O04 NET SEPARATION PAY. FURNISH When requesting separation pay TYPE AND AMOUNT OF information from a retired pay center for a SEPARATION PAY. Veteran alleging receipt of separation pay that is not verified in type and/or amount. Notes: The retired pay center will provide the type and gross/net amount of separation pay. The user must enter the address code for the appropriate retired pay center from M21-1, Part III, Subpart iii, 2.K.1. For more information on Reference: determining the amount of the separation benefit using VIS, see M21-1, Part III, Subpart v, 4.B.2.c. O05 DATE OF BIRTH. FURNISH DATE OF When requesting the date of birth (DOB) BIRTH OR AGE AT TIME OF or age of a Veteran in connection with a ENTRANCE ON ACTIVE DUTY. decision on a voided enlistment, or pension claim where the age of the Veteran is unverified, and a factor in determining entitlement. O06 HOME ADDRESS. FURNISH LATEST When address information is necessary to HOME ADDRESS. process a claim. O07 TRAVEL TIME. FURNISH NUMBER When the length of a service is Veteran’s OF DAYS OF TRAVEL TIME. insufficient to meet the minimum duty time under , and the Veteran died within 11 days of discharge. Do not use code O07 if the Veteran Note: had less than 80 days of active duty. O08 REASON FOR SEPARATION. When requesting the reason for separation FURNISH REASON FOR for a Veteran whose length of service does SEPARATION. IF SEPARATED FOR not meet minimum duty requirements DISABILITY, SHOW LOD AND under for pension entitlement. DISEASE OR INJURY. O09 PREVIOUS VA FORMS 3101. When obtaining prior copies of VA Form FURNISH COPIES OF ANY would 21-3101, Request for Information, PREVIOUSLY VERIFIED VA FORMS assist in rebuilding a missing claims 3101 (REBUILT FOLDERS). folder. O10 FACTS AND CIRCUMSTANCES. When the individual on whose service a FURNISH FACTS AND claim for VA benefits or services is based CIRCUMSTANCES SURROUNDING was discharged under DISCHARGE (ALL RECORDS). conditions.
O04 NET SEPARATION PAY. FURNISH TYPE AND AMOUNT OF SEPARATION PAY. When requesting separation pay information from a retired pay center for a Veteran alleging receipt of separation pay that is not verified in type and/or amount. Notes: The retired pay center will provide the type and gross/net amount of separation pay. The user must enter the address code for the appropriate retired pay center from M21-1, Part III, Subpart iii, 2.K.1. Reference: For more information on determining the amount of the separation benefit using VIS, see M21-1, Part III, Subpart v, 4.B.2.c. O05 DATE OF BIRTH. FURNISH DATE OF BIRTH OR AGE AT TIME OF ENTRANCE ON ACTIVE DUTY. When requesting the date of birth (DOB) or age of a Veteran in connection with a decision on a voided enlistment, or pension claim where the age of the Veteran is unverified, and a factor in determining entitlement. O06 HOME ADDRESS. FURNISH LATEST HOME ADDRESS. When address information is necessary to process a claim. O07 TRAVEL TIME. FURNISH NUMBER OF DAYS OF TRAVEL TIME. When the length of a Veteran’s service is insufficient to meet the minimum duty time under , and the Veteran died within 11 days of discharge. Note: Do not use code O07 if the Veteran had less than 80 days of active duty. O08 REASON FOR SEPARATION. FURNISH REASON FOR SEPARATION. IF SEPARATED FOR DISABILITY, SHOW LOD AND DISEASE OR INJURY. When requesting the reason for separation for a Veteran whose length of service does not meet minimum duty requirements under for pension entitlement. O09 PREVIOUS VA FORMS 3101. FURNISH COPIES OF ANY PREVIOUSLY VERIFIED VA FORMS 3101 (REBUILT FOLDERS). When obtaining prior copies of VA Form 21-3101, Request for Information, would assist in rebuilding a missing claims folder. O10 FACTS AND CIRCUMSTANCES. FURNISH FACTS AND CIRCUMSTANCES SURROUNDING DISCHARGE (ALL RECORDS). When the individual on whose service a claim for VA benefits or services is based was discharged under conditions.
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