Use the table below when establishing a claim submitted on an EZ form to determine if it must be excluded from the FDC Program. If ... Then ... the claimant exclude the claim from the FDC indicates he/she does want Program. not the Department of Veterans Affairs (VA) to process his/her under Required forms are defined as Note: the FDC Program (as discussed in those forms discussed on the EZ M21-1, Part III, Subpart i, 3.A.2) form under “Special has a claim pending at the Circumstances.” time VA receives the EZ form has an appeal pending at the If evidence submitted Exception: time VA receives the EZ form, or with the FDC is sufficient to fails to submit concede a stressor in a posttraumatic simultaneously any of the additional forms required stress disorder (PTSD) claim, such to process his/her specific claim as fear, combat decoration, etc., a is not required. VA Form 21-0781, For more information on Reference: PTSD claims, see M21-1, Part III, Subpart iv, 4.H, and M21-1, Part IV, Subpart ii, 1.D. the requires development for exclude the claim from the FDC evidence from Program. the claimant, or private medical care Special issue claims as Exception: provider(s) discussed in M21-1, Part III, Subpart i, 3.B.3.d. the claim requires development for do not exclude the claim from the Federal records FDC Program. This includes development for For more information on Note: Reference: FDCs and Vet Center Records, see VA Form 21-4142, Authorization to M21-1, Part III, Subpart i, 3.B.3.f. Disclose Information to the Department of Veterans Affairs (VA), if required to obtain Vet Center records. the claim requires development for do not exclude the claim from the National Guard or reserve unit FDC Program. records the claim requires completion of do not exclude the claim from the NA FDC Program. Form 13055, Request for Information Needed to Reconstruct Medical Data, (by the claimant) because service treatment records (STRs) were
Use the table below when establishing a claim submitted on an EZ form to determine if it must be excluded from the FDC Program. If ... Then ... the claimant indicates he/she does not want the Department of Veterans Affairs (VA) to process his/her under the FDC Program (as discussed in M21-1, Part III, Subpart i, 3.A.2) has a claim pending at the time VA receives the EZ form has an appeal pending at the time VA receives the EZ form, or fails to simultaneously submit any of the additional forms required to process his/her specific claim exclude the claim from the FDC Program. Note: Required forms are defined as those forms discussed on the EZ form under “Special Circumstances.” Exception: If evidence submitted with the FDC is sufficient to concede a stressor in a posttraumatic stress disorder (PTSD) claim, such as fear, combat decoration, etc., a VA Form 21-0781, is not required. Reference: For more information on PTSD claims, see M21-1, Part III, Subpart iv, 4.H, and M21-1, Part IV, Subpart ii, 1.D. the requires development for evidence from the claimant, or private medical care provider(s) exclude the claim from the FDC Program. Exception: Special issue claims as discussed in M21-1, Part III, Subpart i, 3.B.3.d. the claim requires development for Federal records Note: This includes development for VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA), if required to obtain Vet Center records. do not exclude the claim from the FDC Program. Reference: For more information on FDCs and Vet Center Records, see M21-1, Part III, Subpart i, 3.B.3.f. the claim requires development for National Guard or reserve unit records do not exclude the claim from the FDC Program. the claim requires completion of NA Form 13055, Request for Information Needed to Reconstruct Medical Data, (by the claimant) because service treatment records (STRs) were do not exclude the claim from the FDC Program.
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