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 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. f. Obtaining As part of the initial interview, MSCs must provide the participant with 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 g. MSC If a participant indicates he/she is unable, or chooses not to, return the form Actions When a immediately, then the MSC must notify the participant that Participant Does Not the MSC can wait up to five calendar days for return of the signed form Immediately after five days, routine IDES processing will continue Sign and any issues the participant adds to the may be deferred VA Form 21-0819 Return VA until he/she exits IDES, and after Form 21-0819 unless a signed application is of record, VA will be unable to pay benefits. MSCs should wait to request examinations the signed form Important: is received or the five-day deadline passes, whichever is earlier (unless the participant clearly indicates that he or she will not be claiming additional conditions). Notes: If a participant returns the signed form within five days, then the MSC must treat any new contentions as if the participant added them to the VA Form during the initial interview. 21-0819 If a participant to return the signed within five days, VA Form 21-0819 the MSC must notify the participant’s PEBLO that the form was not signed and proceed with development of the claim. For more information regarding processing IDES cases while Reference: awaiting a signature, refer to M21-1, Part III, Subpart i, 2.D.4.k. h. Handling If a participant returns the signed after five days of the VA Form 21-0819 Additional initial interview and has added new contentions, VA is obligated to not Claimed request additional examinations. Conditions on VA Form MSCs add a note in VBMS and VTA that indicates must After the Five-Day Deadline
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 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. g. MSC Actions When a Participant Does Not Immediately Sign and Return VA Form 21-0819 If a participant indicates he/she is unable, or chooses not to, return the form immediately, then the MSC must notify the participant that the MSC can wait up to five calendar days for return of the signed form after five days, routine IDES processing will continue any issues the participant adds to the VA Form 21-0819 may be deferred until after he/she exits IDES, and unless a signed application is of record, VA will be unable to pay benefits. Important: MSCs should wait to request examinations the signed form is received or the five-day deadline passes, whichever is earlier (unless the participant clearly indicates that he or she will not be claiming additional conditions). Notes: If a participant returns the signed form within five days, then the MSC must treat any new contentions as if the participant added them to the VA Form 21-0819 during the initial interview. If a participant to return the signed VA Form 21-0819 within five days, the MSC must notify the participant’s PEBLO that the form was not signed and proceed with development of the claim. Reference: For more information regarding processing IDES cases while awaiting a signature, refer to M21-1, Part III, Subpart i, 2.D.4.k. h. Handling Additional Claimed Conditions on VA Form After the Five-Day Deadline If a participant returns the signed VA Form 21-0819 after five days of the initial interview and has added new contentions, VA is not obligated to request additional examinations. MSCs must add a note in VBMS and VTA that indicates
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