ࡱ> #` ؁bjbjmm .@ybbbbbbbv8ڔ|VvhfR:&D$hjjjjjj$ohb&&bb4(ɻɻɻbbZɻhɻɻ6`bbZ R2w|> <Z<-D8b8(.VɻRd[(((qX(((vv Z\>zdvvZ>zvvvbbbbbb Section B. Eligibility and Development  PRIVATE INFOTYPE="OTHER" Overview In this Section This section contains the following topics:  TopicTopic NameSee Page2Application for Benefits2-B-23Initial Eligibility Verification2-B-34Development Process Overview2-B-55Vietnam Service and Date of Conception Requirements and Development2-B-66Korean Service and Date of Conception Requirements and Development2-B-97Relationship Requirements and Developing for Relationship Evidence2-B-138Disability Requirement for Spina Bifida2-B-169Disability Requirement for Other Covered Birth Defects2-B-1710Developing for Medical and Lay Evidence2-B-24 2. Application for Benefits  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on the application for benefits, including VA Form 21-0304, Application for Benefits for Certain Children with Disabilities Born of Vietnam and Certain Korean Service Veterans, and where to obtain the form. Change DateSeptember 26, 2008 a. VA Form 21-0304A claimant should normally submit VA Form 21-0304, Application for Benefits for Certain Children with Disabilities Born of Vietnam and Certain Korean Service Veterans, to VA in order to apply for benefits associated with spina bifida and other covered birth defects. However, any signed statement that contains all the information required by VA Form 21-0304 will be acceptable. b. Where to Obtain VA Form 21-0304VA Form 21-0304 can be obtained through the VA toll-free number, at 1-800-827-4833, or a local VA office. 3. Initial Eligibility Verification  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on initial eligibility verification, including initial review of eligibility requirements before complete development of evidence example 1: when additional development is not necessary for a spina bifida claim, and example 2: when additional development is not necessary for a Chapter 18 claim. Change DateSeptember 26, 2008 a. Initial Review of Eligibility Requirements Before Complete Development of EvidenceVeterans Service Representatives (VSRs) will not develop for additional evidence from the claimant if it can be determined immediately that the claimant cannot meet all the qualifying requirements for Vietnam or specific Korean service nature of the disability, and relationship to the Veteran. Reference: For information on eligibility requirements for Chapter 18 benefits, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.5"M21-1MR, Part VI, 2.B.5, Vietnam Service and Date of Conception Requirements and Development HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.6"M21-1MR, Part VI, 2.B.6, Korean War Service and Date of Conception Requirements and Development HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.7"M21-1MR, Part VI, 2.B.7, Relationship Requirements and Developing for Relationship Evidence HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.8"M21-1MR, Part VI, 2.B.8, Disability Requirements for Spina Bifida Benefits, and HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.9"M21-1MR, Part VI, 2.B.9, Disability Requirement for Other covered Birth Defects.Continued on next page  STYLEREF "Map Title" 3. Initial Eligibility Verification, Continued b. Example 1: When Additional Development Is Not Necessary for a Spina Bifida ClaimSituation A child of a Veteran who served only during the Gulf War applies for spina bifida benefits. Result The VSR will send a denial letter without developing for nature of disability or relationship evidence. Rationale The VSR can immediately determine that the parent of the claimant cannot meet Vietnam or specific Korean service requirements for Chapter 18 benefits. c. Example 2: When Additional Development Is Not Necessary for a Chapter 18 ClaimSituation A child with spina bifida occulta applies for Chapter 18 benefits. Result The VSR will give the case to an RVSR for an immediate rating decision denying the claim without developing for Vietnam or specific Korean service requirements and relationship evidence. Rationale The claimant does not have a qualifying spina bifida disability that meets the requirements for Chapter 18 benefits. A rating decision is required to implement a denial of benefits when the child has spina bifida occulta or no spina bifida condition exists. Note: In addition to denying the claim for spina bifida benefits, the rating decision must also address entitlement to benefits for other covered birth defects under HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_815.DOC"38 C.F.R. 3.815. 4. Development Process Overview a. The Development Process for Chapter 18 BenefitsThe table below describes the responsibilities of the VSR during the stages of the development process for Chapter 18 benefits. Important: The development process is shown here in stages for presentational purposes. In practice, each of the development stages, as presented in the table below, is executed simultaneously by the VSR.  StageDescription1The VSR develops for and reviews service records to prove that the biological Veteran parent has qualifying Vietnam or specific Korean service dates and duty assignments birth certificates to determine date of conception, and evidence of a biological relationship between the individual and the parent with qualifying Vietnam or specific Korean service. References: For information on Vietnam service requirements, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.5"M21-1MR, Part VI, 2.B.5, and Korean service requirements, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.6"M21-1MR, Part VI, 2.B.6. 2The VSR develops for medical evidence verifying that the individual has a qualifying medical condition for Chapter 18 benefits along with any other medical and lay evidence regarding treatment and symptoms. 5. Vietnam Service and Date of Conception Requirements and Development  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on the Vietnam service and date of conception requirements and development, including Vietnam service requirement the definitions of qualifying Vietnam service, and the Vietnam era character of discharge exception for Chapter 18 eligibility development for Vietnam service requirement for conception during or after Vietnam service, and development for date of conception evidence. Change DateSeptember 26, 2008 a. Vietnam Service RequirementA Vietnam Veteran must have performed active military, naval, or air service in the Republic of Vietnam (RVN) during the Vietnam era. b. Definition: Qualifying Vietnam ServiceQualifying Vietnam service means service in the RVN, and waters off-shore and service in other locations, if such service involved duty or visitation in the RVN. c. Definition: Vietnam EraThe Vietnam era is defined as beginning on January 9, 1962, and ending on May 7, 1975, for the purpose of spina bifida benefits eligibility, and beginning on February 28, 1961, and ending on May 7, 1975, for the purpose of other covered birth defect benefits eligibility. References: For regulatory definitions of "Vietnam Veteran," see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_814.DOC"38 C.F.R. 3.814(c)(1) and  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_815.DOC" 38 C.F.R. 3.815(c)(1). Continued on next page 5. Vietnam Service and Date of Conception Requirements and Development, Continued d. Character of Discharge Exception for Chapter 18 EligibilityEligibility for Chapter 18 benefits is not dependent on character of discharge. That is, regardless of characterization of the service of the Veteran parent, individuals may receive Chapter 18 benefits if the necessary Vietnam service and relationship requirements are met. e. Development for Vietnam ServiceReference: For information on developing for evidence of Vietnam service, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt03_sp03_ch02_secD.xml" \l "III.iii.2.D.23.c"M21-1MR, Part III, Subpart iii, 2.D.23.c, and HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt03_sp03_ch02_secE.xml" \l "III.iii.2.E.33"M21-1MR, Part III, Subpart iii, 2.E.33. f. Conception During or After Vietnam ServiceIn order for an individual to be eligible for Chapter 18 benefits, the individual must have been conceived after the date on which the Veteran parent first served in the RVN during the Vietnam era. Questions about the childs date of conception will be resolved by an administrative decision. Reference: For information on developing for date of conception, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.5.g"M21-1MR, Part VI, 2.B.5.g.Continued on next page  STYLEREF "Map Title" 5. Vietnam Service and Date of Conception Requirements and Development, Continued g. Development for Date of Conception EvidenceFollow the steps in the table below to develop for evidence to determine date of conception. StepAction1Review the date of birth on the birth certificate.2Does the date of birth indicate that conception occurred during or after the Veterans qualifying service during the Vietnam era? If yes, go to HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.7"M21-1MR, Part VI, 2.B.7. If no, go to HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt06_ch02_secD.xml" \l "VI.2.D.16.c"M21-1MR, Part VI, 2.D.16.c. Notes: According to Danforth's Obstetrics and Gynecology, a normal full-term birth may occur as many as 10 months or as few as eight months after conception. The second page of a birth certificate (part 2) contains health and statistical data, such as an estimate of the length of pregnancy. Although part 2 of a birth certificate is not mandatory to establish eligibility, this evidence may help to establish the date of conception. 6. Korean Service and Date of Conception Requirements and Development  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on Korean service and date of conception requirements and development, including specific Korean service requirements specific units and personnel assigned or rotated to areas near the demilitarized zone (DMZ) in Korea character of discharge exception for Chapter 18 eligibility establishing herbicide exposure requirement for conception during or after Korean service, and development for date of conception evidence. Change DateMarch 11, 2010 a. Specific Korean Service RequirementsEffective December 16, 2003, the Veterans Benefits Act of 2003 provides benefits and services to children born with spina bifida who are the natural children of Veterans who served in Korea in or near the demilitarized zone (DMZ) between September 1, 1967, and August 31, 1971.Continued on next page  STYLEREF "Map Title" 6. Korean Service and Date of Conception Requirements and Development, Continued b. Specific Units and Personnel Assigned or Rotated to Areas Near the DMZ in KoreaThe Secretary of Defense has identified specific units that were assigned or rotated to areas near the DMZ where herbicides were used between April 1968 and July 1969. These units, including any Field Artillery, Signal, and Engineer support personnel attached, are shown in the table below. Combat Brigade of the 2nd Infantry DivisionDivision Reaction Force3rd Brigade of the 7th Infantry Division1st Battalion, 38th Infantry4th Squadron, 7th Cavalry, Counter Agent Company1st Battalion, 17th Infantry2nd Battalion, 38th Infantry1st Battalion, 31st Infantry1st Battalion, 23rd Infantry1st Battalion, 32nd Infantry2nd Battalion, 23rd Infantry2nd Battalion, 10th Cavalry3rd Battalion, 23rd Infantry2nd Battalion, 17th Infantry2nd Battalion, 31st Infantry Note: Service records may show assignment to either the 2nd or the 7th Infantry Division.2nd Battalion, 31st Infantry Note: Service records may show assignment to either the 2nd or the 7th Infantry Division.3rd Battalion, 32nd Infantry Note: Service records may show assignment to either the 2nd or the 7th Infantry.2nd Battalion, 32nd Infantry1st Battalion, 9th Infantry3rd Battalion, 32nd Infantry Note: Service records may show assignment to either the 2nd or the 7th Infantry.2nd Battalion, 9th Infantry13th Engineer Combat Battalion1st Battalion, 72nd Armor1st Battalion, 73rd Armor2nd Battalion, 72nd Armor1st Battalion, 12th Artillery1st Battalion, 15th ArtilleryContinued on next page  STYLEREF "Map Title" 6. Korean Service and Date of Conception Requirements and Development, Continued  STYLEREF "Block Label" b. Specific Units and Personnel Assigned or Rotated to Areas Near the DMZ in Korea (continued) Combat Brigade of the 2nd Infantry DivisionDivision Reaction Force3rd Brigade of the 7th Infantry Division7th Battalion, 17th Artillery5th Battalion, 38th Artillery6th Battalion, 37th ArtilleryOther Qualifying AssignmentsUnited Nations Command Security Battalion-Joint Security Area (UNCSB-JSA)Crew of the USS Pueblo c. Character of Discharge Exception for Chapter 18 EligibilityAs with Vietnam service, eligibility for Chapter 18 benefits based on Korean service is not dependent on character of discharge. That is, regardless of the characterization of service of the Veteran-parent, individuals may receive Chapter 18 benefits if the specific Korean service and relationship requirements are met. d. Establishing Herbicide ExposureThe table below shows how to establish exposure to herbicides in claims based on Korean service.  If the Veteran served in Korea Then in a unit listed in block HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.6.b"M21-1MR, Part VI, 2.B.6.b between April 1968 and July 1969concede that the Veteran served at or near the DMZ, and was exposed to herbicides containing Agent Orange.in a unit other than one listed in block HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.6.b"M21-1MR, Part VI, 2.B.6.b, or between September 1, 1967 and August 31, 1971, but not during 1968 or 1969develop the claim with the claimant and the service department to establish herbicide exposure on a factual, case-by-case basis.Continued on next page  STYLEREF "Map Title" 6. Korean Service and Date of Conception Requirements and Development, Continued e. Requirement for Conception During or After Korean ServiceIn order for an individual to be eligible for Chapter 18 benefits, the individual must have been conceived after the date on which the Veteran-parent first served in Korea during the dates and with the units indicated in the previous block HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.6.b"M21-1MR, Part VI, 2.B.6.b. Questions about the childs date of conception will be resolved by an administrative decision. f. Development for Date of Conception EvidenceFollow the steps in the table below to develop for evidence to determine date of conception. StepAction1Review the date of birth on the birth certificate.2Does the date of birth indicate that conception occurred during or after the Veterans Korean service? If yes, go to HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.7"M21-1MR, Part VI, 2.B.7. If no, go to HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt06_ch02_secD.xml" \l "VI.2.D.16.b"M21-1MR, Part VI, 2.D.16.b. Notes: According to Danforth's Obstetrics and Gynecology, a normal full-term birth may occur as many as 10 months or as few as eight months after conception. The second page of a birth certificate (part 2) contains health and statistical data, such as an estimate of the length of pregnancy. Although part 2 of a birth certificate is not mandatory to establish eligibility, this evidence may help to establish the date of conception. 7. Relationship Requirements and Developing for Relationship Evidence  PRIVATE INFOTYPE="OTHER"  Introduction This topic contains information on relationship requirements and developing for relationship evidence, including general relationship eligibility requirements of an individual the definition of natural child spina bifida benefit requirements: male or female Veteran parent other covered birth defect requirements: female Veteran parent development for relationship evidence for spina bifida, and development for relationship evidence for other covered birth defects. Change DateSeptember 26, 2008 a. General Relationship Eligibility Requirements of an IndividualTo be eligible for Chapter 18 benefits, the individual must be the natural child of a Veteran who served in the RVN during the Vietnam era (see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.5"M21-1MR, Part VI, 2.B.5), or Korea, between September 1, 1967 and August 31, 1971, in or near the DMZ, with one of the units indicated in HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.6.b"M21-1 MR, Part VI, 2.B.6.b. VA requires more than a written statement to establish parentage. A birth certificate will always be required. Note: Specific relationship requirements exist, separately, for spina bifida benefits and other covered birth defects benefits. Reference: For more information on specific relational requirements for benefits for spina bifida benefits, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.7.c"M21-1MR, Part VI, 2.B.7.c, and other covered birth defects, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.7.d"M21-1MR, Part VI, 2.B.7.d.Continued on next page  STYLEREF "Map Title" 7. Relationship Requirements and Developing for Relationship Evidence, Continued b. Definition: Natural Child An parents natural child is the parents biological child, regardless of the childs age marital status, or dependency status. An individual cannot become eligible for Chapter 18 benefits through an adoptive parent. Only a biological parent of an adopted individual can make that individual eligible. c. Spina Bifida Benefit Requirements: Male or Female Veteran ParentIf a child of a Vietnam Veteran, or a Veteran meeting specific Korean service requirements, suffers from spina bifida, VA may award benefits regardless of the gender of the Veteran parent. Note: Even if both of an individuals parents are eligible Veterans meeting the service requirements, the eligible child is entitled to only one award of spina bifida benefits. d. Other Covered Birth Defect Requirements: Female Veteran ParentVA may award benefits to a child suffering from a covered birth defect only if the child's natural mother is a Vietnam Veteran.  Continued on next page  STYLEREF "Map Title" 7. Relationship Requirements and Developing for Relationship Evidence, Continued e. Procedure for Developing for Relationship Evidence for Spina BifidaReview the parents names on the birth certificate in the Veterans claims folder. Ensure the birth certificate lists the Veteran(s) as the parent of the claimant. Notes: A birth certificate with the parents names on it or a photocopy of the birth certificate is considered sufficient evidence to verify the claim. If the child lives with adoptive parents, evidence is still required to show that one of the biological parents is a Vietnam Veteran or a Veteran meeting the specific Korean service requirements. In circumstances where paternity is an issue (for example, the birth certificate shows no father or shows someone other than the Veteran father as the informant) request the types of evidence specified in  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_209.DOC" 38 C.F.R. 3.209 and  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_210.DOC" 38 C.F.R. 3.210 to establish parentage, and note that the provisions of  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_204.DOC" 38 C.F.R. 3.204(a)(1) for accepting only a written statement are not applicable to these cases per  HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_814.DOC" 38 C.F.R. 3.814(c)(2). f. Procedure for Developing for Relationship Evidence for Other Covered Birth DefectsReview the mothers name on the birth certificate in the Veterans claims folder. Ensure that the birth certificate lists the Veteran as the mother of the claimant Note: A birth certificate with the mothers name on it or a photocopy of the birth certificate is considered sufficient evidence to verify the claim. 8. Disability Requirements for Spina Bifida Benefits  PRIVATE INFOTYPE="OTHER"  Change DateSeptember 26, 2008 a. Qualifying Types of Spina Bifida for Eligibility Under Chapter 18Spina bifida benefits are payable for all types of spina bifida except spina bifida occulta. The term spina bifida refers to a defective closure of the bony encasement of the spinal cord but does not include other neural tube defects, such as encephalocele and anencephaly (HYPERLINK "http://vaww1.va.gov/ogc/docs/prc5-99.doc"VAOPGCPREC 05-99). Note: The Rating Veterans Service Representative (RVSR) is responsible for assessing disability level for spina bifida.  9. Disability Requirement for Other Covered Birth Defects  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on the disability requirement for other covered birth defects, including a definition of birth defect the limitation on birth defects and conditions covered covered birth defects for benefits under Chapter 18 birth defects not covered due to familial disorders birth defects not covered due to birth-related disorders, chromosomal disorders, or congenital malignancies conditions not covered due either to birth-related injury or fetal/neonatal infirmity conditions not covered due to developmental disorders, and birth defects not covered due to lack permanent physical or mental disability. Change DateSeptember 26, 2008 a. Definition: Birth DefectA birth defect is an abnormality of structure function, or metabolism. The abnormality may be genetically determined, or a result of environmental influence during embryonic or fetal life.Continued on next page  STYLEREF "Map Title" 9. Disability Requirement for Other Covered Birth Defects, Continued b. Limitation on Birth Defects and Conditions CoveredNot all birth defects and conditions qualify an individual for Chapter 18 benefits. VA will only cover birth defects that are potentially linked to a female Veterans Vietnam service and have resulted in a permanent mental or physical disability. Birth defects and conditions that have been excluded fall under one of the categories listed below. The condition has been determined by VA not to be associated with Vietnam service (HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml" \l "VI.2.B.5"M21-1MR, Part VI, 2.B.5), including chromosomal abnormalities, or congenital malignancy is related to a familial or heredity condition of the parent is likely to have occurred due to actions during prenatal or postnatal period, including a birth-related injury, or fetal or neonatal infirmity with well-established causes is a developmental disorder rather than a birth defect, or does not result in a permanent mental or physical disability. Continued on next page  STYLEREF "Map Title" 9. Disability Requirement for Other Covered Birth Defects, Continued c. Covered Birth Defects for Benefits Under Chapter 18Covered birth defects include, but are not limited to achondroplasia cleft lip and cleft palate congenital heart disease congenital talipes equinovarus (clubfoot) esophageal and intestinal atresia Hallerman-Streiff syndrome hip dysplasia Hirschprungs disease (congenital megacolon) hydrocephalus due to aqueductal stenosis hypospadias imperforate anus neural tube defects (including spina bifida, encephalocele, and anencephaly) Poland syndrome pyloric stenosis syndactyly (fused digits) tracheoesophageal fistula undescended testicle, and Williams syndrome. Note: If any of the birth defects listed above are determined to be familial in a particular family, they are not covered birth defects.Continued on next page  STYLEREF "Map Title" 9. Disability Requirement for Other Covered Birth Defects, Continued d. Birth Defects Not Covered Due to Familial DisordersBirth defects that are familial disorders are not covered birth defects. These include, but are not limited to albinism alpha-antitrypsin deficiency Crouzon syndrome cystic fibrosis Duchennes muscular dystrophy Galactosemia Hemophilia Huntingtons disease Hurler syndrome Kartageners syndrome (Primary Ciliary Dyskinesia) Marfan syndrome Neurofibromatosis osteogenesis imperfecta pectus excavatum Phenylketonuria sickle cell disease Tay-Sachs disease Thalassemia, and Wilsons disease. Note: If any of the birth defects listed above are determined not to be familial in a particular family, then they are covered birth defects. Continued on next page  STYLEREF "Map Title" 9. Disability Requirement for Other Covered Birth Defects, Continued e. Birth Defects Not Covered Due to Birth-Related Disorders, Chromosomal Disorders, or Congenital MalignanciesConditions that are due to birth-related injury are not covered birth defects. These include, but are not limited to brain damage due to anoxia during or around time of birth cerebral palsy due to birth trauma facial nerve palsy or other peripheral nerve injury fractured clavicle, and Horner's syndrome due to forceful manipulation during birth. Conditions that are chromosomal disorders are not covered birth defects. These include, but are not limited to Down syndrome and other Trisomies Fragile X syndrome, Klinefelter's syndrome, and Turner's syndrome. Conditions that are congenital malignant neoplasms are not covered birth defects. These include, but are not limited to medulloblastoma neuroblastoma retinoblastoma teratoma, and Wilm's tumor.Continued on next page  STYLEREF "Map Title" 9. Disability Requirement for Other Covered Birth Defects, Continued f. Conditions Not Covered Due Either To Birth-Related Injury or Fetal/Neonatal InfirmityConditions that are due to a fetal or neonatal infirmity with well-established causes or that are miscellaneous pediatric conditions are not covered birth defects. These include, but are not limited to asthma and other allergies effects of maternal rubella, toxoplasmosis, syphilis, or other maternal infection during pregnancy fetal alcohol syndrome or fetal effects of maternal drug abuse hyaline membrane disease maternal-infant blood incompatibility neonatal infections neonatal jaundice post-infancy deafness/hearing impairment (onset after the age of one year) prematurity, and refractive disorders of the eye. g. Conditions Not Covered Due to Developmental Disorders Conditions that are developmental disorders are not covered birth defects. These include, but are not limited to attention deficit disorder autism epilepsy diagnosed after infancy (after the age of one year) learning disorders, and mental retardation (unless part of a syndrome that is a covered birth defect).Continued on next page  STYLEREF "Map Title" 9. Disability Requirement for Other Covered Birth Defects, Continued h. Birth Defects Not Covered Due to Lack of Permanent Physical or Mental Disability Birth defects that are not covered because they lack permanent physical or mental disability include, but are not limited to conditions rendered non-disabling through treatment congenital heart problems surgically corrected or resolved without disabling residuals heart murmurs unassociated with a diagnosed cardiac abnormality hemangiomas that have resolved with or without treatment, and scars (other than of the head, face, or neck) as the only residual of corrective surgery for birth defects. 10. Developing for Medical and Lay Evidence  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on developing for medical and lay evidence, including acceptable medical evidence for benefits under Chapter 18, and procedure for development for medical and lay evidence. Change DateSeptember 26, 2008 a. Acceptable Medical Evidence for Benefits Under Chapter 18VA considers the following documents acceptable without further examination for rating purposes, as long as they are adequate for assessing the appropriate level of disability: statements from private physicians, and examination reports from government or private institutions. Note: VA will schedule an examination if the claimant does not have documents that are acceptable for rating purposes. Continued on next page  STYLEREF "Map Title" 10. Developing for Medical and Lay Evidence, Continued b. Procedure for Developing for Medical and Lay EvidenceFollow the steps in the table below to develop for medical and lay evidence. Reference: For more information on developing for medical and lay evidence, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt01_ch01_secC.xml" \l "I.1.C.6"M21-1MR, Part I, 1.C.6. StepAction1Does the Chapter 18 claims folder contain medical evidence submitted by the claimant showing that he/she has a qualifying medical condition for Chapter 18 benefits? If yes, go to Step 3. If no send the claimant a letter requesting supporting medical evidence and attach VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veteran Affairs, allow 30 days to reply, and go to Step 2.2Did the claimant reply to the request and submit supporting medical evidence of spina bifida or other covered birth defect? If yes, go to Step 3. If no, schedule a VA examination and follow up to obtain report.3Is the medical evidence adequate for rating purposes? If yes, go to Step 4. If no, schedule a VA examination and follow up to obtain report.4Send the claim to the RVSR to review the claim for rating. Reference: For more information on the general rating process, see HYPERLINK "http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt03_sp04_ch05.xml"M21-1MR, Part III, Subpart iv.5.     M21-1MR, Part VI, Chapter 2, Section B M21-1MR, Part VI, Chapter 2, Section B 2-B- PAGE 24 2-B- PAGE 25 2-B- PAGE 1 ()CD  / 1 p r < ; L q NOijhldmtuvwhh V0J(jhh VUjhh VUhh V56hh V]hh V6hh V6]hh V0J!hh V5hh Vjhh VU hh V6(MN_ # & F$If & FHkd$$Ifl40T$<4 laf4  & F$If  & F$If  & F^ @ׁ0[kd$$IfP4F@ @$P    4 Paf4  & F$If $ & F$Ifa$[kde$$IfP4F@ @$P    4 Paf4  [kd$$IfP4F@ @$P    4 Paf4  & F$If $ & F$Ifa$   a g h .]kd$$IfP4F@ @$P    4 Paf4  & F$If $ & F$Ifa$[kd*$$IfP4F@ @$P    4 Paf4h j [kd\$$IfP4F@ @$P    4 Paf4  & F$If $ & F$Ifa$   + 2 3 0[kd$$IfP4F@ @$P    4 Paf4  & F$If $ & F$Ifa$[kd$$IfP4F@ @$P    4 Paf43 5 l s t w [kd!$$IfP4F@ @$P    4 Paf4  & F$If $ & F$Ifa$ ; <  & F$If  & F$If & F  & F^[kd$$IfP4F@ @$P    4 Paf4< o&HkdO$$Ifl40T$<4 laf4G$EƀIfG$EƀIf      & F$If  & F$IfHkd$$Ifl40T$<4 laf4$If$If  & F^ QG$EƀIf  & F$If  & F$If  & F^Hkd$$Ifl40T$<4 laf4&'(Nkxne`eVLL  & F$If  & F$If & F  & F^Hkd~$$Ifl40T$<4 laf4G$EƀIfqo'G$EƀIfG$EƀIfG$EƀIf;XN  & F$IfHkdH$$Ifl40T$<4 laf4$If$If  & F^Hkd$$Ifl40T$<4 laf4(FeG$Eƀ IfG$EƀIf  & F$IfFcdv_G$Eƀ If$If  & F$IfG$Eƀ If3456LMNLMhipw&-ֺ֬֙֌֌ք֌֌֌|hh V]hh V6hh V56\]hh V5CJhmHnHuj hh VUj hh VUj hh VU hh Vhh V0J(jhh VUj hh VU0v5o'G$EƀIfG$Eƀ IfG$Eƀ IfOPgopwnljhb\\\\$If$IfHkd $$Ifl40T$<4 laf4G$EƀIf w%&-$IfHkdI$$Ifl40T$<4 laf4$Ifgi&0kl def}~ %$0$2%3%4%>%w%x%%ֿֿֿ|hh Vjhh VUhh V5jhh VUjhh VUhh V56hh V0J(jhh VUjhh VUhh VB* ph hh Vhh V56\]-#$X  & F$If  & F$If  & F^ & FHkd$$Ifl40T$<4 laf4^QGG  & F$If $ & F$Ifa$Hkde$$Ifl40' 5$n4 la%f4 # & F$If & FHkd$$Ifl40T$<4 laf4m%o'G$EƀIfG$EƀIfG$EƀIf%&IWG$EƀIfG$EƀIf & FE$If^`E$IfS T U VMHM & F  & F^Hkd$$Ifl40' 5$n4 la%f4  & F$If $ & F$Ifa$Hkd$$Ifl40' 5$n4 la%f4 >!?![!n![G$EƀIfG$EƀIf  & F$If  & F$Ifn!!!!o'G$EƀIfG$Eƀ-IfG$Eƀ-If!!;"h"o'G$EƀIfG$EƀIfG$EƀIfh"i"j"v"""""XN  & F$IfHkdr$$Ifl40T$<4 laf4$If$If  & F^Hkd $$Ifl40T$<4 laf4"1#2#3#_####QG$EƀIf  & F$If  & F^Hkd$$Ifl40T$<4 laf4  & F$If#$$$!$@$A$ne[QG  & F$If  & F$If  & F$If  & F^Hkd<$$Ifl40T$<4 laf4G$EƀIfA$$3%4%w%oe[  & F$If  & F$IfG$EƀIfG$EƀIf%%%%%%%,&-&.&E&F&&&' '/(8(((((()))))))))++L+M++++++++++@,A,C,־ֶ֬֞֐֬ւyhmHnHujhh VUjphh VUjEhh VUhh V56hh V6hh V5CJjhh VU hh Vhh V0J(jhh VUjhh VU/w%%I&J&o&Hkd{$$Ifl40T$<4 laf4G$Eƀ IfG$EƀIfJ&a&&&& ( ( (/(~((Hkd$$Ifl40T$<4 laf4  & F$If  & F$If  & F^  & F^ ()))o&Hkd$$Ifl40T$<4 laf4G$Eƀ"IfG$Eƀ!If)))**+++++M,O,,,Jkd$$Ifl40T$<4 laf4  & F$If  & F$If  & F^ C,M,,, -!-----...).*./.1.9.:..........00002222)4*4@4A44444(6ӼӼxhmHnHu hh hhhh Vjhh VUhh V56jhh VUhh V0J(jhh VUjhh VUhh V6hh V5 hh Vhh V5CJ,,,,,,,, -^QG  & F$If $ & F$Ifa$Hkd$$Ifl40' 5$n4 la%f4 # & F$If & FHkdn$$Ifl40T$<4 laf4 -!-#---,.WG$Eƀ#If  & F$If $ & F$Ifa$HkdY$$Ifl40' 5$n4 la%f4,...._/eG$Eƀ%If  & F$IfG$Eƀ$If_/t0u0v0000Z1[1neca[UU$If$If  & F^Hkd $$Ifl40' 5$n4 la%f4G$Eƀ&If[111!2o'G$Eƀ)IfG$Eƀ(IfG$Eƀ'If!2B222o'G$Eƀ,IfG$Eƀ+IfG$Eƀ*If222222224_Hkd $$Ifl40T$<4 laf4$If$IfHkd $$Ifl40T$<4 laf444(4444666=6[YS#$IfHkd!$$Ifl40T$<4 laf4$If$IfHkdQ!$$Ifl40T$<4 laf4 (6*6V6X6i6k6666666666666666666 7 777&7'7(7*787:7F7H7V7X7b7c7d7f7t7v777777777777777777777772848=8?8U8W8e8g8r8v888888888888hh V56\]hh V5 hh Vhh VH*V=6U6~66666$If]kd"$$Ifl4"F 5$ \ E     4 lalf4#$If667 7&7'7D7=]kd?#$$Ifl4"F 5$ \ E     4 lalf4$If]kd"$$Ifl4"F 5$ \ E     4 lalf4D7E7b7c7777]kd#$$Ifl4"F 5$ \ E     4 lalf4$If7777777=]kd$$$Ifl4"F 5$ \ E     4 lalf4$If]kdc$$$Ifl4"F 5$ \ E     4 lalf477S8T8q8r88888>9?9\9]kd%$$Ifl4"F 5$ \ E     4 lalf4$If 88&9(91939@9B9P9R9\9]9^9`9m9o9{9}999999999999999 : :':(:):+:9:;:D:F:T:V:]:^:_:a:o:q:z:{:|:~:::::::::::::::3;4;6;@;B;C;[;\;hh V5CJhmHnHujhh VUhh V5hh VH* hh Vhh V56\]K\9]9y9z9999$If]kd&$$Ifl4"F 5$ \ E     4 lalf499::':(:B:=]kd='$$Ifl4"F 5$ \ E     4 lalf4$If]kd&$$Ifl4"F 5$ \ E     4 lalf4B:C:]:^:x:y:z:]kd'$$Ifl4"F 5$ \ E     4 lalf4$Ifz:{::::::=]kd($$Ifl4"F 5$ \ E     4 lalf4$If]kda($$Ifl4"F 5$ \ E     4 lalf4:::::@;B;;;;YW5kd*$$Ifl4$L%4 laf4$If]kd)$$Ifl4"F 5$ \ E     4 lalf4$If \;;;;;;;<<<<.<0<><@<M<N<O<Q<_<a<n<o<p<r<<<<<<<<<====>>c?d??????@@@@@AAGAJAAABBj0hh VUhh V0J(j&/hh VU hhhh V6]hh V5\hh VH*hh V5 hh Vjhh VUhmHnHu:;;<,<-<K<L<M<$If]kdf*$$Ifl4"F 5$ \ E     4 lalf4#$IfM<N<l<m<n<o<<=]kd+$$Ifl4"F 5$ \ E     4 lalf4$If]kd*$$Ifl4"F 5$ \ E     4 lalf4<<<<<<<c7kd,$$Ifl4"5$5$4 lalf4]kd,$$Ifl4"F 5$ \ E     4 lalf4$If<<===S=>{$If$If7kdz-$$Ifl4"5$5$4 lalf4$If7kd-$$Ifl4"5$5$4 lalf4>>>>?? ?A?H?_]TT #$$Ifa$HkdE.$$Ifl40T$<4 laf4$If$IfHkd-$$Ifl40T$<4 laf4H?I??@@8@fG$Eƀ-If$IfJkd.$$Ifl40w5$4 la%f48@k@l@Al$G$Eƀ/IfJkd50$$Ifl40w5$4 la%f4G$Eƀ.IfA_AAAAdBfBBDDfdb`ZTT$If$IfJkd1$$Ifl40w5$4 la%f4$IfG$Eƀ0If BWBXBZBdB2C3CCCCCC DDDDEEEEFFF1F2F7F9FAFBFFFFFFFFFFFFHH~qjhh VUhh V6hh V56j,6hh VUj!5hh VUhh V]hh V>*hh V0J(j<2hh VU hhhh V5CJ hh Vjhh VUhmHnHu)DpDqDrDDDEEE E_]WW#$IfHkd3$$Ifl40T$<4 laf4$IfHkdK3$$Ifl40T$<4 laf4$If EEECEDEFEEE^TT  & F$IfHkd4$$Ifl40' 5$n4 la%f4$If $$Ifa$Hkd4$$Ifl40' 5$n4 la%f4E4FFFFoee  & F$IfG$Eƀ2IfG$Eƀ1IfFgG|H}HHo&$HkdC7$$Ifl40' 5$n4 la%f4G$Eƀ4IfG$Eƀ3IfHHHHcIdIIIPG$Eƀ6IfG$Eƀ5If  & F$If  & F$If  & F^HHHcIdIKKLLL5L6LLLMM M#M$MMMMMN&NNNNNNO O1O2OOOOOOOOOOϸϸ}ϸoϸj;hh VUj:hh VUhh V56hh V56\]hh V6j9hh VUhh V0J(j8hh VUjhh VUhh VCJ hh Vjhh VUhh V*IJEJJo'G$Eƀ9IfG$Eƀ8IfG$Eƀ7IfJJJJJJne_Y$If$If  & F^Hkd7$$Ifl40T$<4 laf4G$Eƀ:IfJJJ.KKKIfO$P%P'P1P_PlPRRRRSSSS"T#T$T%T;Thh VUhh V5hh V6hh V]hh V56hh V5CJ hh Vjhh VUhmHnHu4PPPPo'G$EƀAIfG$Eƀ@IfG$Eƀ?IfPPQQQQRRASBSUHkd=$$Ifl40T$<4 laf4  & F$If$IfHkd0=$$Ifl40T$<4 laf4$If BSDSS T T"T#TTTT}U~UUzzz  & F$If  & F$If  & F^ & F $dNHkd=$$Ifl40T$<4 laf4$If$If UVV~Wo'G$EƀDIfG$EƀCIfG$EƀBIf~WXYYYo&$HkdB$$Ifl40T$<4 laf4G$Eƀ-IfG$Eƀ-If[Y\YYYYYYZZZ[[[[W\]\^\,]-]a]b]c]s]t]y]}]1^2^L^M^aaaabb=b>b@bJb4d5dddd~pjEhh VUhh V5CJhmHnHujBChh VUhh V6hh V]hh Vjhh VUhh V56hh V5hh V0J(j&Ahh VU hh Vjhh VU,YZZZY[Z[\[[[[[HkdxB$$Ifl40T$<4 laf4$If$If [[[\t\u\x]y]]]]_HkdD$$Ifl40T$<4 laf4$If$IfHkdB$$Ifl40T$<4 laf4 ]1^N^[^^^^__G$EƀFIfG$EƀEIf$If$If_N___o'G$EƀIIfG$EƀHIfG$EƀGIf_D```o'G$EƀLIfG$EƀKIfG$EƀJIf```````aXN  & F$IfHkdD$$Ifl40T$<4 laf4$If$If  & F^HkdjD$$Ifl40T$<4 laf4a3a4a>aLa[G$EƀNIfG$EƀMIf  & F$If  & F$IfLaXaYaparaa[G$EƀPIf  & F$If  & F$IfG$EƀOIfaaaaJbKbbzc{ccnljh^TTT  & F$If  & F$IfHkd4E$$Ifl40T$<4 laf4G$EƀQIf ccddeG$Eƀ-IfG$EƀRIf  & F$Ifdddifjfffffff9i=i>i?iiiii.j/j1j;jykkblfl m m#m$m^m_mamkmppppppppqq@qAqCqMquuuuuuuvxxxxzz{{{{尨hh Vjhh VUhh VmH sH hh V56hh V5CJhmHnHu hh Vjhh VUhh V0J(Bdd(eeo'G$EƀTIfG$EƀSIfG$Eƀ-Ifeeefo'G$EƀUIfG$Eƀ-IfG$Eƀ-IffPfQfhfffg8g9gnljh^TT  & F$If  & F$IfHkdF$$Ifl40T$<4 laf4G$EƀVIf9gHgcg|go'G$EƀYIfG$EƀXIfG$EƀWIf|ggggo'G$Eƀ\IfG$Eƀ[IfG$EƀZIfgg hJho'G$Eƀ_IfG$Eƀ^IfG$Eƀ]IfJhVhghho'G$EƀbIfG$EƀaIfG$Eƀ`Ifhhhho'G$EƀeIfG$EƀdIfG$EƀcIfh i$i8io'G$EƀhIfG$EƀgIfG$EƀfIf8i9iiii;j=jujjjj\G$EƀiIf$IfHkd G$$Ifl40T$<4 laf4$If j kk.ko'G$EƀlIfG$EƀkIfG$EƀjIf.kLkYkdko'G$EƀoIfG$EƀnIfG$EƀmIfdkykkko'G$EƀrIfG$EƀqIfG$EƀpIfkkkko'G$EƀuIfG$EƀtIfG$EƀsIfkll,lo'G$EƀxIfG$EƀwIfG$EƀvIf,l>lOlalo'G$Eƀ{IfG$EƀzIfG$EƀyIfalblll mkmmmmSnTnn\G$Eƀ|If$IfHkdnG$$Ifl40T$<4 laf4$If nnnno'G$EƀIfG$Eƀ~IfG$Eƀ}Ifn:o;ooooiG$EƀIf$IfG$EƀIfooopo'G$EƀIfG$EƀIfG$EƀIfppppppiG$EƀIfG$EƀIf$Ifppppo'G$EƀIfG$EƀIfG$EƀIfpppMqOqqtrurrTG$EƀIf  & F$If  & F$IfHkdG$$Ifl40T$<4 laf4rr3sLso'G$EƀIfG$EƀIfG$EƀIfLsrssso'G$EƀIfG$EƀIfG$EƀIfsssto'G$EƀIfG$EƀIfG$EƀIftttSttttQG$EƀIf  & F$If  & F$If  & F^Hkd8H$$Ifl40T$<4 laf4tt%u=uo'G$EƀIfG$EƀIfG$EƀIf=uuuuvv]vvvnljh^TT  & F$If  & F$IfHkdH$$Ifl40T$<4 laf4G$EƀIfvwgwwo'G$EƀIfG$EƀIfG$EƀIfwwQxRxo&HkdI$$Ifl40T$<4 laf4G$EƀIfG$EƀIfRxSxxxxyyAyyyMG$EƀIfG$EƀIf  & F$If  & F$If & F  & F^yyzy{yyyyyyXN  & F$IfHkdI$$Ifl40T$<4 laf4$If$If  & F^HkdgI$$Ifl40T$<4 laf4yzzzzzk{eG$EƀIfG$EƀIf  & F$Ifk{l{{{{|]|^|(})}SHkdK$$Ifl40T$<4 laf4  & F$If  & F$IfHkd1J$$Ifl40T$<4 laf4 {{{{{^|g||| }}}%}&}}}}}}}J~Y~[~~_buw Ȁɀ:;<@A䜔xjhNkUh Vj"Nhh V>*Uhh V>*jhh V>*Uhh V6hh V5hh V0J(jJhh VUhh V56hh V5CJ hh Vjhh VUhmHnHu-)}*}/}6}7}9}}}}HG$EƀIf  & F$If $ & F$Ifa$Hkd L$$Ifl40' 5$n4 la%f4 # & F$If & F}}~~o'G$Eƀ -IfG$Eƀ -IfG$EƀIf~~~[\rWG$EƀIf  & F$If $ & F$Ifa$HkdL$$Ifl40' 5$n4 la%f4rnaWW  & F$If $ & F$Ifa$HkdM$$Ifl40' 5$n4 la%f4G$EƀIfEFo&HkdM$$Ifl40' 5$n4 la%f4G$EƀIfG$EƀIfFH=>?@BCEFHIKLs  & F^HkdO$$Ifl40' 5$n4 la%f4  & F$If $ & F$Ifa$ACDFGIJLrvāȁɁρЁсҁՁցׁ؁ѶѶѦh Vh0J!5CJ\mHnHuh0J!5CJ\mHnHuh0J!5CJ\jh0J!5CJU\h5CJ\h h5CJjhNkUhNk%stՁցׁ؁ ,1h/ =!"#$% c$$If!vh55<#v#v<:V l455<4f4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4$$If!vh555P#v#v#vP:V P4555P/ 44 Paf4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.8 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.9c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4DyK yK |http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_815.DOCc$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4DyK yK |http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_814.DOCDyK yK |http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_815.DOCc$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4+DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt03_sp03_ch02_secD.xmlIII.iii.2.D.23.c!DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt03_sp03_ch02_secE.xmlIII.iii.2.E.33c$$If!vh55<#v#v<:V l455<4f4DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5.gg$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt06_ch02_secD.xml VI.2.D.16.c$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4M$$If!vh5L%#vL%:V l45L%4f4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4$$Ifl!vh5 5\ 5E #v #v\ #vE :V l4"5 5\ 5E / 4alf4d$$Ifl!vh55$#v5$:V l4"55$/ 4alf4d$$Ifl!vh55$#v5$:V l4"55$/ 4alf4d$$Ifl!vh55$#v5$:V l4"55$/ 4alf4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4z$$If%!vh55#v:V l45/ /  4a%f4DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bz$$If%!vh55#v:V l45/ /  4a%f4DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bz$$If%!vh55#v:V l45/ /  4a%f4DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bc$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt06_ch02_secD.xml VI.2.D.16.b$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bDyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7.cDyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7.dc$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4DyK yK |http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_209.DOCDyK yK |http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_210.DOCDyK yK |http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_204.DOCDyK yK |http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_814.DOCc$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4DyK yK Rhttp://vaww1.va.gov/ogc/docs/prc5-99.docc$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4 DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4c$$If!vh55<#v#v<:V l455<4f4DyK  yK http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt01_ch01_secC.xmlI.1.C.6c$$If!vh55<#v#v<:V l455<4f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4DyK yK http://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt03_sp04_ch05.xml$$If%!vh5n5#vn#v:V l45n5/ /  4a%f4/J@J Normal!B*CJ_HaJmH phsH tH f@Bf Heading 1,Part Title$@&a$5CJ OJQJaJp@Bp Heading 2,Chapter Title$@&a$5CJ OJQJ^JaJp@Bp Heading 3,Section Title$@&a$5CJ OJQJ^JaJb@b Heading 4,Map Title @&5CJ OJQJ^JaJV@RV Heading 5,Block Label@& 5CJaJR@QR Heading 6,Sub Label <@&6B@B Heading 7 <@&OJQJF@F Heading 8 <@& 6OJQJL @L Heading 9 <@&56CJOJQJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List 0T@0 Block TextbOb Block Line0$d(dNR^aJBOB Bullet Text 1  & FaJBO"B Bullet Text 2  & FaJ6"6 Caption xx56OA6 Continued CJOJQJVOV Continued Block Label 5CJaJO Continued On Next Pa6$$d(dNR^a$ 6CJaJTOT Continued Table Labe 5CJaJ4O4 Table TextaJ:O: Embedded TextaJ4 @4 Footer  !4@4 Header  !$O$ JumpB*h-h  Macro Text"  ` @ OJQJ_HmH sH tH `O` Map Title. Continued5CJ OJQJ^JaJ6O6 Memo Line ^2O2 Note Text aJ.)@. Page Number`OB` Publication Title "$a$5CJ OJQJ^JaJLO2L Table Header Text#$a$5aJ.. TOC 1 $9^9JORJ TOC Title%1$5CJ OJQJ^JaJJObJ TOCItem& d<<]aJ.Or. TOCStem'aJ0U@0 Hyperlink>*B*FV@F FollowedHyperlink >*B* phH@H  Balloon Text*CJOJQJ^JaJROR Bullet Text 3+ & FS^`SaJ0_@0 HTML Acronym:O: IMTOC-CJ_HmH sH tH .. TOC 2 .^ygh23st&'O P SThi12IJ !!##$$$$ %!%t(u(****,,&/'/b/c/00\1]111'2(22222M4N4n4o44444445566p<q<y0(j0(30(30( 40( X40 ( 40 ( g0(g0(h0(Lh0(h0(h0(q 0(q 0(r 0(8r 0 (!pr 0"(#r 0$(%r 0&('h} 0(()} 0*(+} 0,(-~ 0.(/H~ 00(1~ 02(3~ 04(5~ 06(7( 08(9` 0:(;' 0<(=( 0>(?T( 0@(A( 0B(C( 0D(E( 0F(G4) I08 0GI0800 0  }0  0000@00@0x0m0(n0 !`nI009K0h9(MN_aghj+235lstw;<&'(Nkxq;  ( F c d v 5 O P g opw%&-#$Xm%&ISTU>?[n;hijv123_!@A34wIJa / ~  !!!!!""#####M$O$$$$$$$$$ %!%#%%%,&&&&_'t(u(v((((Z)[)))!*B**********,,(,,,,...=.U.~....../ /&/'/D/E/b/c///////////S0T0q0r00000>1?1\1]1y1z1111122'2(2B2C2]2^2x2y2z2{2222222222@3B333334,4-4K4L4M4N4l4m4n4o444444444555S5666677 7A7H7I778888k8l89_9999d:f::<<p<q<r<<<=== ===C=D=F===4>>>>g?|@}@@@@@cAdAAABEBBBBBBBBB.CCCYLYXYYYpYrYYYYYJZKZZz[{[[[\\\(]]]]^P^Q^h^^^_8_9_H_c_|_____ `J`V`g````` a$a8a9aaaa;b=bubbbb cc.cLcYcdcyccccccdd,d>dOdadbddd ekemeeSfTfffff:g;gggggghhhhhhhhhhhMiOiitjujjj3kLkrkkkkklllSlllll%m=mmmmnn]nnnogoooQpRpSppppqqAqyqzq{qqqqqqrrrrrkslsssst]t^t(u)u*u/u6u7u9uuuuuvvvv[w\wrwwwwwwxExFxHxxx=y>y?y@yByEyHyKysytyyyyyyyyyy080 0( 0( 0( 0( 0( #0( #0( #0( 0( 0( 0( 0(0( 0( 0( 0(0( 0( 0( 0(0( 0( 0( 0(0( 0( 0( 0(0( 0( 0( 0(0( 0( 0( 0(0( 0( 0( 0( 0( 0( 0( 0( 0( 0(8 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 08 0 0( 0( 0( 0( 0( 0( 0( 0( 0(0( 0( 0( 0(0( 0( 0( 0( 0( 0 ( 0(0( 0 ( 0 ( 0 ( 0 ( 0( 0( 0(0(0(0( 0(0(0(0(0(0(0(0( 0( 0(0( 0(0(0(0(0(0(0(0(0(0( 0( 0(8 0 0 0 0 0 0 0 0 #0 #0 0 0 0 0 0 0 000 0 0 0 0 0 0 08 0 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U0U 0U 0U 0U 0U 0U 0U 0U 0U 0 U 0!U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U0U0U 0U 0U 0U 0U #0U #0U 0U 0U 0U 0U 0U 0U 0U 0"U 0#U 0U 0U 0$U 0%U 0U 0U800v(0v( 0v(0v( 0&v( 0'v( 0(v( 0)v( 0*v( 0+v( 0v( 0v(0v( 0v( 0v( 0v(0v( 0v( 0v( 0v(0v(0v(0v( 0v( 0v( 0v(#0v( #0v( #0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v(0v(0v( 0v( 0v(0v(0v( 0v( 0v(0v(0v( 0v( 0v( 0v( 0v( 0v( 0v(0v(0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v(0v(0v(0v( 0v( 0v(#0v( #0v( #0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v(0v( 0v( 0v( 0v(0v( 0v( 0v( 0v(#0v( #0v( 0v( 0v( 0v(0v( 0,v( 0-v( 0v(  0.v( 0/v( 0v( 0v( 0v(0v(0v(0v( 0v(0v(0v( 0v( 0v(0v( 0v( 0v( 0v(#0v( #0v( 0v( 0v( 0v( 0v( 0v( 0v( 0v( 00v( 01v( 0v( 0v( 02v( 03v( 0v( 0v(80 0@ 0@ 0@ 0@ 04@ 05@ 06@ 07@ 08@ 09@ 0@ 0@0@ 0@ 0@ 0@ 0@ 0@0@ 0:@ 0;@0@0@0@0@0@0@ 0<@ 0=@ 0@ 0@0@0@0@ 0@0@ 0>@ 0?@ 0@@0@0@ 0@ 0@0@ 0@ 0@0@ 0@ 0@0@ 0@ 0@ 0@ 0@0@ 0@ 0@ 0@ 0@ 0@ 0A@ 0B@ 0C@ 0@ 0@ 0@ 0@0@ 0@0@0@ 0@ 0@800\S0\S 0\S 0\S 0\S0\S 0\S0\S0\S0\S0\S 0\S 0\S800U0U 0U0U 0DU 0EU 0FU 0GU 0HU 0IU 0JU 0KU 0U 0U0U 0U 0U 0U 0U 0U 0U 0LU 0MU 0NU 0U 0U 0U 0OU 0PU 0U 0U0U0U 0U 0U 0U 0U 0U 0QU 0U 0U 0RU 0SU 0U 0U 0TU 0UU 0U 0U0U0U 0U 0U 0U 0VU 0WU 0XU 0YU 0ZU 0[U 0\U 0]U 0^U 0_U 0`U 0aU 0bU 0cU 0dU 0eU 0fU 0gU0U0U 0U 0U0U0U0U 0U0U 0hU 0iU 0jU 0kU 0lU 0mU 0nU 0oU 0pU 0qU 0rU 0sU 0tU 0uU 0vU 0wU 0xU 0yU 0zU0U0U 0U 0U0U0U0U 0U0U 0{U 0|U 0}U 0~U 0U0U0U0U 0U 0U 0U 0U0U0U0U 0U 0U 0U 0U 0U 0U 0U0U0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U0U0U 0U 0U 0U 0U 0U 0U 0U 0U 0U 0U8 0 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp 0Sp00Sp 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep #0Ep #0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0 Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep 0Ep0@0@0@0@0@0@0@0@0@0@0@0@0@0@0 00gh23st&'O P SThi12IJ !!##$$$$ %!%t(u(*******,,..~....&/'/b/c/////00\1]111'2(2]2^2z2{2222233,4-4M4N4n4o4444444556677H7I7k8l899p<q<<= ==C=D=|@}@BBBBGGIIAKBK L LQQYSZSSSUUXXXXYYP^Q^aaddhhllmmQpRpyqzqqqksls(u)u6u7uvvwwExFx=y>y@yCyFyIyLyyI0,T$3+ I0dT$3+ I0T$3+ I0P$3+ I0 X$3+ I0  $3+ I0  $3+ I00$3+ I08$3+ I0p$3+ I0$3+ I0<$3+ I0t$3+ I0p$3+ I0$3+ I0$3+ I0 !$3+ I0"#"$3+ K0$%@"$3+ I0&'x"$3+ I0()"$3+ I0*+ Z$3+ I0,-XZ$3+ I0./Z$3+ I001Z$3+ I023Z$3+ I0458Z$3+ I067($3+ I00,T$3+I0:;`)33y I0<=)33y I0>?)33y K0@A*33y I0BC@*33y I0DEx*33y I0FG0>33y I0dT33yI0JK@ PK0J I0LI0L I0LM>K0NO?I0PQH? I0RS?I0TU?I0VW?@ȸ`((I0XY(@=I0Z[-0 F"I0\] .8f3I0^_D. bI0`a|.`owI0bc."I0de.fI0fg$/8=:=I0hi\/"I0jk/fC~.K0lm/I0no0I0pqFI0rs@FI0tuxFI0vwFI0xyFI0z{ GK0|}XG6y I0~G lf;I0GD dI0H zI08H8=:=lK0pHI0HaI0HMI0eI0@eaghjI0xe035lstwI0eI0eK0 f$XI0XfSTI0f123_K0f 0 / !!!I0g$4$$$$ %I08g*:*****I0pg.1>I.r.s...I0g9/V?W/t/u///I0g02131P1Q1m1n1I0h52Q2R2l2m2n2o2K0Ph26333333K0hK0K0ЬK0I0@K0xI0I0I0 K0XI0I0ȮI0I08I0p0000000000` 4^o%C,(68\;BHO[Yd{A؁ASWdirx~ h 3 < Fvw% n!!h""#A$w%J&(), -,._/[1!224=66D777\99B:z::;M<<<>H?8@AD EEFHIJJ1>A>>>CD5DDE#EFFG1GGGGG$H$L;LLOOPP[PmPPP Q[QQQ,UbUsUYZ=Z4\\\i^^^aa.b e#e^ehi@immmssstu%uxy:yyXXXXX XXXXXXXX XX t T TXX TXXXXXXX  XXXXX X      XXbilu|!!!@  @H 0(  0(  B S  ?H _Hlt131907526 _Hlt131907527 _Hlt68052114 _Hlt68052071 _Hlt68052072 _Hlt131907715 _Hlt131907716 _Hlt142273793 _Hlt142273799 _Hlt108844658 _Hlt108844659 _Hlt248121849 _Hlt131907830 _Hlt131907831 _Hlt134514401 _Hlt131909036 _Hlt131908839 _Hlt131908757 _Hlt134514649 _Hlt68052341 _Hlt68052342 _Hlt67797590 _Hlt67797591 _Hlt68052285 _Hlt68052286 _Hlt67731674 _Hlt67731675 _Hlt131909100 _Hlt68053263 _Hlt68053269 _Hlt68052771 _Hlt67984806 _Hlt67984761 _Hlt68324281 _Hlt68324282 _Hlt68324308 _Hlt68053260 _Hlt68052767 _Hlt68053277 _Hlt67984701 _Hlt67984702 _Hlt67984779 _Hlt67889793 _Hlt67889794 _Hlt67890003 _Hlt68052989 _Hlt68053170 _Hlt68053171 _Hlt68053014 _Hlt68053097 _Hlt134515018 _Hlt131910947 _Hlt131910948 _Hlt135536520 _Hlt135536521 _Hlt101865298 _Hlt135536525 _Hlt135536526 _Hlt131910964 _Hlt131910965 _Hlt68053383 _Hlt134515039 _Hlt101865312 _Hlt131910986 _Hlt131910987 _Hlt68053380 _Hlt135536542 _Hlt135536543 _Hlt101865342 _Hlt68078271 _Hlt68078272 _Hlt67901943kq:==?!!!#########%&"D#D$D'D/DDDEEEEEEEEEGGGGGGPPPjPjPQQQQQiUiUjUkUkUlUpUpU\\\xy@@@@@@@@@ @ @ @ @ @@@@@@@@@@@@@@@@@@ @@*@+@!@"@#@$@%@&@'@(@)@,@-@.@/@0@1@2@3@4@5@6@7@8@9@:@;@<@=@>@?@@@A@B@C@D@E@F@G@nr;>>@!!!#########&&#D$D%D0D5DEEEEEEEEE!E!EGGGGGGPPPkPkPQQQQQjUjUkUlUlUmUqUqU\\\yyLhd+iddjjd4kd̃vldWmdԔ ndboddipd~qdjrdsdDStd iud̓\vdܦwdwuxd|W|ydwzd~{dw|dt}d~dLdd\dd9d$9dښdٚdl d, dJ dJ dlLd,Ld d dwdLwdkdkd d d d d+d+d d+dLMdvvdNd:gdxhdlddl ddl ddT?d dȍdȍd dɝdvdd$ d{rd qnd,kdd|uvd \dd`  99..IIZZ??yy%%$$OOjj%%ff  i i !!""%%)),,[5[59797J;J;CC?@ABCDEFGHIJK$$ @@55PPaaFF,,++VVqq,,mm& & p p !!""%%)),,b5b5>7>7O;O;CCADAD1[1[*\*\``y  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKBK*urn:schemas-microsoft-com:office:smarttagscountry-region9L*urn:schemas-microsoft-com:office:smarttagsplace SLKLKLKLKLKLKKLLKLKLKLKLKLKLKLKKLLKKLLKKLLKLKLKKLLKKLLKLKLKKLLKLKLKLKLKLKLKLK]aycc>dIdhhhhhh@y@yByByCyCyEyFyHyIyKyLyyy qxF R $+;F3AAC  !!O$^$****,,5 56688;8_9f9f:u:r<<BBBBGG3HAHHHIII)JDKMKLLPPQQSSXXXXLYVYYYKZYZ^^^^$a,a~aa=bFbddmeveOi]ikkl&l=mCmnnooAqJqqqrrssvv@y@yByByCyCyEyFyHyIyKyLyyy3333333333333333333333333333333333333333333333333333333333333333333h F#A$.*.*7*8*@*@*A*A*****),,243B33669X:2;3;G%H$LLUUVVVVVVVVVVMWMW{X~XY>Zi^^5a6aa/bIdNd_d`d e_ehAimmoopqrrss?y@y@yByByCyCyEyFyHyIyKyLyyyyyyyy@y@yByByCyCyEyFyHyIyKyLyyy 1 ~N@t!t-E24LS9@h=b klBUV$|p+'+qr@xN *hEh^h`EOJQJ^Jo(hH-^`OJQJ^Jo(hHopp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoPP^P`OJQJo(hH^`OJQJ^Jo(hH-^`OJQJ^Jo(hHopp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoPP^P`OJQJo(hH@>^`>5CJ .hS^`SOJQJo(hHhpp^p`OJQJ^Jo(hHoh@ @ ^@ `OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHhPP^P`OJQJ^Jo(hHoh  ^ `OJQJo(hH hS#^h`SOJQJo(- ^`OJQJo(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o PP^P`OJQJo(S^`SB*OJQJo(phhH^`OJQJ^Jo(hHopp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoPP^P`OJQJo(hHhEh^h`EOJQJ^Jo(hH-hh^h`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH@>^`>5CJ .S^`SOJQJo(hHr@xklr@xr@xr@xr@xr@x KK-E2'+q9@4h=b@t!V$|p1 ,K @h h^h`OJQJo(K @h #^#`OJQJo(- b        ^U        l         !        :D        At Nkdo VMN_aghj+235lstw&'kx;O P $XSThijv123_!IJa / !!!!##M$O$$$$$$$$$ %!%#%t(u(((********,,,,,...=.U.~....../ /&/'/D/E/b/c/////////S0T000>1?1\1]1y1z11122'2(2B2C2]2^2x2y2z2{222222222B333334,4-4K4L4M4N4l4m4n4o444444444555S5666677 7A7H7I77k8l8_999f::p<q<r<<<=== ===C=D=F=|@}@@@BBBBBBB.CGG1H3HSHIIIIAKBKDKK L LLLLQQQRYSZSSSSSSTUUNV[VXXXXXXXYYYJZKZZP^Q^^_aa;b=bubddmeehhMiOiilllSlmmnn]nQpRpppyqzq{qqqqqqkslssst(u)u*u/u6u7u9uvvvwwwExFxHx=y>yyXSLPath<} XSLstylesheet}0C:\Documents and Settings\CAPBWAKE\My Documents\8http://vbaw.vba.va.gov/bl/21/m21-1mr/stylesheets/m21.xsl@ssݫssyP@UnknownCAPLMAZAGz Times New Roman5Symbol3& z Arial?5 z Courier New5& zaTahoma;Wingdings#1hc㦬c㦬c(g=(g=!94dyy 2qHX? V2jC:\Documents and Settings\ADJATOML\Application Data\Microsoft\Templates\Information Mapping\Infomapxml.dot;Part VI, Chapter 2, Section B. Eligibility and DevelopmentEligibility and DevelopmentCAPLMAZACAPLMAZA8         Oh+'0 8 LX x   <Part VI, Chapter 2, Section B. Eligibility and DevelopmentEligibility and Development CAPLMAZAInfomapxml.dot CAPLMAZA4Microsoft Office Word@F#@@|\@8@@|\(g՜.+,D՜.+,T px  4$Department of Veterans Affairs (VA)=y' <Part VI, Chapter 2, Section B. Eligibility and Development Title@ `   )  _PID_HLINKSDocLangREFERENCECODE FILENAMETOCNAME Language DateCreated DateReviewed ContentTypeAyoEhttp://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt03_sp04_ch05.xmlEhttp://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt01_ch01_secC.xmlI.1.C.6hbrBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5ZWl)http://vaww1.va.gov/ogc/docs/prc5-99.docOdi>http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_814.DOCEef>http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_204.DOCAdc>http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_210.DOCHe`>http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_209.DOCFWBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7.dFTBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7.cFQBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bhbNBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5JKEhttp://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt06_ch02_secD.xml VI.2.D.16.bh`HBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7FEBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bF?Bhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bF<Bhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6.bJ0Ehttp://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt06_ch02_secD.xml VI.2.D.16.ch`-Bhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7F'Bhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5.g7$Ghttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt03_sp03_ch02_secE.xmlIII.iii.2.E.33Q!Jhttp://vbaw.vba.va.gov/bl/21/M21-1MR/index.asp?id=pt03_sp03_ch02_secD.xmlIII.iii.2.D.23.cNd>http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_815.DOCOd>http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_814.DOChaBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6hbBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.5Nd>http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_815.DOChn Bhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.9ho Bhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.8h`Bhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.7haBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.6hbBhttp://vbaw.vba.va.gov/bl/21/M21-1MR/pt06/ch02/pt06_ch02_secB.xml VI.2.B.51033VI.2.Bpt06_ch02_secBpt06_ch02_toc.docen 20060803 20080724 Document  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklnopqrstvwxyz{|}~Root Entry FW9wData O1TableWordDocument.SummaryInformation(mDocumentSummaryInformation8uCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q