obtain the records and submit them to VA. the medical care provider requires a make a photocopy of the VA Form with an original (with the original VA Form 21-4142 21-4142 signature, and signature) and retain it in the the in the claims claims folder VA Form 21-4142 folder has an original signature send the medical care provider a letter containing the paragraphs labeled in MAP-D: Private treatment records 15-day notification – – or Provider, in VBMS: Initial Private 3rd and Party Letter, (with the VA Form 21-4142 original signature) notify the claimant of the action and allow 15 days for a response. At the end of the response Note: period, the claim to the rating activity as soon as all other development is complete, regardless of whether or not the medical care provider responded. the medical care provider requires a prepare a letter containing the with an original paragraphs labeled VA Form 21-4142 Private signature, and treatment records 15-day – notification Claimant – the in the claims change the time limit for VA Form 21-4142 folder does have an original responding to the letter to not 30 days signature, or send the letter to the claimant, and the claimant has an electronic allow 30 days for a response. claims folder (eFolder) instead of a claims folder If the claimant to respond to the request for private medical records within 30 days, route his/her claim to the rating activity as soon as all other development is complete. If the claimant returns VA Form to VA with an original 21-4142 signature instead of obtaining the records him/herself, follow the instructions in M21-1, Part III, Subpart iii, 1.C.3.e.
obtain the records and submit them to VA. the medical care provider requires a VA Form 21-4142 with an original signature, and the VA Form 21-4142 in the claims folder has an original signature make a photocopy of the VA Form 21-4142 (with the original signature) and retain it in the claims folder send the medical care provider a letter containing the paragraphs labeled in MAP-D: Private treatment records – 15-day notification – Provider, or in VBMS: Initial Private 3rd Party Letter, and VA Form 21-4142 (with the original signature) notify the claimant of the action and allow 15 days for a response. Note: At the end of the response period, the claim to the rating activity as soon as all other development is complete, regardless of whether or not the medical care provider responded. the medical care provider requires a VA Form 21-4142 with an original signature, and the VA Form 21-4142 in the claims folder does not have an original signature, or the claimant has an electronic claims folder (eFolder) instead of a claims folder prepare a letter containing the paragraphs labeled Private treatment records – 15-day notification – Claimant change the time limit for responding to the letter to 30 days send the letter to the claimant, and allow 30 days for a response. If the claimant to respond to the request for private medical records within 30 days, route his/her claim to the rating activity as soon as all other development is complete. If the claimant returns VA Form 21-4142 to VA with an original signature instead of obtaining the records him/herself, follow the instructions in M21-1, Part III, Subpart iii, 1.C.3.e.
1-29-16_Key%20Changes_M21-1III_iii_1_SecC.docx