Sentinel Syx

VA Appeals: Comprehensive Guide

Overview of VA Disability Process

 

To receive VA Disability, veterans must go through the VA Disability Process, during which:

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

 

If you disagree with the VA’s decision on your claim, you can submit a 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 VA’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:

 

You can appeal if you disagree with:

 

  • The rating percentage assigned to a condition.
  • Service-connection determination (e.g., denied service-connection).
  • The effective date of the claim.

 

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

Levels of VA Appeals
01
Initial Appeals

Level 1: Initial Appeals

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

    1. Higher Level Review (No New Evidence):
      • For straightforward cases where you believe the VA made a clear error.
      • Submit VA Form 20-0996 within 1 year of the VA’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 have new and relevant evidence not previously submitted.
      • Submit VA Form 20-0995 at any time. For the strongest case, apply within 1 year of the VA decision.

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

    3. Board of Veterans’ Appeals (BVA):
      • For complex cases that need higher authority to decide.
      • Submit VA Form 10182 (Notice of Disagreement) within 1 year of the VA’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 the US Court of Appeals for Veterans Claims (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 VA’s decision after exhausting Level 1 appeals.
  • Submit a Notice of Appeal within 120 days of the BVA’s decision.
  • Pay a $50 filing fee (or file a Declaration of Financial Hardship).
  • This court may review cases or go to trial.
Initial Appeals

Level 1: Initial Appeals

 

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

    1. Higher Level Review (No New Evidence):
      • For straightforward cases where you believe the VA made a clear error.
      • Submit VA Form 20-0996 within 1 year of the VA’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 have new and relevant evidence not previously submitted.
      • Submit VA Form 20-0995 at any time. For the strongest case, apply within 1 year of the VA decision.

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

    3. Board of Veterans’ Appeals (BVA):
      • For complex cases that need higher authority to decide.
      • Submit VA Form 10182 (Notice of Disagreement) within 1 year of the VA’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 the US Court of Appeals for Veterans Claims (Level 2) or submit new evidence to the Supplemental Claim Lane.

  • For legal challenges to the VA’s decision after exhausting Level 1 appeals.
  • Submit a Notice of Appeal within 120 days of the BVA’s decision.
  • Pay a $50 filing fee (or file a 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 Review for clear errors.
    • Supplemental Claim for new evidence.
    • Board of Veterans’ Appeals 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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