ࡱ>   bjbjVV :x<<W"W"W"W"W"k"k"k"8"g$k"B(0:0002&;2 G2,~W"K22KKW"W"004F\\\K&W"0W"0x\K\\0.g.k"N*<BՅ" T T W" O2:&\AEO2O2O2^[O2O2O2BKKKK O2O2O2O2O2O2O2O2O2 !: Section D. Claims for Service Connection for Posttraumatic Stress Disorder (PTSD)  PRIVATE INFOTYPE="OTHER" Overview In this SectionThis section contains the following topics: TopicTopic NameSee Page13General Information on Developing Claims for Service Connection for PTSD1-D-214Requesting Evidence That a Stressor Occurred1-D-1215Requesting Corroboration of an In-Service Stressor1-D-2016Completion of a Formal Finding of a Lack of Information Required to Document the Claimed Stressor(s)1-D-3117Developing Claims for Service Connection for PTSD Based on Personal Trauma1-D-33 13. General Information on Developing Claims for Service Connection for PTSD  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains general information on developing claims for service connection for posttraumatic stress disorder (PTSD), including requirements for establishing service connection for PTSD when a Veterans testimony alone may establish the occurrence of a stressor definitions of engaging in combat, and fear of hostile military or terrorist activity individual decorations as evidence of combat participation action to take if a Veteran received a combat decoration but does not state the nature of the stressor establishing the occurrence of a stressor related to fear of hostile military or terrorist activity when stressor corroboration is not required when stressor corroboration is required primary evidence to corroborate a claimed in-service stressor secondary sources of evidence that may corroborate a claimed in-service stressor, and considering buddy statements. Change DateJune 6, 2011Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PRINCIPLE"  a. Requirements for Establishing Service Connection for PTSDPer HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f), a finding of service connection for PTSD requires credible supporting evidence that the claimed in-service stressor actually occurred medical evidence diagnosing the condition in accordance with HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_125.DOC"38 CFR 4.125, and a link, established by medical evidence, between current symptomatology and the claimed in-service stressor. Note: The lay testimony of a Veteran alone may, under certain circumstances, establish the occurrence of an in-service stressor if the stressor is related to the Veterans combat service POW experience in-service diagnosis of PTSD, or fear of hostile military or terrorist activity. References: For more information on establishing service connection for PTSD, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D"M21-1MR, Part IV, Subpart ii, 1.D HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f), and HYPERLINK "http://law.cornell.edu/uscode/html/uscode38/usc_sec_38_00001154----000-.html"38 U.S.C.1154(b) handling an in-service diagnosis of PTSD, see  HYPERLINK "imi-internal:M21-1MRIII.iv.4.H.28.d" M21-1MR, Part III, Subpart iv, 4.H.28.d, and when the Veterans testimony alone may establish the occurrence of an in-service stressor, see HYPERLINK "imi-internal:M21-1MRIII.iv.4.H.29.a"M21-1MR, Part III, Subpart iv, 4.H.29.a. Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PRINCIPLE"  b. When a Veterans Testimony Alone May Establish the Occurrence of a StressorA Veterans lay testimony alone may establish the occurrence of the claimed in-service stressor for purposes of establishing service connection for PTSD if PTSD is diagnosed in service, and the stressor is related to that service, or the stressor is related to the Veterans engagement in combat with the enemy experience as a POW as defined by HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_1.DOC"38 CFR 3.1(y), or fear of hostile military or terrorist activity, if a VA psychiatrist or psychologist, or contract equivalent, confirms the claimed stressor is adequate to support a diagnosis of PTSD, and the Veterans symptoms are related to the claimed stressor. Notes: For the Veterans testimony alone to establish the occurrence of a claimed stressor the stressor must be consistent with the circumstances, conditions, or hardships of service for claims based on an in-service PTSD diagnosis or POW or combat service, or places, types, and circumstances of service for claims based on a fear of hostile military or terrorist activity, and there must be no clear and convincing evidence to the contrary. For claims decided prior to July 13, 2010, a Veterans testimony alone could not establish the occurrence of a stressor that was related to the Veterans fear of hostile military or terrorist activity. The July 13, 2010, amendment of HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f) is not considered a liberalizing rule under HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_114.DOC"38 CFR 3.114(a). References: For more information on evidence requirements for claims based on a diagnosis of PTSD in service, see HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f)(1) combat service, see HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f)(2) and HYPERLINK "http://vbaw.vba.va.gov/bl/21/Advisory/PRECOP/99op/Prc12_99.doc"VAOPGCPREC Opinion 12-99 a fear of hostile military or terrorist activity, see HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f)(3), and POW service, see HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f)(4), and definitions of engaging in combat, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.13.c"M21-1MR, Part IV, Subpart ii, 1.D.13.c, and fear of hostile military or terrorist activity, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.13.d"M21-1MR, Part IV, Subpart ii, 1.D.13.d.Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="CONCEPT"  c. Definition: Engaging in CombatEngaging in combat with the enemy means personal participation in events constituting an actual fight or encounter with a military foe or hostile unit or instrumentality. It includes presence during such events either as a combatant, or service member performing duty in support of combatants, such as providing medical care to the wounded. PRIVATE INFOTYPE="PRINCIPLE"  d. Definition: Fear of Hostile Military or Terrorist Activity Fear of hostile military or terrorist activity means the Veteran experienced, witnessed, or was confronted with an event or circumstance that involved actual or threatened death or serious injury, or a threat to the physical integrity of the Veteran or others, and the Veterans response to the event or circumstances involved a psychological or psycho-physiological state of fear, helplessness, or horror. Examples of exposure to hostile military or terrorist activity include presence at events involving actual or potential improvised explosive devices (IEDs) vehicle-imbedded explosive devices incoming artillery, rocket, or mortar fires small arms fire, including suspected sniper fires, or attacks upon friendly aircraft.Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PRINCIPLE"  e. Individual Decorations as Evidence of Combat ParticipationWhen a Veteran has received any of the combat decorations listed below, VA will presume that the Veteran engaged in combat with the enemy, unless there is clear and convincing evidence to the contrary: Air Force Achievement Medal with V Device Air Force Combat Action Medal Air Force Commendation Medal with V Device Air Force Cross Air Medal with V Device Army Commendation Medal with V Device Bronze Star Medal with V Device Combat Action Badge Combat Action Ribbon (Note: Prior to February 1969, the Navy Achievement Medal with V Device was awarded.) Combat Aircrew Insignia Combat Infantry/Infantryman Badge Combat Medical Badge Distinguished Flying Cross Distinguished Service Cross Joint Service Commendation Medal with V Device Medal of Honor Navy Commendation Medal with V Device Navy Cross Purple Heart, and/or Silver Star. Important: Receipt of one of the decorations cited above is not the only acceptable evidence of engagement in combat. PRIVATE INFOTYPE="PROCEDURE"  f. Action to Take if a Veteran Received Combat Decoration but Does Not State Nature of Stressor If a Veteran received one of the combat decorations cited in HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.13.e"M21-1MR, Part IV, Subpart ii, 1.D.13.e, but does not expressly state the nature of the stressor assume the stressor is combat-related order an examination, if necessary to decide the claim, and in the examination request state that VA has verified the Veterans combat service, and specify any details regarding the combat stressor contained in the record.Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PRINCIPLE"  g. Establishing the Occurrence of a Stressor Related to Fear of Hostile Military or Terrorist ActivityUnder HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC"38 CFR 3.304(f)(3), a Veterans lay statement alone may establish the occurrence of a stressor related to the fear of hostile military or terrorist activity if evidence shows the Veteran served in an area of potential hostile military or terrorist activity, and a VA psychiatrist or psychologist (or contract equivalent) accepts the Veterans statement as being adequate to support a diagnosis of PTSD, and relates the Veterans symptoms to the claimed stressor. Schedule an examination if there is evidence of a PTSD diagnosis or symptoms, and the Veterans DD Form 214, Certificate of Release or Discharge From Active Duty, or other service records, shows service in an area of potential hostile military or terrorist activity. Notes: The receipt of military awards such as, but not limited to, the Vietnam Service or Campaign Medal, Kuwait Liberation Medal, Iraq Campaign Medal, and Afghanistan Campaign Medal is generally considered evidence of service in an area of potential hostile military or terrorist activity. The receipt of military awards such as the National Defense Service Medal, Armed Forces Service Medal, and Global War on Terrorism (GWOT) Service Medal generally does not indicate service in locations that involve exposure to hostile military or terrorist activity, because these are general medals that do not denote service in a particular area or campaign. If the Veteran served in an area of potential hostile military or terrorist activity, he/she would have received a more specific medal for such service. Reference: For more information on scheduling examinations in PTSD cases, see HYPERLINK "imi-internal:M21-1MRIII.iv.4.4.H.31"M21-1MR, Part III, Subpart iv, 4.H.31.Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PRINCIPLE"  h. When Stressor Corroboration Is Not RequiredIn the absence of clear and convincing evidence to the contrary, corroboration of the details of the claimed stressful event or circumstances, including the Veterans personal participation, is not required if PTSD is diagnosed in service, and the claimed stressor is related to that service the claimed stressor is consistent with the circumstances, conditions, or hardships of the Veterans verified combat or POW service, or the claim is based on fear of hostile military or terrorist activity, and the claimed exposure to such activity is consistent with the places, types, and circumstances of the Veterans service, and PTSD has been diagnosed by a VA psychiatrist or psychologist, or contract equivalent, who confirms that the claimed stressor is adequate to support a diagnosis of PTSD the Veterans symptoms are related to the claimed stressor, and the claimed stressor is related to fear of hostile military or terrorist activity (see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.13.d"M21-1MR, Part IV, Subpart ii, 1.D.13.d). Note: For claims decided prior to July 13, 2010, it was necessary to corroborate the details of the claimed stressor if the stressor was related to the Veterans fear of hostile military or terrorist activity. Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PRINCIPLE"  i. When Stressor Corroboration Is RequiredDevelop to corroborate the details of a claimed stressful event or circumstances only when the claimed stressor does not meet one of the criteria in  HYPERLINK "imi-internal:M21-1MRIII.iv.4.H.29.h" M21-1MR, Part III, Subpart iv, 4.H.29.h. Examples of claimed stressors that must be corroborated are a plane crash caused by severe weather a severe motor vehicle accident witnessing the death, injury, or threat to the physical being of another person caused by something other than hostile military or terrorist activity, and actual or threatened death or serious injury, or other threat to ones physical being, caused by something other than hostile military or terrorist activity. Note: For more information on processing claims for PTSD based on personal trauma, see HYPERLINK "imi-internal:M21-1MRIII.iv.4.H.30"M21-1MR, Part III, Subpart iv, 4.H.30 the  HYPERLINK "http://vbaw.vba.va.gov/bl/21/rating/rat06h.htm" PTSD Personal Assault Information site on the Compensation Service Intranet, and  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC" 38 CFR 3.304(f)(5).Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PRINCIPLE"  j. Primary Evidence to Corroborate a Claimed In-Service StressorPrimary evidence is generally considered the most reliable source for corroborating in-service stressors and should be carefully reviewed when corroboration is required. It is typically obtained from the National Archives and Records Administration (NARA) or Department of Defense (DoD) entities, such as service departments, the U.S. Army and Joint Services Records Research Center (JSRRC), and the Marine Corps University Archives (MCUA). Primary evidence includes service personnel records (SPRs) and pay records military occupation evidence (Note: A Veterans military occupation may be specified on his/her DD Form 214 or in SPRs) hazard pay records (Note: This information may be requested from the Department of Defense Finance and Accounting Service (DFAS)) service treatment records (STRs) military performance reports (Note: This information may be requested via PIES) verification that the Veteran received Combat/Imminent Danger/Hostile Fire Pay (Note: This information may be requested through the Veterans Information Solution (VIS)) unit and organizational histories daily staff journals operational reports-lessons learned (ORLLs) after action reports (AARs) radio logs, deck logs, and ship histories muster rolls command chronologies and war diaries, and monthly summaries and morning reports. Notes: Many of the unit documents listed above are available on the Compensation Service Intranet site,  HYPERLINK "http://vbaw.vba.va.gov/bl/21/rating/stressor/general.htm" Stressor Verification. While confirmation of receipt of Combat/Imminent Danger/Hostile Fire Pay through the VIS alone does not constitute verification of a combat-related stressor, it may, in combination with other evidence, "tip the scales" in favor of the Veteran's assertion of his/her involvement in combat. Reference: For more information on Combat/Imminent Danger/Hostile Fire Pay, see the HYPERLINK "http://vbaw.vba.va.gov/bl/21/rating/rat06.htm"PTSD Rating Job Aid site and the agenda from the HYPERLINK "http://vbaw.vba.va.gov/bl/21/Calendar/Agenda/FY06/Agenda0306.htm"VSCM Conference Call, March 16, 2006. Continued on next page  STYLEREF "Map Title" 13. General Information on Developing Claims for Service Connection for PTSD, Continued  PRIVATE INFOTYPE="PROCEDURE"  k. Secondary Sources of Evidence That May Corroborate a Claimed In-Service StressorReview the following alternative sources of evidence critically and carefully for information confirming participation in combat or to otherwise corroborate a claimed in-service stressor when corroboration is required: buddy statements contemporaneous letters and diaries newspaper archives, and information from Veterans Benefits Administration (VBA)-sanctioned websites, which may be accessed through the HYPERLINK "http://vbaw.vba.va.gov/bl/21/rating/rat06.htm"PTSD Rating Job Aid website. Reference: For more information on Combat/Imminent Danger/Hostile Fire Pay, see the HYPERLINK "http://vbaw.vba.va.gov/bl/21/rating/rat06g.htm" \l "bm3"PTSD Rating Job Aid website. Important: All sources of evidence obtained for purposes of stressor verification must be fully documented in the file. It may not be necessary to corroborate the claimed stressor if it is related to the Veterans fear of hostile military or terrorist activity, and consistent with the places, types, and circumstances of the Veterans service. PRIVATE INFOTYPE="PROCEDURE"  l. Considering Buddy StatementsAccept a buddy statement as corroboration of a claimed in-service stressor, so long as the statement is consistent with the time, place, and circumstances of the service of both the Veteran and the buddy. If the evidence available calls into question the qualifications of the buddy to make the statement, ask the person to submit his/her DD Form 214 or other evidence of service with the claimant. Note: Upon receipt of a DD Form 214 (or other document containing personally identifiable information) from a fellow Veteran place the document in a separate envelope in the claims folder, and annotate on the envelope that the contents must not be reproduced, or reviewed by the Veteran to whom the claims folder pertains or his/her representative. 14. Requesting Evidence That a Stressor Occurred  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on requesting evidence that a stressor occurred, including the location of in-service mental health treatment records developing for in-service mental health treatment records when to request hospital reports and clinical records when to request evidence from the Veteran to establish a stressor the information to request from the Veteran to support a stressor the minimum information required from the Veteran the PIES codes to use when submitting a records request relevant personnel records in posttraumatic stress disorder (PTSD) cases, and where to send requests for Navy deck logs. Change DateMay 7, 2012 PRIVATE INFOTYPE="PRINCIPLE"  a. Location of In-Service Mental Health Treatment RecordsIn-service mental health treatment records are maintained by the military or civilian treating facility, and not stored by the Department of Defense with the traditional service treatment records (STRs). Notes: The records are typically destroyed five years after the end of the year in which the case is closed. Civilian facility records cannot be obtained from the National Personnel Records Center (NPRC) through PIES.  PRIVATE INFOTYPE="PROCEDURE"  b. Developing for In-Service Mental Health Treatment RecordsThe table below shows the steps to follow when developing for in-service mental health treatment records from a civilian mental health facility. StepAction1Ask the Veteran to complete a VA Form 21-4142, Authorization and Consent to Release Information, and allow 30 days for response.Continued on next page  STYLEREF "Map Title" 14. Requesting Evidence That a Stressor Occurred, Continued  STYLEREF "Block Label" b. Developing for In-Service Mental Health Treatment Records (continued) StepAction2Did the Veteran return the VA Form 21-4142 within 30 days? If yes, go to Step 3. If no, no further development is needed.3Continue developing for the mental health treatment records until receiving the records (development is complete), or a negative reply (go to step 4).4 If the facility indicates that Then the records were transferred to another location develop for the records from the location identified until receiving the records or a negative reply. it will not accept VA Form 21-4142 without an original signature, or it will only accept its own release form follow the procedure in HYPERLINK "imi-internal:M21-1MRIII.iii.1.C.14.g"M21-1MR, Part III, Subpart iii, 1.C.14.g. the records have been destroyed or are otherwise unavailable cease developing, and prepare a formal finding of record unavailablity per HYPERLINK "imi-internal:M21-1MRIII.iii.2.I.59"M21-1MR, Part III, Subpart iii, 2.I.59.  PRIVATE INFOTYPE="PROCEDURE"  c. When to Request Hospital Reports and Clinical RecordsRequest hospital reports and clinical records if the Veteran indicates pertinent treatment in a Department of Veterans Affairs (VA) facility, Vet Center, or elsewhere.Continued on next page  STYLEREF "Map Title" 14. Requesting Evidence That a Stressor Occurred, Continued  PRIVATE INFOTYPE="PROCEDURE"  d. When to Request Evidence From the Veteran to Establish a StressorRequest the Veteran provide credible supporting evidence to establish that a stressor occurred unless the evidence of record shows that PTSD was diagnosed in service, and the claimed stressor is related to that service, or the claimed stressor is related to the Veterans verified combat or POW service and consistent with the circumstances, conditions, or hardships of such service, or fear of hostile military or terrorist activity, and exposure to such activity is consistent with the places, types, and circumstances of the Veterans service. PRIVATE INFOTYPE="PROCEDURE"  e. Information to Request From the Veteran to Support a StressorUse the PTSD development letter in the Modern Awards Processing-Development (MAP-D) application to request information from the Veteran. Enclose VA Form 21-0781, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD), to solicit specific details of each of the in-service stressful incidents, such as the date of the incident place of the incident unit of assignment at the time of the incident detailed description of the event medals or citations received as a result of the incident, and name and other identifying information concerning any other individuals involved in the event, if appropriate. Important: Do not ask the Veteran for specific details in any case in which there is credible supporting evidence that the claimed in-service stressor occurred, such as evidence of internment as a POW or receipt of one of the decorations listed in HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.13.d"M21-1MR, Part IV, Subpart ii, 1.D.13.d.Continued on next page  STYLEREF "Map Title" 14. Requesting Evidence That a Stressor Occurred, Continued  PRIVATE INFOTYPE="PRINCIPLE"  f. Minimum Information Required From the VeteranAt a minimum, the Veteran must provide the following: a stressor that can be documented the location where the incident took place the approximate date (within a two-month period) of the incident, and the unit of assignment at the time the stressful event occurred. Inform the Veteran that the information is necessary to obtain supportive evidence of each of the stressful events, and failure to respond or an incomplete response may result in denial of the claim. Notes: Specific details of claimed stressful events may also be gathered from such sources as VA or private medical treatment reports and examination reports. Veterans Service Representatives (VSRs) may obtain the date and location of well-documented events, such as the Tet Offensive, from VBA-sanctioned web sites (available through the HYPERLINK "http://vbaw.vba.va.gov/bl/21/rating/rat06f.htm"PTSD Rating Job Aid website) and supply this information on the Veterans behalf. Reference: For information on the types of stressors that may be impossible to corroborate, see the HYPERLINK "http://vbaw.vba.va.gov/bl/21/publicat/Letters/TrngLtrs/TL04-02A.doc"JSRRC Stressor Verification Guide, Section V.Continued on next page  STYLEREF "Map Title" 14. Requesting Evidence That a Stressor Occurred, Continued  PRIVATE INFOTYPE="PROCEDURE"  g. PIES Codes to Use When Submitting a Records RequestUse the following PIES request codes to request records required to process a claim for service connection for PTSD: Use PIES request code O18 if the stressor is associated with an episode of personal assault or trauma, such as rape, or the Veteran is claiming service connection for PTSD as a result of both personal trauma and other types of stressors. Use PIES request code O19 for verification of all other types of stressors. Notes: Only select documents from the Veterans personnel folder, including those listed under HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.14.h"M21-1MR, Part IV, Subpart ii, 1.D.14.h, are provided in response to submission of a PIES request under request code O19. A copy of all documents within the personnel folder are provided in response to a PIES request submitted under request code O18. Because of the time and cost involved in photocopying all documents within a personnel folder, do not submit a request to NPRC (address code 13) under request code O18 unless the claim involves personal trauma. If documents not routinely provided by NPRC in response to a request submitted under request code O19 are needed, identify the documents in a customized request, using request code O99. Records related to in-service mental health treatment cannot be requested through PIES because they are maintained by the military or civilian treating facility, and not stored by the Department of Defense with the traditional STRs.Continued on next page  STYLEREF "Map Title" 14. Requesting Evidence That a Stressor Occurred, Continued  PRIVATE INFOTYPE="PRINCIPLE"  h. Relevant Personnel Records in PTSD CasesThe table below identifies the forms that contain information about the Veterans unit(s) of assignment, military occupation, and service locations. Note: These forms are among the documents that will be provided in response to PIES requests submitted under request code O19. Branch of ServiceName(s) of FormsArmyDA Form 2-1, Personnel Qualification Record. Notes: DA Form 2-1 is used for both officers and enlisted personnel, and first came into use in January 1973. Prior to January 1973, DA Form 20, Enlisted Qualification Record and DA Form 66, Officer Qualification Record were used.Navyenlisted record of Transfer and Receipts, pages 12 32, and 33 enlisted record Administrative Remarks, pages 4 through 9 13, and 34, and officer record, NAVPERS 1301/51, Officer Data Card, page 35. Note: DD Form 214 and enlistment contracts are usually included.Air Forceenlisted record, AF Form 7, Airman Military Record, pages 36 through 39 officer record, AF Form 11, Officer Military Record, pages 39 and 40, and performance reports for both enlisted personnel and officers.Continued on next page  STYLEREF "Map Title" 14. Requesting Evidence That a Stressor Occurred, Continued  STYLEREF "Block Label" h. Relevant Personnel Records in PTSD Cases (continued) Branch of ServiceName(s) of FormsMarine Corpsenlistment contracts discharge papers MABMC-11 (discharge order), and service records, pages 3 5 through 6 8 through 9 12 through 13, and 17.Coast Guardenlisted record Endorsement on Order Sheet, (DoT Form CG 3312B) officer record Service Records Card DoT Form CG CG 3301 DoT Form CG CG 3303 DoT Form CG CG 3305, pages 3, 5, 6-7 DD Form 214, and the enlistment contract. Continued on next page  STYLEREF "Map Title" 14. Requesting Evidence That a Stressor Occurred, Continued  PRIVATE INFOTYPE="PRINCIPLE"  i. Where to Send Requests for Navy Deck LogsUse the table below to determine the address to use when requesting Navy deck logs. If the Navy deck logs Then send the request to are dated 1940 or earlierOld Military and Civil Records National Archives and Records Administration 700 Pennsylvania Ave., NW Washington, DC 20408are dated between 1941 and 30 years prior to the current dateModern Military Branch National Archives 8601 Adelphi Rd. College Park, MD 20740are less than 30 years oldDepartment of the Navy Naval Historical Center 805 Kidder Breese, SE Washington Navy Yard Washington, DC 20374-5060 Reference: For more information on Navy deck logs and how to obtain them, see  HYPERLINK "http://www.history.navy.mil/branches/org15-1.htm" http://www.history.navy.mil/branches/org15-1.htm. 15. Requesting Corroboration of an In-Service Stressor  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on requesting verification of an in-service stressor, including when to request corroboration of an in-service stressor where to send a request for corroboration of an in-service stressor the information to include in requests to the U.S. Army and Joint Services Records Research Center (JSRRC) (formerly the U.S. Armed Services Center for Unit Records Research (CURR)) sending requests for research of Marine Corps unit records to NARA accessing Korean Conflict and Vietnam Era unit records through Virtual VA requesting stressor corroboration from Marine Corps records dated after the Vietnam Era the responsibilities of the Marine Corps Archives and Special Collections (MCASC) information to include in requests to MCASC sample letter to MCASC for a determination as to the availability of records required to corroborate a stressor the duties of the JSRRC coordinator invalid or incomplete requests denying service connection because of an unconfirmed stressor handling requests for more information, and the failure of a Veteran to provide sufficient information. Change DateJune 6, 2011Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="PROCEDURE"  a. When to Request Corroboration of an In-Service StressorSubmit a request for corroboration of an in-service stressor if the evidence does not corroborate the Veterans claim that he/she engaged in combat, served as a POW, was exposed to hostile military or terrorist activity, or experienced other in-service stressor(s) the in-service stressor claimed is capable of being documented the Veterans records contain evidence of a diagnosis of PTSD, such as outpatient treatment records showing treatment for PTSD, or competent lay evidence of persistent or recurrent symptoms of PTSD, such as the Veterans description of symptoms indicative of PTSD, and development is complete in every respect except for corroboration of the in-service stressor, and a confirmed diagnosis of PTSD. Important: Do not schedule a VA examination before receiving corroboration of the claimed in-service stressor. A diagnosis of PTSD is not a prerequisite for initiating the stressor verification process. Some stressors are clearly impossible to document and should not be referred to the U.S. Army and Joint Services Records Research Center (JSRRC) (formerly the U.S. Armed Services Center for Unit Records Research (CURR)), NARA, or the Marine Corps. If, after requesting/obtaining pertinent facts from the Veteran, it is obvious that corroboration simply is not feasible, the claim should be decided based on the evidence of record. References: For information on where to send a request for corroboration of an in-service stressor, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.15.b"M21-1MR, Part IV, Subpart ii, 1.D.15.b, and the types of stressors that may be impossible to corroborate, see the HYPERLINK "http://vbaw.vba.va.gov/bl/21/publicat/Letters/TrngLtrs/TL04-02A.doc"JSRRC Stressor Verification Guide, Section V. Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="PROCEDURE"  b. Where to Send a Request for Corroboration of an In-Service StressorUse the table below to determine where to send a request for corroboration of an in-service stressor, including requests for deck logs. If the stressor occurred during service in the Send the request to Army Navy Air Force, or Coast GuardJSRRC (address code 55) via the PIES/ Defense Personnel Records Imaging System (DPRIS) interface under request code O40 - first (or only) stressor O41 - second stressor (if more than one is claimed), or O42 - third stressor (if more than two are claimed).Marine Corps, during the Vietnam Era or earlier Address: National Archives and Records Administration Attention: Modern Military Records 8601 Adelphi Road College Park, MD 20740-6001 Exceptions: Do not submit a request for stressor corroboration to this address if the claimed stressor can be corroborated through review of Marine Corps unit records in Virtual VA occurred during assignment aboard a Navy ship, or occurred after Vietnam Era service. Note: Most unit records covering the Korean Conflict and Vietnam Era are available in Virtual VA. Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  STYLEREF "Block Label" b. Where to Send a Request for Corroboration of an In-Service Stressor (continued) If the stressor occurred during service in the Send the request to Marine Corps, after the Vietnam EraAddress: Marine Corps Archives and Special Collections Alfred M. Gray Research Center 2040 Broadway Street, MCCDC Quantico, VA 22134-5107 Telephone number: (703) 784-4685 (Martha Robertson) Fax number: (703) 784-4665. Exceptions: Do not submit a request for stressor corroboration to this address or fax number if the claimed stressor can be corroborated through review of Marine Corps unit records in Virtual VA occurred during assignment aboard a Navy ship, or occurred during Vietnam Era service or earlier.Marine Corps, during assignment aboard a Navy shipAddress: U.S. Army and Joint Services Records Research Center 7701 Telegraph Road Kingman Building, Room 2C08 Alexandria, VA 22315-3852 Important: Do not submit these requests for stressor verification to JSRRC via the PIES/DPRIS interface.Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="PRINCIPLE"  c. Information to Include in Requests to JSRRC The following information must be included when submitting a request for stressor corroboration to JSRRCs mailing address or through the PIES/Defense Personnel Records Imaging System (DPRIS) interface: adequate identifying information, to include the claimants full name and Social Security number (SSN) a description of the claimed stressor(s) month and year during which the stressful event occurred (JSRRC will research records dated 30 days before the date provided and 30 days after) the Veterans unit of assignment at the time of the stressful event, and the geographic location where the stressful event took place. Note: The telephone number for VAs liaison officer at JSRRC is (703) 428-6870. Reference: For a listing of the personnel documents containing information about the Veterans unit(s) of assignment and service locations, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.14.f"M21-1MR, Part IV, Subpart ii, 1.D.14.f. Additional information identified by JSRRC as helpful in conducting research includes the medals or citations received by the Veteran, and the names of other soldiers or sailors involved in the stressful incident. PRIVATE INFOTYPE="PRINCIPLE"  d. Sending Requests for Research of Marine Corps Unit Records to NARA Send a request for research of Marine Corps unit records to NARA when corroboration of a stressor is required, and the unit records cover the Vietnam Era or earlier. Exception: Unit records covering the Korean Conflict or the Vietnam Era may be accessed through Virtual VA. For more information, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.15.e"M21-1MR, Part IV, Subpart ii, 1.D.15.e Use to table below to request stressor corroboration from NARA. StepAction1Access the inquiry form at  HYPERLINK "http://www.archives.gov/contact/inquire-form.html" \l "part-b" NARAs website address. 2Select Records created by the United States military from the drop-down list of question topics.Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  STYLEREF "Block Label" d. Sending Requests for Research of Marine Corps Unit Records to NARA (continued) StepAction3In the box provided identify yourself as a VBA employee, and indicate the specific information you are seeking, as well as the Veterans name rank unit of assignment at the time of the stressful event, and inclusive dates of service.4Furnish your contact information in the spaces provided. PRIVATE INFOTYPE="PROCEDURE"  e. Accessing Korean Conflict and Vietnam Era Unit Records Through Virtual VAMarine Corps unit records covering the Korean Conflict and Vietnam Era are available to VA personnel through Virtual VA. Perform a thorough search of Virtual VA to obtain information needed to corroborate the claimed stressor(s) of a Korean Conflict or Vietnam Era Veteran. Note: NARA maintains custodianship of the records in Virtual VA and is the ultimate authority on their content and organization.  PRIVATE INFOTYPE="PROCEDURE"  f. Requesting Stressor Corroboration From Marine Corps Records Dated After the Vietnam Era Send requests for stressor corroboration from Marine Corps unit records dated after the Vietnam Era directly to MCASC. References: For information on MCASCs mailing address and fax number, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.15.b"M21-1MR, Part IV, Subpart ii, 1.D.15.b what to include in the request to MCASC, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.15.h"M21-1MR, Part IV, Subpart ii, 1.D.15.h, and a sample of a letter to MCASC for a determination as to the availability of records required to corroborate a stressor, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.15.i"M21-1MR, Part IV, Subpart ii, 1.D.15.i.Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="PRINCIPLE"  g. Responsibilities of MCASCWhen a regional office (RO) cannot document the claimed stressor of a Marine Corps Korean Conflict or Vietnam Era Veteran following a thorough search of the records in Virtual VA, or the claim requires research of unit records dated after the Vietnam Era, staff at MCASC is responsible for identifying the record(s) required to document the stressors, or providing confirmation that the claimed stressor(s) cannot be corroborated using records in its custody. Important: An RO cannot deny a claim for PTSD based solely on the absence of a verified stressor until MCASC or NARA has confirmed the ROs negative findings.  PRIVATE INFOTYPE="PRINCIPLE"  h. Information to Include in Record Requests to MCASCThe following information must be included in each request to MCASC for records needed to document a claimed stressor: the Veterans name and VA file number the name of the Veterans squadron/battalion (or higher echelon) the date (month and year) the stressful event occurred (not to exceed a 60-day period) a concise description of the stressful event identification of the unit records reviewed through Virtual VA the mailing address of the requesting RO, and a point of contact at the RO. Notes: The request may be faxed or mailed to MCASC, but it must be on VA letterhead and no more than one page in length. Do not attach to the request any medical information or statement(s) from the Veteran. Submit a request to MCASC only after exhausting all efforts to document the claimed stressor(s) through other means, including Virtual VA and/or official military web sites. References: For MCASCs mailing address and fax number, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.15.b"M21-1MR, Part IV, Subpart ii, 1.D.15.b, and sample of a letter to MCASC for a determination as to the availability of records required to corroborate a stressor, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.15.i"M21-1MR, Part IV, Subpart ii, 1.D.15.i.Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="STRUCTURE"  i. Sample Letter to MCASC A sample letter to MCASC for a determination as to the availability of records required to corroborate a stressor is below.  Marine Corps Archives and Special Collections 00/21 Alfred M. Gray Research Center C 123 45 6789 2040 Broadway Street, MCCDC JONES, John A. Quantico, VA 2213-5107 Dear Sir/Madam: This is a request for research of records in your possession for the purpose of verifying an in-service stressor claimed by a Veteran seeking service connection for posttraumatic stress disorder. This alleged stressor occurred in [name of country]. I have already reviewed the following unit records that MCASC provided to VA on compact disc. [List the unit records reviewed through Virtual VA, if applicable.] The following information is provided to assist your research: Name of Claimant John A. Jones VA File Number 123 45 6789 Mailing Address [Mailing address of regional office] Name of Unit [Name of unit in which the Veteran was serving when the stressful incident occurred] Description of Stressful Event The Veteran alleges that he witnessed the collision of two helicopters that killed 25-30 people at Camp Ratcliff between January and March 1969. All the bodies were reportedly charred and fused together. Point of Contact If additional information is required, please contact [regional office employees name] at [employees telephone number]. Your assistance in this matter is appreciated. Sincerely yours, Veterans Service Center ManagerContinued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="PRINCIPLE"  j. Duties of the JSRRC CoordinatorThe JSRRC coordinator is the primary point of contact for all JSRRC-related related issues within each regional office and determines whether or not submission of a request for stressor verification is appropriate serves as the MCASC and NARA point of contact for issues related to records requests personally submits all of the ROs requests for stressor corroboration notifies JSRRC, MCASC, or NARA when further action on a pending research request is no longer necessary, (i.e., evidence is received that verifies the claimed stressor or the claim is withdrawn altogether) determines the status of research requests pending at JSRRC by checking the HYPERLINK "http://vbacodmoint1.vba.va.gov/currclts/default.asp"stressor corroboration database, and forwards inquiries from the regional office regarding JSRRC-related issues to the VACO JSRRC e-mailbox at VAVBAWAS/CO/JSRRC. PRIVATE INFOTYPE="PRINCIPLE"  k. Invalid or Incomplete RequestsJSRRC, MCASC, or NARA will return to the appropriate regional office any research request identified as invalid or incomplete, with an explanation of the deficiency(ies) identified. JSRRC, MCASC, or NARA then closes out the request; it must be resubmitted as a new request to receive further consideration. JSRRC, MCASC, and NARA process research requests on a first-come, first-served basis. Incomplete requests that are later resubmitted lose their original place in line. For this reason, it is very important to provide correct and complete information to JSRRC, MCASC, and NARA at the time of the initial submission. Note: ROs have the authority to deny a claim for service connection for PTSD without requesting corroboration of an in-service stressor from an official records custodian, such as JSRRC, MCASC, or NARA, if the claimant fails to provide the minimum information required to conduct research, and the JSRRC coordinator has taken the actions described in HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.16"M21-1MR, Part IV, Subpart ii.1.D.16.Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="PRINCIPLE"  l. Denying Service Connection Because of an Unconfirmed StressorDenying service connection solely because of an unconfirmed stressor is improper unless the appropriate records custodian, such as JSRRC, MCASC, or NARA, has confirmed that the claimed stressor cannot be corroborated or the Veteran has failed to provide the basic information required to conduct research, and the JSRRC coordinator has taken the actions described in HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.16"M21-1MR, Part IV, Subpart ii.1.D.16. PRIVATE INFOTYPE="PRINCIPLE"  m. Handling Requests for More InformationOccasionally, JSRRC, MCASC, or NARA requires additional information in order to conduct its research. When this occurs the RO must take immediate action to comply with the request. Notes: The JSRRC coordinator may contact the Veteran by telephone to obtain the additional information needed to document the in-service stressor. The substance of the telephone call must be documented on a VA Form 21-0820, Report of General Information. Failure by the Veteran to respond substantively to the request for information is grounds for denial of the claim based on the absence of a verifiable stressor. Reference: For more information on stressor corroboration and the additional evidence that may be required to conduct research, see the HYPERLINK "http://vbaw.vba.va.gov/bl/21/publicat/Letters/TrngLtrs/TL04-02A.doc"JSRRC Stressor Verification Guide.Continued on next page  STYLEREF "Map Title" 15. Requesting Corroboration of an In-Service Stressor, Continued  PRIVATE INFOTYPE="PROCEDURE"  n. Failure of a Veteran to Provide Sufficient Information Use the table below to determine what action to take when a Veteran fails to provide sufficient information about a claimed stressful event.  If a Veteran Then fails to respond within 30 days to the request for information about a claimed stressful eventrefer the case to the JSRRC coordinator to make a formal finding that sufficient information required to corroborate the claimed stressor(s) does not exist. Reference: For more information on action taken by the JSRRC coordinator, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.16.a"M21-1MR, Part IV, Subpart ii, 1.D.16.a, and HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.16.b"M21-1MR, Part IV, Subpart ii, 1.D.16.b.submits insufficient information in response to the initial request for informationsend a 10-day follow-up letter explaining what information is missing, and why the information is needed.fails to respond to the follow-up letter within 10 days, or submits information in response to the follow-up letter that is still insufficient.refer the case to the JSRRC coordinator to make a formal finding that sufficient information required to corroborate the claimed stressor(s) does not exist. 16. Completion of a Formal Finding of a Lack of Information Required to Document the Claimed Stressor(s)  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on completing a formal finding of a lack of information required to document the claimed stressor(s), including action by the JSRRC coordinator requirements for a formal finding, and a sample of a formal finding. Change DateJune 6, 2011 PRIVATE INFOTYPE="PROCESS"  a. Action by the JSRRC CoordinatorThe JSRRC coordinator will make a formal finding regarding the lack of sufficient information in the claims folder to document the occurrence of the stressful event(s) and the Veterans involvement in it. To ensure that the information of record is insufficient, the JSRRC coordinator should review the claims folder to confirm the claimant was properly notified of the information required to document the stressor(s), and all relevant evidence, to include service records, has been considered in an attempt to confirm the occurrence of the stressful event. PRIVATE INFOTYPE="PRINCIPLE"  b. Requirements for a Formal FindingThe formal finding must be approved by the Veterans Service Center Manager (VSCM) or his/her designee should be on a separate page to be filed in the claims folder, and should note the actions taken to obtain the required information that all procedures have been properly followed that evidence of all efforts to obtain the records is in the claims folder that all efforts to obtain the needed information have been exhausted that further efforts would be futile, and that the information required to document the stressful event(s) is unavailable. Note: It is not necessary to contact the Veteran by telephone to advise him/her of the formal finding, or allow additional time to submit the needed information. Continued on next page  STYLEREF "Map Title" 16. Completion of a Formal Finding of a Lack of Information Required to Document the Claimed Stressor(s), Continued  PRIVATE INFOTYPE="STRUCTURE"  c. Sample of a Formal FindingA sample of a formal finding of a lack of information required to document the claimed stressor(s) is shown below: Department of Veterans Affairs Memorandum Date: From: RE: Private, John Q. CSS 999 99 9999 Subj: Formal finding of a lack of information required to corroborate stressor(s) associated with a claim for service connection for PTSD. To: File 1. We have determined that the information required to corroborate the stressful events described by the Veteran is insufficient to send to the U.S. Army and Joint Services Records Research Center (JSRRC) and/or insufficient to allow for meaningful research of Marine Corps or National Archives and Records Administration (NARA) records. 2. All procedures to obtain this information from the Veteran have been properly followed. Evidence of written and telephonic efforts to obtain this information is in the file. All efforts to obtain the needed information have been exhausted, and any further attempts would be futile. 3. The following efforts were made in order to obtain the information necessary to corroborate stressful events for the PTSD claim: 1. 2. 3. 4. 5. Signature and position of preparer: ________________________________ Signature of Veterans Service Center Manager or designee: ____________________________________________  17. Developing Claims for Service Connection for PTSD Based on Personal Trauma  PRIVATE INFOTYPE="OTHER"  IntroductionThis topic contains information on developing claims for service connection for PTSD based on personal trauma, including general information on personal trauma the evidence required to establish service connection the process for obtaining information from the Veteran DoDs reporting procedures following military sexual trauma (MST) incidents the action VA takes upon receipt of a claim based on MST the language to include in the section 5103 notice if the MST report is restricted the language to include in the section 5103 notice if the MST report is unrestricted developing with DoD in claims based on MST a sample development letter to DoD in claims based on MST a sample Response to Request for DD Form 2910 or Other Similar Form the letters to use to obtain information from the Veteran the process for obtaining service records in claims based on personal trauma the problems associated with development in claims based on personal trauma alternative sources for information in claims based on personal trauma the process for obtaining police reports in claims based on personal trauma, and contact information for DoD MST units. Change DateDecember 16, 2011Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="CONCEPT"  a. General Information on Personal TraumaPersonal trauma is an event of human design that threatens or inflicts harm, Veterans claiming service connection for disability due to in-service personal trauma face unique problems documenting their claims. These incidents are often violent and may lead to the development of PTSD. Examples: Rape, physical assault, domestic battering, robbery, mugging, stalking, and harassment. Note: Service connection for PTSD based on in-service personal trauma derives from the PTSD personal assault regulation,  HYPERLINK "http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKB/PART3/S3_304.DOC" 38 CFR 3.304(f)(5). Reference: For more information on processing claims for PTSD based on personal trauma, see the  HYPERLINK "http://vbaw.vba.va.gov/bl/21/rating/rat06h.htm" PTSD Personal Assault Information site on the Compensation Service Intranet. PRIVATE INFOTYPE="CONCEPT"  b. Evidence Required to Establish Service ConnectionTo establish service connection for PTSD, there must be credible evidence to support the Veterans assertion that the stressful event occurred. This does not mean that the evidence actually proves that the incident occurred, but that there is at least an approximate balance of positive and negative evidence that the event did occur. PRIVATE INFOTYPE="PRINCIPLE"  c. Obtaining Information From the VeteranIdentifying possible sources of evidence to support the claim may require asking the Veteran for information concerning the traumatic incident. Make this request as compassionately as possible in order to avoid causing further trauma. Although personal trauma is most often thought of as involving female Veterans, male Veterans may also be involved. Be sure requests for evidence/ information reflect the appropriate gender of the Veteran.Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="PROCESS"  d. DoDs Reporting Procedures Following MST IncidentsDoD offers two reporting options for military sexual trauma (MST), restricted and unrestricted. Restricted reporting allows a servicemember to file a report confidentially without initiating the investigative process. Following an MST incident, a servicemember may elect one of these reporting options by completing DD Form 2910, Victim Reporting Preference Statement. The servicemember may also elect an optional sexual assault forensic examination (SAFE), which is performed by a healthcare provider and is documented on DD Form 2911, Forensic Medical Report: Sexual Assault Examination. Notes: DoD may have used other forms prior to the issuance of DD Form 2910. For example, the Department of the Navy used the form NAVPERS 1752/1, Sexual Assault Incident Data Collection Report. In restricted reporting cases, DoD stores the evidence, including results from the SAFE, for one year following the date of the victims report of sexual assault. If the victim does not claim the evidence or elect an unrestricted report within one year, DoD destroys it.Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="PROCEDURE"  e. Action VA Takes Upon Receipt of Claim Based on MSTThe table below shows the action VA takes upon receipt of a claim based on MST. StepAction1The ROs Women Veterans Coordinator (WVC) contacts the Veteran via telephone to ask if he/she completed DD Form 2910, DD Form 2911, or a similar form following the incident. Note: If the WVC is unable to contact the Veteran by telephone on the first attempt, a second attempt is not necessary. Continue to develop for the evidence by letter using the restricted report paragraphs as shown in  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.f" M21-1MR, Part IV, Subpart ii, 1.D.17.f.2Did the Veteran state he/she completed one of the forms? If yes, go to Step 3. If no, follow the normal procedures for developing claims based on personal trauma shown in this topic.3Ask the Veteran for the following information: the name and location of the military base where the report was filed copies of the DD Form 2910, DD Form 2911, or other evidence, and whether the report was restricted or nonresricted. Notes: Inform the Veteran that he/she will receive a letter documenting this request for information. If the Veteran indicated that the report is unrestricted, develop for the DoD records immediately by sending the development letter shown in  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.h" M21-1MR, Part IV, Subpart ii, 1.D.17.h. 4Document the telephone contact on VA Form 21-8020, Report of General Information. Reference: For more information on documenting telephone contacts, see  HYPERLINK "imi-internal:M21-1MRI.1.C.6.e" M21-1MR, Part I, 1.C.6.e.Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  STYLEREF "Block Label" e. Action VA Takes Upon Receipt of Claim Based on MST (continued) StepAction5Send the claimant the section 5103 notice, to include normal personal trauma development, such as development for VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, and the additional paragraph shown in  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.f" M21-1MR, Part IV, Subpart ii, 1.D.17.f (restricted report), or  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.g" M21-1MR, Part IV, Subpart ii, 1.D.17.g (unrestricted report). Note: DD Form 2911 may be used in lieu of VA Form 21-0781a, as both forms contain the same information. Reference: For more information on using letters to obtain information in personal trauma claims, see  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.k" M21-1MR, Part IV, Subpart ii, 1.D.17.k.  PRIVATE INFOTYPE="PROCEDURE"  f. Language to Include in the Section 5103 Notice if MST Report Is RestrictedInclude the follow language in the section 5103 notice if the MST report is restricted: If you have completed DD Form 2910, Victim Report Preference Statement, or similar form, following the personal assault, please provide us with a copy. If you dont have the form, you may obtain a copy of the form by contacting the Sexual Assault Prevention and Response Office (SAPRO) at the military base where you filed your report. If you would like us to obtain the form on your behalf, please complete and return the enclosed VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs (VA). Be sure to reference DD Form 2910, or similar form, on VA Form 21-4142. Additionally, if you had a sexual assault forensic examination (SAFE) performed following the personal assault, please send us any copies of the examination that you have. If you would like us to obtain them for you, please indicate this on the VA Form 21-4142. If you are submitting copies of the SAFE, you do not need to complete VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault.Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="PROCEDURE"  g. Language to Include in the Section 5103 Notice if MST Report Is Unrestricted Include the follow language in the section 5103 notice if the MST report is unrestricted: We have requested the following records from the Department of Defense: DD Form 2910, Victim Report Preference Statement, or similar form, and/or sexual assault forensic examination (SAFE). If you have these records in your possession, please provide us with copies. If you dont have the records, you may obtain copies of them by contacting the Sexual Assault Prevention and Response Office (SAPRO) at the military base where you filed your report. PRIVATE INFOTYPE="PROCEDURE"  h. Developing With DoD in Claims Based on MSTInitiate development to DoD immediately when the Veteran indicates the MST report was unrestricted or upon receipt of VA Form 21-4142. Send the development letter shown in  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.i" M21-1MR, Part IV, Subpart ii, 1.D.17.i, to the Sexual Assault Prevention and Response Office (SAPRO) at the base on which the assault reportedly occurred. Reference: For contact information for MST units in each branch of service, see  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.g" M21-1MR. Part IV, Subpart ii, 1.D.17.p. If no response is received within 30 days, send a follow up letter to the appropriate base. Establish a 30-day control, notify the Veteran of the delay in obtaining the records, and ask the Veteran to submit any restricted or nonrestricted records that he/she has in his/her possession. If DoD indicates they cannot locate the documents, prepare a memorandum of unavailability per  HYPERLINK "imi-internal:M21-1MRIII.iii.2.I.59" M21-1MR, Part III, Subpart iii, 2.I.59.Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="STRUCTURE"  i. Sample Development Letter to DoD in Claims Based on MST Below is a sample development letter requesting evidence from DoD in claims based on MST. Reference: For a sample Response to Request for DD Form 2910 or Other Similar Form, see  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.j" M21-1MR, Part IV, Subpart ii, 1.D.17.j. Refer To: [File Number] [RO Unit Number] [Name] [Address] [Veterans Name] Dear [name]: [Veterans name] has applied for disability benefits from VA. The Veteran states that he/she reported a sexual assault at your facility. Please furnish copies of the following forms: DD Form 2910, Victim Report Preference Statement, or similar form, and DD Form 2911, Forensic Medical Report: Sexual Assault Examination, or similar form. We have enclosed VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs (VA), signed by the Veteran permitting you to release this information to VA. Please send these records within 30 days. Be sure to attach a copy of this letter with your response. If you do not have the records, please advise us of that fact. For your convenience, we have included a response sheet at the end of this letter. If you have any questions, you may call us at 1-800-827-1000. If you call, please have this letter available. Sincerely yours, Veterans Service Center Manager Enclosures: Response to Request for DD Form 2910 or Other Similar Form VA Form 21-4142, Authorization for Release of InformationContinued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="STRUCTURE"  j. Sample Response to Request for DD Form 2910 or Other Similar FormBelow is a sample Response to Request for DD Form 2910 or Other Similar Form. Note: Enclose this form with the sample development letter shown in  HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.i" M21-1MR, Part IV, Subpart ii, 1.D.17.i. Response to Request for DD Form 2910 or Other Similar Form [ ] We have enclosed the following forms: [ ] DD Form 2910 [ ] DD Form 2911 [ ] Other Similar Form: ______________________________ [ ] Other Evidence: _____________________________ [ ] The Veteran filed a report; however, the documents were destroyed. The following information is provided to you: Date Veteran Filed Report: ________________________ Date Report was Destroyed: _______________________ Type of Report: Restricted Unrestricted [ ] We have no record that the Veteran filed a report. Signature: _____________________________ Date: _______________ Name: ____________________________ Title: ___________________ Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="PROCEDURE"  k. Letters to Use to Obtain Information From the Veteran in Claims Based on Personal Trauma When writing a letter to obtain information from the Veteran regarding a PTSD claim based on personal trauma, use MAP-D and select the appropriate personal trauma special issue on the contentions screen Military Sexual Trauma (MST) (claims for any conditions, mental or physical (including PTSD), resulting from MST) PTSD Personal Trauma (claims for PTSD resulting from a non-sexual personal trauma), or Non-PTSD Personal Trauma (claims for any condition, mental or physical (other than PTSD), resulting from a non-sexual personal trauma). Enclose VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Trauma, to solicit details of the claim. Important: Letters used by ROs to solicit details concerning a combat stressful incident are inappropriate for PTSD claims based on personal trauma. PRIVATE INFOTYPE="PROCEDURE"  l. Obtaining Service Records in Claims Based on Personal TraumaReview the claim and all attached documents. Request STRs and the entire personnel folder from the appropriate records custodian, if necessary. Note: Veterans Service Representatives (VSRs) must work closely with Rating Veterans Service Representatives (RVSRs) when developing personal trauma cases. PRIVATE INFOTYPE="PRINCIPLE"  m. Problems Associated With Development in Claims Based on Personal TraumaBecause a personal trauma is an extremely personal and sensitive issue many incidents of personal trauma are not officially reported, and the victims of this type of in-service trauma may find it difficult to produce evidence to support the occurrence of the stressor. It is often necessary to seek alternative evidence. Reference: For information on alternative sources for information, see HYPERLINK "imi-internal:M21-1MRIV.ii.1.D.17.n"M21-1MR, Part IV, Subpart ii, 1.D.17.n.Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="PRINCIPLE"  n. Alternative Sources for Information in Claims Based on Personal TraumaService records not normally requested may be needed to develop claims for service connection for PTSD based on personal trauma, including MST. Responses to a request for information may identify alternative sources for information, such as rape crisis center or center for domestic abuse counseling facility health clinic family members or roommates faculty members civilian police reports medical reports from civilian physicians or caregivers who may have treated the Veteran either immediately following the incident, or sometime later chaplain or clergy fellow service persons, or personal diaries or journals. PRIVATE INFOTYPE="PROCEDURE"  o. Obtaining Police Reports in Claims Based on Personal TraumaObtain reports, as appropriate, from military police shore patrol a provost marshals office, or other military law enforcement offices. Note: Requests may be submitted via phone, fax, e-mail, or written correspondence, as long as the request is properly documented in the claims folder.Continued on next page  STYLEREF "Map Title" 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued  PRIVATE INFOTYPE="PROCEDURE"  p. Contact Information for DoD MST Units Use the following links to obtain information from MST units at each branch of service. Note: The website address for the Department of Defense Sexual Assault Prevention and Response Office (SAPRO) is  HYPERLINK "http://www.sapr.mil" http://www.sapr.mil. Branch of ServiceNames and Website Addresses of MST UnitsArmyArmy Sexual Assault Prevention and Response Program  HYPERLINK "http://www.sexualassault.army.mil/what_to_do.cfm" http://www.sexualassault.army.mil/what_to_do.cfm Note: Click on the SARC Roster link for contact information.Air ForceAir Force Sexual Assault Response Coordinator  HYPERLINK "http://www.afpc.randolph.af.mil/library/sapr/sarccontacts.asp" http://www.afpc.randolph.af.mil/library/sapr/sarccontacts.aspNavyNavy Sexual Assault Victim Intervention Program (SAVI)  HYPERLINK "https://www.nffsp.org/skins/nffsp/home.aspx" https://www.nffsp.org/skins/nffsp/home.aspx Note: Click on the FFSC Locations link for contact information.Marine CorpsMarine Corps Sexual Assault Prevention Program  HYPERLINK "http://www.usmc-mccs.org/military/index.cfm" http://www.usmc-mccs.org/military/index.cfm Note: Click on the Sexual Assault Prevention link for contact information.Coast GuardCoast Guard Sexual Assault Prevention and Response 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