ࡱ>  "#` (gbjbjmm 4^8~db/h"(888&ʰ ְ$hP %%88h:(88,s8 @:F '$P0=6ZPZ,sZs<ްZ8@x4rްްް%%ްްްb/b/b/$=l$=b/b/b/l Section D. Willful Misconduct and Line of Duty  PRIVATE INFOTYPE="OTHER" Overview In this SectionThis section contains the following topics: TopicTopic NameSee Page15General Information on Willful Misconduct Determinations1-D-216Willful Misconduct Determinations and Alcohol Consumption1-D-417Willful Misconduct Determinations and Vehicular Accidents1-D-718Compensation for Disabilities Resulting from Substance Abuse for Claims Filed After October 31, 19901-D-1019Line-of-Duty Determinations1-D-14 15. General Information on Willful Misconduct Determinations  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains general information on willful misconduct determinations, including the definition of willful misconduct when to make a willful misconduct determination when not to make a willful misconduct determination, and death pension entitlement in willful misconduct cases  Change DateNovember 14, 2011 PRIVATE INFOTYPE="CONCEPT"  a. Definition: Willful MisconductWillful misconduct is an act involving conscious wrongdoing or known prohibited action. A wrongful act is either inherently wrong in itself, or forbidden by law. A service department finding that injury, disease, or death was not due to misconduct will be binding on the Department of Veterans Affairs (VA) unless it is patently inconsistent with the facts and the requirements of laws administered by VA. Willful misconduct involves deliberate or intentional wrongdoing with knowledge of, or wanton and reckless disregard of, its probable consequences. Note: Mere technical violation of police regulations or ordinances does not necessarily constitute willful misconduct. PRIVATE INFOTYPE="PRINCIPLE"  b. When to Make a Willful Misconduct DeterminationMake a willful misconduct determination if a death or disability that affects entitlement occurred under questionable circumstances. Willful misconduct is not determinative unless it is the proximate, or direct, cause of injury, disease, or death. Reference: For more information on willful misconduct, see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_301.DOC"38 CFR 3.301 HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_302.DOC"38 CFR 3.302, and HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_1.DOC"38 CFR 3.1(n).Continued on next page styleref "Map Title"15. General Information on Willful Misconduct Determinations, Continued  PRIVATE INFOTYPE="PRINCIPLE"  c. When Not to Make a Willful Conduct Determination In general, accept service department findings of no misconduct as conclusive unless there is a preponderance of evidence to the contrary. The principles stated in HYPERLINK "imi-internal:M21-1MRIII.iv.1.D.19.d"M21-1MR, Part III, subpart v, 1.D.19.d regarding circumstances in which line of duty should not routinely be questioned apply to willful misconduct. PRIVATE INFOTYPE="PRINCIPLE"  d. Death Pension Entitlement in Willful Misconduct CasesDeath pension benefits may be payable if death was not in the line of duty, or was not due to willful misconduct, and occurs in service. In order to be eligible for pension benefits, the Veteran must meet certain minimum service requirements. Under these circumstances verify whether the Veteran had the requisite service in accordance with HYPERLINK "imi-internal:M21-1MRIII.iii.2.E.35.b"M21-1MR, Part III, Subpart iii, 2.E.35.b, and send a Personnel Information Exchange System (PIES) request using code O99, inserting the following text: Please verify 2 years honorable active service on enlistment prior to death. Reference: For more information on Veteran status, see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_1.DOC"38 CFR 3.1(d). 16. Willful Misconduct Determinations and Alcohol Consumption  PRIVATE INFOTYPE="OTHER"  Introduction This topic contains information on willful misconduct determinations and alcohol consumption, including proximate and immediate effects of alcohol consumption making determinations of willful misconduct involving alcohol intoxication standards set by the National Safety Council, and organic diseases and disabilities resulting from chronic use of alcohol. Change DateNovember 14, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. Proximate and Immediate Effects of Alcohol ConsumptionA person is held responsible for disabling injuries or death that resulted directly and immediately from indulgence in alcohol on an individual occasion. Willful misconduct in cases involving alcohol consumption is the willingness to achieve a drunken state and, while in this condition, to undertake tasks for which the person is unqualified, physically and mentally, because of the resulting intoxication. PRIVATE INFOTYPE="PRINCIPLE"  b. Making Determinations of Willful Misconduct Involving AlcoholDeterminations of willful misconduct in such instances depend on the facts found. Exercise care to guard against findings of willful misconduct on the basis of inconclusive evidence. An adverse determination requires that there must be excessive indulgence as the proximate cause of the disability or death in question. PRIVATE INFOTYPE="PROCESS"  c. Intoxication Standards Set by the National Safety CouncilIn determining willful misconduct, consider laboratory tests bearing on the issue of alcoholic intoxication together with all other facts and circumstances. Continued on next page  STYLEREF "Map Title" 16. Willful Misconduct Determinations and Alcohol Consumption, Continued  STYLEREF "Block Label" c. Intoxication Standards Set by the National Safety Council (continued)The National Safety Council (NSC) defines Blood Alcohol Concentration (BAC) as grams of alcohol per 100 milliliters of blood, or grams of alcohol per 210 liters of breath. Under HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode23/usc_sec_23_00000163----000-.html"23 U.S.C. 163, BAC of .08 is a per se violation of driving while intoxicated. By July of 2005, all states, Washington D.C., and Puerto Rico had adopted a BAC of .08 as the legal level of intoxication. Note: Refer to individual State laws if the level of intoxication is unclear. The following table was developed by the NSC in 1938. In 1960, BAC for under the influence was reduced from .15 to .10, and reduced again to .08 in 2004. Blood Alcohol ConcentrationLevel of Intoxication.00 - .05Presumed not intoxicated/impaired..05 - .08 No presumption that the person was or was not intoxicated/impaired. Important: Such BAC may be considered with other competent evidence in determining if the person was under the intoxicating influence of alcohol..08 or morePresumption established that the person was intoxicated/impaired.Continued on next page  STYLEREF "Map Title" 16. Willful Misconduct Determinations and Alcohol Consumption, Continued  PRIVATE INFOTYPE="PRINCIPLE"  d. Organic Diseases and Disabilities Resulting From Chronic Use of Alcohol The following guidelines apply to claims for compensation based on organic diseases that are secondary to chronic use of alcohol. For claims filed VA considers prior to November 5, 1990 such disabling diseases were incurred in the line of duty and therefore could qualify for compensation on or after November 5, 1990 such disabling diseases were not incurred in the line of duty and cannot qualify for compensation, because HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001110----000-.html"38 U.S.C. 1110 prohibits payment of compensation for a disability that is a result of a Veterans abuse of alcohol. References: For more information on considering claims involving alcohol or drug abuse, see HYPERLINK "imi-internal:M21-1MRIII.iv.1.D.18"M21-1MR, Part III, Subpart v, 1.D.18. For additional information about organic diseases secondary to alcohol use, see HYPERLINK "imi-internal:M21-1MRIII.iv.1.D.19.f"M21-1MR, Part III, Subpart v, 1.D.19.f. For more information on the dates of claims filed, see HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001110----000-.html"38 U.S.C. 1110. 17. Willful Misconduct Determinations and Vehicular Accidents  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on willful misconduct determinations and vehicular accidents, including misconduct determinations for vehicular accidents considering evidence of wanton and reckless disregard affording appropriate weight to service department findings, and factors to consider for vehicular accidents. Change DateNovember 14, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. Misconduct Determination for Vehicular AccidentsIf the Veterans disability or death resulted from a vehicular accident, and it is established that the Veteran was the operator of the vehicle, or contributed in some way to the cause of the accident, for example, interfering with the operator. Note: Do not routinely develop for a misconduct determination in automobile accident cases without positive evidence of potential misconduct. For more information on cases in which a decision is not necessary, see HYPERLINK "imi-internal:M21-1MRIII.v.1.D.19.d"M21-1MR, Part III, Subpart v, 1.D.19.d.Continued on next page styleref "Map Title"17. Willful Misconduct Determinations and Vehicular Accidents, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. Considering Evidence of Wanton and Reckless DisregardA preponderance of evidence establishing that there was a wanton and reckless disregard of the probable consequences in a vehicular accident is generally the decisive factor in a willful misconduct determination. To make a determination, obtain and carefully consider all evidence available, including police reports. Important: In vehicular accidents, there is frequently no direct testimony or such testimony in itself presents an incomplete picture. Therefore, the physical evidence assumes added importance and is entitled to great weight. Such facts speak for themselves and are not subject to the variations of observation or self-interest often found in direct testimony. Examples: Some examples of secondary evidence that may be considered are skid marks damage to vehicles position of vehicles after the accident in relation to the point of impact, and evidence of debris and scattered parts. PRIVATE INFOTYPE="PRINCIPLE"  c. Affording Appropriate Weight to Service Department FindingsGive service department findings, including no misconduct determinations, due consideration. Important: The decision of Department of Veterans Affairs (VA) must rest on principles developed under VA laws, with special reference to wanton and reckless disregard of the probable consequences, as evidence of willful misconduct.Continued on next page styleref "Map Title"17. Willful Misconduct Determinations and Vehicular Accidents, Continued  PRIVATE INFOTYPE="PRINCIPLE"  d. Factors to Consider for Vehicular AccidentsIn vehicular accident cases, a decision maker should consider all factors including, but not limited to excessive speed diversion of attention to companions, or use of intoxicants, illegal substances, etc. Although a single factor may not be sufficient evidence, it is possible that a combination of factors may be sufficient evidence that the Veterans manner of operation of a vehicle was so unreasonable and dangerous as to constitute a wanton and reckless disregard of the probable consequences. It is reasonable for the decision maker to conclude that an accident proximately resulted from such combined factors in the absence of any intervening cause, including, but not limited to mechanical defect in the vehicle a defect in the road, or actions by some other person. 18. Compensation for Disabilities Resulting from Substance Abuse for Claims Filed After October 31, 1990  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on the prohibition of payment of compensation for a disability resulting from substance abuse for claims filed after October 31,1990, including prohibitions of 38 U.S.C. 105, 38 U.S.C. 1110, and 38 U.S.C. 1131 applicable dates of prohibition for substance abuse the definition of alcohol abuse the definition of drug abuse responsibility for willful misconduct determinations considering the accidental or careless use of drugs determining if Dependency and Indemnity Compensation (DIC) is payable, and determining service connection for secondary conditions. Change DateNovember 14, 2011 PRIVATE INFOTYPE="CONCEPT"  a. Prohibitions of 38 U.S.C. 105, 38 U.S.C. 1110, and 38 U.S.C. 1131For claims filed after October 31, 1990, HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00000105----000-.html"38 U.S.C. 105, HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001110----000-.html"38 U.S.C. 1110, and HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001131----000-.html"38 U.S.C. 1131 prohibit granting service connection for primary and secondary disabilities resulting from abuse of alcohol or drugs, and paying Dependency and Indemnity Compensation (DIC) for death resulting from primary and secondary disabilities resulting from abuse of alcohol or drugs. Notes: The entitlement criteria for DIC are not affected by this change. Do not sever service connection for such disabilities, which was properly granted on or before October 31, 1990. Do not award an increase in compensation for the secondary effects of drug use based on any claim received after October 31, 1990, including a claim for an increased evaluation, or to add a dependent.Continued on next page  STYLEREF "Map Title" 18. Compensation for Disabilities Resulting from Substance Abuse for Claims Filed After October 31, 1990, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. Applicable Dates of Prohibition for Substance AbuseThe alcohol and drug abuse provision of HYPERLINK "http://www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00000105----000-.html"38 U.S.C. 105 applies only to claims for service connection filed after October 31, 1990, and includes original and reopened claims for compensation and DIC. Important: Adjudicate claims received before November 1, 1990, under criteria in effect before the change in the law. Reference: For clarification on handling issues related to alcohol or drug abuse claims, see  HYPERLINK "http://www4.va.gov/ogc/docs/1998/prc02-98.doc" VAOPGCPREC 2-98. PRIVATE INFOTYPE="CONCEPT"  c. Definition: Alcohol AbuseAlcohol abuse is the drinking of alcoholic beverages in an amount, over any period of time, sufficient to cause a disability. PRIVATE INFOTYPE="CONCEPT"  d. Definition: Drug AbuseDrug abuse includes the use of illegal drugs, including prescription drugs that are illegally or illicitly obtained prescribed or non-prescribed drugs for a purpose other than the medically intended purpose, and other agents, such as glue or paint, to enjoy their intoxicating effects.Continued on next page  STYLEREF "Map Title" 18. Compensation for Disabilities Resulting from Substance Abuse for Claims Filed After October 31, 1990, Continued  PRIVATE INFOTYPE="PROCESS"  e. Responsibility for Willful Misconduct DeterminationsUse the table below to determine who is responsible for making a willful misconduct determination involving substance abuse. If willful misconduct or disability resulting from substance abuse ...Then the ...involves disease suicide attempts, or death by suicide Reference: For more information on cases involving disease, suicidal attempts, or suicidal death, see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_301.DOC"38 CFR 3.301, and HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_302.DOC"38 CFR 3.302rating activity determines the issue, and includes the determination in the formal rating decision.does not involve disease suicide attempts, or death by suicideauthorization activity determines the issue, and prepares a formal determination for approval by a coach. Reference: For more information on administrative decisions, see HYPERLINK "imi-internal:M21-1MRIII.v.1.A.2"M21-1MR, Part III, Subpart v, 1.A.2. PRIVATE INFOTYPE="PRINCIPLE"  f. Considering the Accidental or Careless Use of DrugsDo not consider the accidental or careless use of prescription or non-prescription drugs, or other agents, to be drug abuse unless the accident or carelessness is the result of intoxication from alcohol or illegal drugs, or the Veterans willful misconduct.Continued on next page  STYLEREF "Map Title" 18. Compensation for Disabilities Resulting from Substance Abuse for Claims Filed After October 31, 1990, Continued  PRIVATE INFOTYPE="PROCESS"  g. Determining if DIC Is PayableUse the table below to determine whether DIC is payable. If Then DIC the Veterans death resulted from a disease or injury that was properly SC during the Veterans lifetime under the law in effect before November 1, 1990may be paid to the Veterans survivors.the Veterans death resulted from an alcohol or drug-related disease or disability, the original or reopened DIC claim is received after October 31, 1990may not be paid, even if death was in-service. PRIVATE INFOTYPE="PROCESS"  h. Determining Service Connection for Secondary ConditionsUse the table below to determine service connection for a secondary condition. If Then the diseases and disabilities are a secondary result of alcohol or drug abuseeffective November 1, 1990, SC cannot be granted for these diseases and disabilities.a Veterans alcohol or drug abuse is determined to be part of, or secondary to, an SC conditionany disease or disability resulting from the alcohol or drug abuse should still be SC under HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_310.DOC"38 CFR 3.310(a). Reference: For more information on service connection under HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_310.DOC"38 CFR 3.310(a) for disease or disability resulting from alcohol or drug abuse, see Allen v. Principi (Docket 99-7199, U. S. Court of Appeals for the Federal Circuit). 19. Line-of-Duty Determinations  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on line-of-duty determinations, including responsibility for line-of-duty determinations preparing an administrative decision for approval when a line-of-duty determination is not required when a line-of-duty determination is required a line-of-duty determination when death occurred on or after January 1, 1957, and organic diseases and disabilities resulting from chronic use of alcohol. Change DateNovember 14, 2011 PRIVATE INFOTYPE="PRINCIPLE"  a. Responsibility for Line-of-Duty DeterminationsNormally, the authorization activity is responsible for line-of-duty administrative determinations. However, the rating activity has jurisdiction over determinations involving disease suicide attempts, or death by suicide. Reference: For more information on line-of-duty and misconduct determinations, see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_301.DOC"38 CFR 3.301, and service connection for mental unsoundness for suicide, see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_302.DOC"38 CFR 3.302, and HYPERLINK "imi-internal:M21-1MRIII.iii.2.A.8.b"M21-1MR, Part III, Subpart iii, 2.A.8.b. PRIVATE INFOTYPE="PRINCIPLE"  b. Preparing an Administrative Decision for ApprovalPrepare administrative decisions for approval by a Senior Veterans Service Representative (SVSR) as provided in HYPERLINK "imi-internal:M21-1MRIII.v.1.A.2"M21-1MR, Part III, Subpart v, 1.A.2. Include determinations made by the rating activity in the formal rating decision. Note: An administrative determination about willful misconduct for substance abuse must be approved by a coach, as described in HYPERLINK "imi-internal:M21-1MRIII.v.1.D.18.e"M21-1MR, Part III, Subpart v, 1.D.18.e.Continued on next page styleref "Map Title"19. Line-of-Duty Determinations, Continued  PRIVATE INFOTYPE="PRINCIPLE"  c. When a Line-of-Duty Determination Is Not RequiredA line-of-duty determination is not required in the following cases: a service department makes a formal or informal determination that a disability or death was incurred in the line-of-duty service records show that death occurred while flying in a military aircraft while on duty service records show the injury was incurred accidentally or under circumstances which obviously indicate accidental incurrence, especially if incurred in a combat zone, except when specific information citing circumstances of unauthorized leave or willful misconduct exists, and cases involving vehicular accidents are involved, except when there is positive evidence of record showing potential willful misconduct, such as medical records, or police reports showing intoxication of the Veteran at the time of the accident. Note: Accept service department findings as conclusive for VA purposes, unless a preponderance of evidence indicates willful misconductContinued on next page styleref "Map Title"19. Line-of-Duty Determinations, Continued  PRIVATE INFOTYPE="PRINCIPLE"  d. When a Line-of-Duty Determination is Required If service connection is claimed for disability or death due to an injury incurred in service, determine whether the disability or death was incurred in the line of duty. Prepare a formal favorable or unfavorable VA determination, as to line of duty if the service department did not make such finding and the injury or death was incurred under circumstances which raise a legitimate issue of willful misconduct holds the disability or death to be not in the line of duty, or holds the disability or death to be in the line of duty, but its finding may be properly questioned. References: For more information on determining whether the disability or death was incurred in the line of duty, see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_1.DOC"38 CFR 3.1(m), and death pension eligibility, see HYPERLINK "http://www.warms.vba.va.gov/regs/38CFR/BOOKB/PART3/S3_1.DOC"38 CFR 3.1(d). PRIVATE INFOTYPE="PRINCIPLE"  e. Line-of-Duty Determinations When Death Occurred on or After January 1, 1957If death occurred on or after January 1, 1957, the service departments are not required by law to make a formal line-of-duty finding. However, the service departments have agreed to continue making investigations and furnishing reports to VA when requested. Do not assume that an investigation was made in every case. In the request for a report, state briefly what is required, either in the form of a question a request for a known record, or a request for a record that likely exists. PRIVATE INFOTYPE="PRINCIPLE"  f. Organic Diseases and Disabilities Resulting From Chronic Use of AlcoholFor claims filed on or before October 31, 1990, organic diseases and disabilities that are a secondary result of chronic use of alcohol, whether out of compulsion or otherwise, are considered to have been incurred in the line of duty, and after October 31, 1990, organic diseases or disabilities secondary to chronic use of alcohol are not considered to be incurred in the line of duty. Continued on next page  STYLEREF "Map Title" 19. Line-of-Duty Determinations, Continued  STYLEREF "Block Label" f. Organic Diseases and Disabilities Resulting From Chronic Use of Alcohol (continued)Note: Prior to August 13, 1964, organic diseases and disabilities resulting from the chronic use of alcohol were considered to be due to willful misconduct. Reference: For information about rating decisions on diseases related to use of alcohol, see HYPERLINK "imi-internal:M21-1MRIV.ii.2.K.67.g"M21-1MR, Part IV, Subpart ii, 2.K.67.g.   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