Sentinel Syx

VA Appeals: Comprehensive Guide

Overview of VA Disability Process

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To receiveย VA Disability, veterans must go through theย VA Disability Process, during which:

    • The VA determines which conditions areย service-connected.
    • Disability ratings are assigned to each service-connected condition.
    • These ratings determine the amount ofย disability compensationย provided.

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If you disagree with the VAโ€™s decision on your claim, you can submit aย VA Appeal.

Preparing to Submit a VA Appeal

Steps to prepare:

01
Gather Documentation
  • Medical Records: Obtain records from military, VA, and civilian providers.
  • Service Records: Include deployment records or incident reports that prove service-connection.
  • Correspondence: Collect all communications related to your VA claim, including Rating Decisions and prior appeals.
02
Obtain Witness Testimonies

Signed statements from family, fellow service members, or employers can provide additional evidence about how your condition impacts daily life and work.

03
Include Pertinent Documents from All Time Periods

Submit evidence from before and after discharge to demonstrate service-connection and any progression of the condition over time.

04
Understand the VAโ€™s Decision

Analyze why the VA made its decision to directly address errors or omissions in your appeal.

05
Keep Copies

Never send original documents unless requested. Submit copies to safeguard your evidence.

Gather Documentation
  • Medical Records: Obtain records from military, VA, and civilian providers.
  • Service Records: Include deployment records or incident reports that prove service-connection.
  • Correspondence: Collect all communications related to your VA claim, including Rating Decisions and prior appeals.

Signed statements from family, fellow service members, or employers can provide additional evidence about how your condition impacts daily life and work.

Submit evidence from before and after discharge to demonstrate service-connection and any progression of the condition over time.

Analyze why the VA made its decision to directly address errors or omissions in your appeal.

Never send original documents unless requested. Submit copies to safeguard your evidence.

Submitting a VA Appeal
When to Submit an Appeal:

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You can appeal if you disagree with:

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  • The rating percentageย assigned to a condition.
  • Service-connection determinationย (e.g., denied service-connection).
  • The effective dateย of the claim.

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Note: Do not submit a VA Appeal to request anย increased evaluation, reopen a claim after more than a year, or add secondary conditions. Useย VA Form 21-526EZย for these purposes.

Levels of VA Appeals
01
Initial Appeals

Level 1: Initial Appeals

This level hasย three review lanesย to help streamline the process. Choose the lane based on your appeal type:

    1. Higher Level Reviewย (No New Evidence):
      • For straightforward cases where you believe the VA made a clear error.
      • Submitย VA Form 20-0996ย withinย 1 yearย of the VAโ€™s decision.

      If denied, you can appeal to a different lane (e.g., Supplemental Claim or BVA).

    2. Supplemental Claim (New Evidence):
      • For cases where you haveย new and relevant evidenceย not previously submitted.
      • Submitย VA Form 20-0995ย at any time. For the strongest case, apply withinย 1 yearย of the VA decision.

      If denied, you can appeal again to any lane depending on circumstances.

    3. Board of Veteransโ€™ Appeals (BVA):
      • For complex cases that need higher authority to decide.
      • Submitย VA Form 10182 (Notice of Disagreement)ย withinย 1 yearย of the VAโ€™s decision.
      • Choose a review option:
        • Direct Review: No new evidence or hearing; fastest option.
        • New Evidence: Submit new evidence but no hearing required.
        • Hearing: Provide testimony and submit new evidence.

      If denied, you can appeal to theย US Court of Appeals for Veterans Claimsย (Level 2) or submit new evidence to the Supplemental Claim Lane.

02
Appeals to the US Court of Appeals for Veterans Claims
  • For legal challenges to the VAโ€™s decision after exhausting Level 1 appeals.
  • Submit aย Notice of Appealย withinย 120 daysย of the BVAโ€™s decision.
  • Pay aย $50 filing feeย (or file aย Declaration of Financial Hardship).
  • This court may review cases or go to trial.
Initial Appeals

Level 1: Initial Appeals

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This level hasย three review lanesย to help streamline the process. Choose the lane based on your appeal type:

    1. Higher Level Reviewย (No New Evidence):
      • For straightforward cases where you believe the VA made a clear error.
      • Submitย VA Form 20-0996ย withinย 1 yearย of the VAโ€™s decision.

      If denied, you can appeal to a different lane (e.g., Supplemental Claim or BVA).

    2. Supplemental Claim (New Evidence):
      • For cases where you haveย new and relevant evidenceย not previously submitted.
      • Submitย VA Form 20-0995ย at any time. For the strongest case, apply withinย 1 yearย of the VA decision.

      If denied, you can appeal again to any lane depending on circumstances.

    3. Board of Veteransโ€™ Appeals (BVA):
      • For complex cases that need higher authority to decide.
      • Submitย VA Form 10182 (Notice of Disagreement)ย withinย 1 yearย of the VAโ€™s decision.
      • Choose a review option:
        • Direct Review: No new evidence or hearing; fastest option.
        • New Evidence: Submit new evidence but no hearing required.
        • Hearing: Provide testimony and submit new evidence.

      If denied, you can appeal to theย US Court of Appeals for Veterans Claimsย (Level 2) or submit new evidence to the Supplemental Claim Lane.

  • For legal challenges to the VAโ€™s decision after exhausting Level 1 appeals.
  • Submit aย Notice of Appealย withinย 120 daysย of the BVAโ€™s decision.
  • Pay aย $50 filing feeย (or file aย Declaration of Financial Hardship).
  • This court may review cases or go to trial.
How to Key Points on VA Appeals
FAQs on VA Appeals
What should I do if the VA made a mistake on my claim?

Submit an appeal to the Higher Level Review Lane if there is no new evidence or to the Supplemental Claim Lane if you have new evidence.

While VA Appeals are always possible, specific deadlines apply to certain appeal types.

The three Level 1 lanes:

    • Higher Level Reviewย for clear errors.
    • Supplemental Claimย for new evidence.
    • Board of Veteransโ€™ Appealsย for complex cases.
  • ~125 days for most Level 1 reviews.
  • BVA and Level 2 appeals may take longer.

  • Submit a new appeal to another lane or appeal to the BVA or higher court.

By carefully following these steps and choosing the correct review lane, you can maximize your chances of a successful VA appeal.

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