA Form 21-0819, it is acceptable to list additional claimed conditions on VA Form 21-4138, Statement in Support of Claim. In these instances, VA Form 21-4138 must be submitted at the time at the time the VA Form 21-0819 is signed, and should be attached to the VA Form 21-0819. f. Obtaining the Participant’s Signature on VA Form As part of the initial interview, MSCs must provide the participant with VA Form 21-0819 and ask the participant to sign and return the form immediately. Note: MSCs may use a secure fax or encrypted e-mail to provide the VA Form 21-0819 to the participant.