In This Section |
This section contains the following topics:
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1. General Information on Forfeiture of Benefits
Introduction |
This topic contains general information on forfeiture of benefits, including information on |
Change Date |
February 27, 2023 |
X.iv.3.B.1.a. 38 U.S.C. Forfeiture Provisions |
38 U.S.C. 6105 provides for forfeiture of gratuitous Department of Veterans Affairs (VA) benefits upon conviction of “subversive activities” – offenses defined by specific statutory sections in the Uniform Code of Military Justice (UCMJ) in 10 U.S.C., as well as specific offenses in 18 U.S.C., 42 U.S.C., and 50 U.S.C. When there is forfeiture under 38 U.S.C. 6105, the person has no right (“on and after the date of commission of [the] offense”) to gratuitous benefits based on service commencing before the date of commission of the offense. 38 U.S.C. 6103 provides for forfeiture for fraud. An individual who commits fraud in connection with any claim for benefits, subject to the applicability provisions in 38 U.S.C. 6103(d)(1), forfeits “all rights, claims and benefits” under laws administered by VA other than those relating to insurance. 38 U.S.C. 6104 provides for forfeiture for mutiny, treason, sabotage or rendering assistance to an enemy of the United States or its allies, subject to the applicability provisions in 38 U.S.C. 6103(d)(1). When any of those offenses is shown by satisfactory evidence, the individual forfeits “all accrued or future gratuitous benefits.” Reference: For more information on statutory offenses constituting subversive activities, see M21-1, Part X, Subpart iv, 3.B.3.a. |
X.iv.3.B.1.b. 38 CFR Forfeiture Provisions |
Forfeiture is addressed in 38 CFR 3.669 and 38 CFR 3.900 – 3.905. 38 CFR 3.669 provides for suspension of benefits, resumption of benefits where forfeiture is not declared, effective dates of forfeiture, and the effect of a presidential pardon. 38 CFR 3.900 contains general principles on forfeiture, including applicability of the other forfeiture regulations. 38 CFR 3.901 defines fraud, discusses forfeiture for fraud – before, and as of, September 2, 1959, and provides for remission of certain forfeitures imposed prior to September 2, 1959. 38 CFR 3.902 defines treasonable acts as the offenses specified in 38 U.S.C. 6104 (mutiny, treason, sabotage or rendering assistance to an enemy of the United States or its allies) and discusses forfeiture by reason of treasonable acts before, and as of, September 2, 1959. 38 CFR 3.903 defines subversive activities as any offense for which punishment is prescribe in specified statutory provisions. It discusses forfeiture based on conviction of subversive activities, the effective date of the regulation, how VA is notified of a qualifying indictment or conviction, and restoration of rights to benefits with a presidential pardon. 38 CFR 3.904 addresses forfeiture based on fraud, treasonable acts or subversive activities after the Veteran’s death. 38 CFR 3.905 covers jurisdiction, roles, procedures, finality, due process, and offset of any remission of forfeiture. |
X.iv.3.B.1.c. Forfeiture for Subversive Activities Compared to Forfeiture for Treasonable Acts |
Comparing forfeiture under 38 U.S.C. 6104 and 38 U.S.C. 6105, the grounds for forfeiture overlap but, as discussed in M21-1, Part X, Subpart iv, 3.B.2 and 3, the evidentiary standard, and procedure, for forfeiture under each standard is different.
This is because when 38 U.S.C. 6105 (then 38 U.S.C. 3505) became law, effective September 2, 1959, it redefined the standard for forfeiture. Congress retained 38 U.S.C. 6104 (then 38 U.S.C. 3504) but limited its applicability.
Most cases of forfeiture today will fall under 38 U.S.C. 6105.
Forfeiture of benefits under 38 U.S.C. 6104 (for what 38 CFR 3.902 calls treasonable acts) can only be declared after September 1, 1959, when
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X.iv.3.B.1.d. Corporate Flash for Forfeiture Cases |
Always apply the corporate flash Forfeiture Case as soon as VA receives
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X.iv.3.B.1.e. Jurisdiction Over Forfeiture Determinations |
The St. Paul Restricted Access Claim Center (RACC) has exclusive jurisdiction over forfeiture processing. Important: The Manila Regional Office has exclusive jurisdiction over certain claims based on service in the Republic of the Philippines as stated in M21-1, Part X, Subpart i, 4.A.1.a, and M21-1, Part II, Subpart ii, 3, and 38 U.S.C. 6103(d)(2), 38 U.S.C. 6104(d)(2), 38 CFR 3.901(d)(3), and 38 CFR 3.902(d)(3) provide for forfeiture for fraud or treasonable acts committed in the Republic of the Philippines. However, all forfeiture referrals – even those involving foreign residency or domicile, and fraudulent or treasonable acts in the Republic of the Philippines should be worked by the St. Paul RACC. |
2. Handling Forfeiture of Benefits for Fraud or Treasonable Acts
Introduction |
This topic contains information on handling forfeiture of benefits for fraud or treasonable acts, including |
Change Date |
February 27, 2023 |
X.iv.3.B.2.a. Evidence of Fraud or Treasonable Acts Precipitating the Forfeiture Process |
Cases implicating forfeiture for fraud or treasonable acts could, but will not necessarily, involve a criminal indictment, or VA’s Office of General Counsel or District Counsel referral making clear that forfeiture must be considered. Claims processors must recognize fact patterns necessitating forfeiture under this topic.
Examples:
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X.iv.3.B.2.b. Process for Forfeiture of Benefits Based on Fraud or Treasonable Acts |
The table below describes the stages in the process for handling forfeiture of benefits when VA receives evidence of qualifying fraud or treasonable acts.
References: For more information on
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X.iv.3.B.2.c. Submitting Cases of Forfeiture Based on Fraud or Treasonable Acts to Compensation Service or P&F Service |
The table below describes the process for submitting cases of forfeiture of benefits based on fraud or treasonable acts to Compensation Service or P&F Service for consideration.
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3. Handling Forfeiture of Benefits for Subversive Activities
Introduction |
This topic describes the processes for handling forfeiture of benefits for subversive activities including |
Change Date |
February 27, 2023 |
X.iv.3.B.3.a. Definition: Subversive Activities |
Subversive activities means any offense for which punishment is prescribed in any of the statutory sections (including UCMJ articles) specified in 38 CFR 3.903.
Examples:
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X.iv.3.B.3.b. VA Notification of Subversive Activities |
The Attorney General, Secretary of the Defense, or Secretary of the Treasury will notify VA whenever a person is indicted or convicted of a subversive activity under any of the statutes listed in 38 CFR 3.903. |
X.iv.3.B.3.c. Handling Forfeiture of Benefits Based on Subversive Activity Under 38 CFR 3.903 |
The table below describes the process handling cases involving forfeiture of benefits based on subversive activity under 38 CFR 3.903.
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4. Additional Matters Related to Forfeiture of Benefits
Introduction |
This topic discusses additional matters related to forfeiture of benefits, including |
Change Date |
February 27, 2023 |
X.iv.3.B.4.a. Entitlement to Benefits Based on Subsequent Service |
Forfeiture of benefits based on one period of service does not affect entitlement to benefits based on a period of service beginning after the offense causing the forfeiture. Important: Process a claim of this type based on the nonforfeiture period of service only. Reference: For information on forfeiture of benefits based on one period of service, see 38 CFR 3.900(a). |
X.iv.3.B.4.b. Resuming Payments |
Resume payments effective the date in the LAST PAID DATE field on the AWARD INFORMATION tab in Share under 38 CFR 3.669, if the payment of benefits is otherwise in order and
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X.iv.3.B.4.c. Presidential Pardon Petitions |
Individuals whose benefits have been forfeited may apply through the Department of Justice for a pardon from the President of the United States.
Important: The effective date of any resumed benefits based on a presidential pardon (after discontinuation based on forfeiture) is the date of the pardon.
Reference: For more information on the resumption of benefits based on a presidential pardon, see
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X.iv.3.B.4.e. Handling Disagreements With Forfeiture Decisions |
When a legacy notice of disagreement (NOD) or decision review request regarding a forfeiture decision is timely filed, forward the following to Compensation Service or P&F Service:
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M21-1 Table of Contents
Linked Table of Content (Click to Open)Part 01 (Part I) – Claimants Rights and Claims Processing Centers and Programs
Subpart i – Claimants’ Rights and Responsibilities
Section A – Description and General Information on Duty to Notify and Duty to Assist
Section B – General Information on Due Process
Chapter 02 – Power of Attorney
Section A – General Information on Power of Attorney (POA)
Section B – A Representative’s Right to Notification and Review of Records
Section C – System Updates for Power of Attorney (POA) Appointments
Chapter 03 – Other Information Disclosures
Subpart ii – Claims Processing Centers and Programs
Part 02 (Part II) – Intake, Claims Establishment, Jurisdiction, and File Maintenance
Subpart i – Receiving and Screening Mail
Chapter 01 – Receiving Mail via Centralized Mail (CM)
Section A – Centralized Mail (CM) Intake
Section B – Veterans Claims Intake Program (VCIP) Shipping
Section A – Process Overview for Screening Mail
Section B – Recording the Date of Receipt and Handling Signatures and Outdated Forms
Section C – System Updates for Power of Attorney (POA) Appointments
Section D – Handling Specific Types of Mail
Subpart ii – Claims Folder Establishment, Maintenance, Jurisdiction, and Transfer
Chapter 01 – Claims Folder Establishment
Section A – Establishing New and Converting Old Claims Folders
Section B – Lost Paper Claims Folders and Reconciliation of Duplicate Records
Chapter 02 – Claims Folder Maintenance
Section A – Folder Maintenance
Section B – Restricted Records Storage and Control
Section C – Locked Files Folder Maintenance
Chapter 03 – Claims Jurisdiction and Transfer
Subpart iii – Application Review and Claims Establishment
Chapter 01 – Screening Applications for Benefits
Section A – Applications for Benefits
Section B – Screening Applications for Benefit Eligibility
Section C – Screening Applications for Substantial Completeness and Notification Requirements
Chapter 02 – Types of Claims and Claims Actions
Section A – Intent to File (ITF)
Section B – Supplemental Claims
Section C – Claims for Increase
Section D – Claims Based on Reports of Examination or Hospitalization
Section E – Incorrectly Established Claims
Section F – Withdrawal of Initial Claims
Section G – Requests for Application and Claims Solicitation
Chapter 03 – Claims Establishment and Other System Updates Made at Intake
Section A – Claims Establishment
Section B – System Updates at Intake
Chapter 04 – Claims Screening and Establishment From Claims Submission Service Websites
Section B – Stakeholder Enterprise Portal (SEP) Claims
Part 03 (Part III) – The Development Process
Subpart i – Verification of Service and Claims Development
Chapter 01 – Establishing Veteran Status and Verifying Service
Section A – Establishing Veteran Status
Section B – Service Requirements and Verification of Eligibility
Section C – Civilian Groups Approved for Veteran Status
Chapter 02 – Claims Development
Section A – Development Duties and Responsibilities
Section B – Duty to Notify Under 38 U.S.C. 5103
Section C – Duty to Assist With Obtaining Records
Section D – Evidence Requested From the Claimant
Section E – Relevance Determinations
Section F – Record Maintenance During the Development Process
Subpart ii – Requesting Records
Section A – Requesting Evidence From Federal Record Custodians
Section C – Information Requests to Other Federal Agencies
Section A – General Information on Service Records
Section B – Procedures for Obtaining Service Treatment Records (STRs)
Section C – Clinical Records and Personnel Records
Section D – Control and Follow-Up of Requests for Service Records
Section H – Service Department Organizational Structures and Service Number Assignments
Chapter 03 – Private Health Provider (PHP) Records
Chapter 3 – Requesting Evidence From Private Health Providers (PHPs)
Part 04 (Part IV) – Examinations
Subpart i – Examination Requests in Support of Claims
Chapter 01 – Satisfying the Duty to Assist with Examination and Opinion Requests
Section A – Duty to Assist With Providing a Medical Examination or Opinion
Section B – Evidentiary Standards for Finding an Examination or Opinion Necessary
Chapter 02 – Requesting Examinations
Section A – Examination Requests Overview
Section B – Scheduling Examinations
Section C – Control of Examinations
Section D – Medical Examination Coordinators
Section E – Examinations in Special Situations
Section F – Failure to Report and Rescheduling Examinations
Chapter 03 – Sufficiency of Examinations
Section A – General Criteria for Sufficiency of Examination Reports
Section B – Examination Sufficiency for Specific Disabilities
Section C – Insufficient Examinations
Part 05 (Part V) – The Rating Process
Subpart i – Preparation of Claims for the Rating Activity
Chapter 01 – Preparation of Claims for the Rating Activity
Section A – General Information on the Rating Activity
Section B – Referrals to the Rating Activity
Section C – Pre-Rating Review of Claims by the Rating Activity
Chapter 01 – Review of Evidence
Section A – Principles of Reviewing and Weighing Evidence
Section B – Reviewing Testimony and Lay Evidence
Chapter 02 – Determining Service Connection (SC)
Section A – Direct Service Connection (SC) and Service Incurrence of an Injury
Section B – Presumptive Service Connection (SC)
Section C – In-Service Aggravation of a Pre-Service Disability
Section E – Service Connection (SC) for Congenital, Developmental, or Hereditary Disorders
Chapter 03 – Decision Making Principles
Section A – Determining the Issues
Section B – Making Partial Rating Decisions
Section C – Reviewing Diagnoses
Section D – Evaluating Disabilities
Section B – Historical Guidance on the Assignment of Effective Dates
Subpart iii – Applying the Department of Veterans Affairs (VA) Schedule for Rating Disabilities
Chapter 01 – Musculoskeletal Disabilities and Muscle Injuries
Section A – Painful Motion and Functional Loss
Section B – Musculoskeletal Disabilities of the Extremities and Spine
Section F – Other Musculoskeletal Considerations
Chapter 02 – Organs of Special Sense
Section A – Conditions of the Eyes
Section B – Conditions of the Auditory System
Chapter 03 – Infectious Diseases, Immune Disorders, and Nutritional Deficiencies
Chapter 04 – Respiratory Conditions
Section A – Respiratory Conditions
Chapter 05 – Cardiovascular System Conditions
Chapter 06 – Digestive Conditions
Chapter 6 – Digestive Disabilities
Chapter 07 – Genitourinary Disabilities
Chapter 08 – Disabilities of the Gynecological System and Breast
Section A – Disabilities of the Gynecological System
Section B – Disabilities of the Breast
Chapter 09 – Hematologic and Lymphatic Systems
Chapter 11 – Endocrine Conditions
Chapter 12 – Neurological Conditions and Convulsive Disorders
Section A – Neurological Conditions and Convulsive Disorders
Section B – Traumatic Brain Injury (TBI)
Section C – Progressive Neurological Disorders
Chapter 14 – Dental and Oral Conditions
Subpart iv – Completing Rating Decisions
Chapter 01 – Generating the Rating Document
Section A – Completing the Rating Decision Narrative
Section D – Finalizing the Rating Decision
Section E – Reviewing the Rating Decision
Part 06 (Part VI) – The Authorization Process
Subpart i – General Authorization and Claimant Notification
Chapter 01 – General Authorization and Claimant Notification
Section A – Decision Authorization
Chapter 02 – Audits and Correction of Erroneous Payments
Section A – Requests for Financial Audits
Section B – Correcting the Erroneous Payment of Benefits to a Beneficiary
Subpart ii – Adjustment of Benefits Due to Receipt of Other Benefits
Chapter 01 – General Information on Elections
Section A – General Information on Elections
Section B – Miscellaneous Election Issues
Chapter 2 – Recoupment of Separation Benefits
Chapter 03 – Drill Pay and Active Service Pay
Section B – Withholding and Restoration of Benefits Associated With Receipt of Drill Pay
Section C – Examples of Award Adjustments Necessitated by a Veteran’s Election of Drill Pay
Chapter 04 – Military Retired Pay (MRP)
Section A – Elections and Waivers in Military Retired Pay (MRP) Cases
Section B – Preparing and Adjusting Awards in Military Retired Pay (MRP) Cases
Section E – Processing Audit Error Worksheets (AEWs)
Chapter 05 – Federal Employees’ Compensation (FEC)
Subpart iii – Reduction or Discontinuation of Benefits in Special Circumstances
Section A – Effects of an Individual’s Incarceration on Department of Veterans Affairs (VA) Benefits
Section B – Paying Benefits to the Dependent(s) of an Incarcerated Veteran
Section C – Incarceration of Dependents and Certain Survivors
Chapter 02 – Processing Awards Involving Indebtedness
Section A – Simultaneous Award Adjustments
Section B – The Finance Activity at the Regional Office (RO)
Section C – Debt Disputes and Collection
Section A – General Information on Contested Claims
Section B – Contested Claims Development
Section C – Authorizing and Notifying Claimants of a Decision on a Contested Claim
Chapter 04 – Disappearance and Reappearance of a Veteran
Chapter 05 – Awards to Veterans in the Armed Forces Retirement Home or St. Elizabeth’s Hospital
Part 07 (Part VII) – Dependency
Subpart i – Relationship and Dependency
Chapter 01 – General Information on Relationship, Dependency, and Dependency Claims Processing
Section A – General Information on Relationship and Dependency
Section B – Verification of Marital Status and the Status of Dependents
Section C – Adjusting Awards for Dependents
Section D – Dependency Claims Processed by the Rules-Based Processing System (RBPS)
Section A – Establishing the Validity of a Marriage for Department of Veterans Affairs (VA) Purposes
Section B – Establishing Common Law Marriages
Section C – Establishing Other Types of Marriages
Section D – Establishing Marital Relationship in Survivors Cases
Section E – Remarriage of a Surviving Spouse
Section A – Establishing a Child’s Age and Relationship
Section B – Biological Children, Adopted Children, and Stepchildren
Section C – Marriage of a Child
Section D – Children With Two Veteran-Parents
Chapter 04 – Parental Relationships and Dependency
Section A – Establishing Parental Relationship
Section B – Establishing Parental Dependency
Subpart ii – School Attendance
Chapter 01 – School Attendance
Section A – Benefit Entitlement for School Children
Section B – Awards and Adjustments Based Upon School Attendance
Subpart iii – Apportionment of Benefits
Chapter 01 – Apportionment of Benefits
Section A – Apportionment Process
Section B – Adjusting Apportioned Awards
Part 08 (Part VIII) – Special Compensation Issues
Chapter 01 – Claims Based on Exposure to Herbicides
Section A – Developing Claims for Service Connection (SC) Based on Herbicide Exposure
Section B – Ratings for Disabilities Associated with Herbicide Exposure
Chapter 02 – Entitlement to Benefits Under the Nehmer Court Order
Section A – Developing Claims Under the Nehmer Stipulation
Section B – Determining Eligibility to Retroactive Payment Under the Nehmer Stipulation
Section C – Authorization Under the Nehmer Stipulation
Chapter 03 – Chapter 18 Benefits for Children with Spina Bifida or Covered Birth Defects
Section A – General Chapter 18 Benefits Information
Section C – Eligibility and Development
Section E – Authorization Issues
Subpart ii – Special Issues Associated with Service During the Gulf War (GW)
Chapter 01 – Presumptive Service Connection (SC) for Persian Gulf Veterans and Infectious Diseases
Section A – General Information on Presumptive Service Connection (SC) for Persian Gulf Veterans
Section B – Developing Presumptive Service Connection (SC) Claims from Persian Gulf Veterans
Section C – Rating Presumptive Service Connection (SC) Claims for Persian Gulf Veterans
Section D – Presumptive Service Connection (SC) for Infectious Disease Under 38 CFR 3.317
Chapter 02 – Service Connection (SC) Based on Fine Particulate Matter Exposure
Section A – General Information on Claims Based on Fine Particulate Matter Exposure
Section B – Developing Claims Based On Fine Particulate Matter Exposure
Section C – Rating Claims Based on Fine Particulate Matter Exposure
Subpart iii – Other Exposure-Based Claims
Chapter 01 – Tropical Diseases – 38 CFR 3.309(b)
Section A – Developing Claims for Service Connection (SC) for Positive Tuberculin Reactions
Section B – Awards for Graduated Tuberculosis (TB)
Chapter 03 – Mustard Gas – 38 CFR 3.316
Section B – Rating Claims for Disabilities Associated With Mustard Gas or Lewisite Exposure
Chapter 04 – Radiation – 38 CFR 3.309(d) and 38 CFR 3.311
Section C – Rating Claims for Disabilities Associated With Radiation Exposure
Chapter 05 – Chemical Biological Radiological Nuclear and Explosives (CBRNE) Testing
Chapter 06 – Project Shipboard Hazard and Defense (SHAD)
Section A – Developing Claims Based on Participation in Project Shipboard Hazard and Defense (SHAD)
Section B – Rating Claims Based on Participation in Project Shipboard Hazard and Defense (SHAD)
Section A – General Information on Claims Based on Exposure to Asbestos
Section B – Development and Examination Requests for Claims Based on Exposure to Asbestos
Section C – Evaluating Evidence of Asbestos Exposure
Section D – Rating Claims Based on Exposure to Asbestos
Chapter 08 – Contaminants in the Water Supply at Camp Lejeune – 38 CFR 3.309(f)
Section A – Developing Claims Based on Exposure to Contaminants in the Water Supply at Camp Lejeune
Section B – Rating Claims Based on Exposure to Contaminants in the Water Supply at Camp Lejeune
Chapter 09 – Exposure to Other Specific Environmental or Military Occupational Hazards
Chapter 10 – Presumptive Service Connection (SC) for Coronavirus Disease (COVID-19)
Subpart iv – Other Special Compensation Issues
Chapter 01 – Posttraumatic Stress Disorder (PTSD)
Section A – General Information and Development for Posttraumatic Stress Disorder (PTSD) Claims
Section C – Examinations and Medical Opinions for Posttraumatic Stress Disorder (PTSD) Claims
Section D – Evidence Evaluation and Decisions for Posttraumatic Stress Disorder (PTSD) Claims
Chapter 02 – Former Prisoner of War (FPOW)
Section A – Former Prisoner of War (FPOW) Status
Section B – Former Prisoner of War (FPOW) Service Records
Section D – Rating Claims Based on Former Prisoner of War (FPOW) Status
Chapter 03 – Individual Unemployability (IU)
Section A – General Information on Individual Unemployability (IU) Claims
Section B – Individual Unemployability (IU) Claims Development
Section C – Individual Unemployability (IU) Rating and Decision Review
Section D – Monitoring Income for Veterans in Receipt of Individual Unemployability (IU)
Chapter 04 – Special Monthly Compensation (SMC)
Section A – Special Monthly Compensation (SMC)
Section B – History of Special Monthly Compensation (SMC)
Chapter 5 – Service Connection (SC) for Chronic Diseases
Chapter 06 – Compensation Under 38 U.S.C. 1151
Section A – Developing Claims Filed Under 38 U.S.C. 1151
Section B – Rating Claims Filed Under 38 U.S.C. 1151
Section C – Authorization of Awards Under 38 U.S.C. 1151
Chapter 07 – Paired Organs or Extremities – 38 CFR 3.383
Section A – Compensation for Paired Organs or Extremities Under 38 CFR 3.383
Section B – Awards and Offsets for Paired Organs and Extremities Under 38 CFR 3.383
Chapter 08 – Temporary Total Evaluations Provided Under 38 CFR Part 4
Section A – Prestabilization Ratings Under 38 CFR 4.28
Section B – Hospitalization Ratings Under 38 CFR 4.29
Section C – Convalescent Ratings Under 38 CFR 4.30
Section D – Other Temporary Total Evaluations
Chapter 09 – Special Issues Associated with Specific Circumstances in Service
Section A – Claims Based on Participation in Special Operations Incidents
Section B – Diving-Related Disabilities
Part 09 (Part IX) – Pension, Survivors’ Pension, and Parents’ Dependency and Indemnity Compensation (DIC)
Subpart i – Eligibility and Development
Chapter 01 – Pension and Parent’s Dependency and Indemnity Compensation (DIC) Eligibility
Chapter 02 – Original Disability Pension Claims Development
Chapter 03 – Income and Net Worth Development
Section A – General Information on Income and Net Worth Development
Section B – Income and Net Worth Development Forms and Acceptable Statements
Section C – Pension Income Development
Section D – Reduction of Income Due to Unreimbursed Expenses
Subpart ii – Special Monthly Pension (SMP) and Rating
Chapter 01 – Aid and Attendance (A&A) and Housebound Eligibility
Chapter 02 – Pension and Special Monthly Pension (SMP) Rating
Section A – Requirements for Veterans Pension Ratings
Section B – Determining Disability, Unemployability, and Marginal Employment for Pension
Section C – Special Monthly Pension (SMP) Ratings
Chapter 01 – Authorization Issues
Section B – Social Security Administration (SSA) Benefits Program
Section C – Section 306 Pension and Old-Law Pension
Section D – Parents’ Dependency and Indemnity Compensation (DIC) Authorization
Section E – Pension – Basic Rate Determinations
Section F – Dependents for Current-Law Pension Purposes
Section H – Adjustments Based on Changes in Status
Section I – Counting Specific Types of Income
Section J – Net Worth, Asset Transfers, and Penalty Periods
Section K – Other Deductible Expenses
Chapter 02 – Adjustments and Elections
Section A – Pension Reductions for Medicaid-Covered Nursing Facility Care
Section B – Pension Adjustments in Unusual Situations
Section C – Elections Between Pension Programs
Part 10 (Part X) – Benefits Administration and Oversight
Subpart i – Priority Processing and Other Special Mission Claims
Chapter 01 – Priority Processing Programs
Chapter 1 – Priority Processing Programs and Special Requirements
Chapter 02 – Fully Developed Claims (FDCs)
Section A – General Information About the Fully Developed Claim (FDC) Program
Section B – Processing Fully Developed Claims (FDCs)
Section A – Jurisdiction for Special Act and Foreign Residency Claims
Chapter 04 – Philippine Claims
Section A – General Information on Philippine Cases
Section B – Eligibility for Benefits Based on Philippines Service
Section C – Development of Philippine Claims
Section D – Awards and Payments for Benefits Due to Philippine Service
Chapter 05 – Claims Based on Merchant Marine Service
Section A – Establishing Veteran Status Based on Merchant Marine Service
Section B – Obtaining Merchant Marine Service Records
Chapter 06 – Pre-Discharge Claims
Section A – Introduction to Pre-Discharge Claims
Section B – Benefits Delivery at Discharge (BDD) and Initial Processing
Section E – Integrated Disability Evaluation System (IDES), Referrals, and Initial Processing
Section F – Integrated Disability Evaluation System (IDES) Development and Examinations
Section H – Integrated Disability Evaluation System (IDES) Proposed Ratings
Section J – Integrated Disability Evaluation System (IDES) Final Ratings
Section K – Special Situations Related to Integrated Disability Evaluation System (IDES)
Subpart ii – Changes in Benefit and Competency Status
Chapter 01 – Finality and Protection
Section A – Finality of Decisions
Chapter 02 – Revision Based on New Evidence
Section A – Revision Based on Specific Types of Submissions, Including Supplemental Claims
Section B – Revision Based on Receipt of Supplemental Service Records
Chapter 03 – Applicability of Due Process
Section A – Notice of Proposed Adverse Action
Section B – Adverse Action Proposal Period
Section C – Contemporaneous Notice
Section D – Completing Proposed Rating Decisions
Section A – Rating Decisions for Reduction Due to Improvement
Section B – Authorization for Reductions in Disability Evaluations Under 38 CFR 3.105(e)
Chapter 05 – Clear and Unmistakable Error (CUE) and Severance
Section A – Revision Due to Clear and Unmistakable Error (CUE)
Section B – Severance of Service Connection (SC)
Section C – Due Process and Authorization Issues for Clear and Unmistakable Error (CUE)
Section A – Evaluating and Rating Competency
Section B – A Child’s Permanent Incapacity for Self-Support
Section C – General Information on Incompetency and Fiduciary Cases
Section D – Processing Awards to Incompetent Beneficiaries
Section E – Authorizing Awards for Fiduciary Cases
Section F – Awards Specific to Institutionalized, Incompetent Veterans
Section G – Competency Determinations for the Insurance Center (IC)
Section H – Historical Information on Estate Limitations
Subpart iii – Hospital Adjustments
Chapter 01 – Hospital Adjustments
Section C – Adjusting Awards Involving an Aid and Attendance (A&A) Allowance
Section D – Adjusting Pension Under 38 CFR 3.551 and 3.556
Subpart iv – Adverse Circumstances Affecting Benefit Entitlement
Section A – Character of Discharge (COD) and Bars to Benefits
Section B – Special Topics Involving Character of Discharge
Section C – Willful Misconduct and Line of Duty (LOD)
Section D – Disability or Death from Use of Alcohol, Drugs, or Tobacco Products
Section E – Processing Cases Involving Common Accidents in Service
Chapter 02 – Determinations Involving Insanity or Homicide
Section A – Insanity Determinations
Section B – Considering Eligibility When Homicide Is Involved
Chapter 03 – Fraud and Forfeiture
Section A – Fraud and Laboratory Analysis of Evidence
Section B – Forfeiture of Benefits
Subpart v – Other Administrative Processes
Chapter 01 – Administrative Processes for Evidence Gathering and Decision Making
Section A – Compensation Service and Pension and Fiduciary (P&F) Service Guidance
Section C – Administrative Decisions
Section D – Regional Office (RO) Hearings
Section E – Requests for Field Examinations
Chapter 02 – Administrative Processes for Adjusting Benefits
Section A – Evaluating a Pending Claim When a Veteran Returns to Active Duty
Section B – Award Adjustments Necessitated by a Veteran’s Return to and Discharge From Active Duty
Section C – Cost-of-Living Adjustment (COLA)
Part 11 (Part XI) – Notice of Death, Benefits Payable at Death, and Burial Benefits
Subpart i – First Notice of Death (FNOD) Processing and Cause of Death Determinations
Chapter 01 – First Notice of Death (FNOD) Processing
Section A – General Policies for Veteran First Notice of Death (FNOD) Processing
Section B – System Information for Veteran Notice of Death (NOD) and Month of Death (MOD) Processing
Section C – Errors During Notice of Death (NOD) Processing
Section D – General Procedures for Non-Veteran Beneficiary Notice of Death (NOD) Processing
Chapter 02 – Cause of Death Determinations
Section A – Reports of Casualty
Section B – Finding of Fact and Date of Death
Section C – Presumption of Death
Subpart ii – Benefits Payable at the Time of Death
Chapter 01 – Referral for Consideration of Survivor’s Benefits
Chapter 03 – Accrued and Substitution
Section A – Entitlement to Accrued Benefits Under 38 U.S.C. 5121
Section B – Substitution in Case of Death of Claimant
Section C – Development for Accrued and Requests for Substitution
Section D – Rating Accrued Claims
Section E – Accrued Authorization and Notification
Chapter 4 – Issuing Death Gratuity Certificates to Service Departments
Section A – General Information on Burial Benefits and Allowances
Section C – Burial Authorization Payment Issues
Part 12 (Part XII) – Dependency and Indemnity Compensation (DIC) and Other Survivor’s Benefits (Excluding Survivor’s Pension)
Subpart i – Dependency and Indemnity Compensation (DIC)
Chapter 01 – Dependency and Indemnity Compensation (DIC) Eligibility and Development
Section A – Overview of Dependency and Indemnity Compensation (DIC)
Section B – Common Dependency and Indemnity Compensation (DIC) Processing Issues
Chapter 02 – Dependency and Indemnity Compensation (DIC) Ratings
Section A – Ratings for Dependency and Indemnity Compensation (DIC)
Section B – Aid and Attendance (A&A) and Housebound Determinations for Survivors
Chapter 03 – Dependency and Indemnity Compensation (DIC) Authorization
Section A – Dependency and Indemnity Compensation (DIC) Initial Authorization Issues
Section D – Awards Barred by Receipt of Federal Employees’ Group Life Insurance (FEGLI)
Section E – Allowance, Allotments, or Service Pay Under 38 U.S.C. 5110(j)
Section F – Prohibition Against Duplication of Benefits
Chapter 04 – Special Dependency and Indemnity Compensation (DIC) Issues and Allowances
Section C – Survivor Benefit Plan (SBP) Offsets
Subpart ii – Other Survivor’s Benefits
Chapter 01 – Death Compensation
Chapter 02 – Special Allowance Under 38 U.S.C. 1312
Section A – Special Allowance Under 38 U.S.C. 1312(a)
Section B – Eligibility Determinations and Claims for the Special Allowance Under 38 U.S.C. 1312(a)
Section C – Development of Claims for the Special Allowance Under 38 U.S.C. 1312(a)
Section D – Authorization and Notification for the Special Allowance Under 38 U.S.C. 1312(a)
Chapter 03 – Restored Entitlement Program for Survivors (REPS)
Section A – Overview of the Restored Entitlement Program for Survivors (REPS)
Section B – Handling Claims for Restored Entitlement Program for Survivors (REPS) Benefits
Part 13 (Part XIII) – Eligibility Determinations and Information Sharing for Other Benefits
Subpart i – Eligibility Determinations for Other Department of Veterans Affairs (VA) Benefits
Chapter 01 – Education Benefits and Permanent and Total (P&T) Disability
Section A – Ratings for Dependents’ Educational Assistance (DEA)
Section B – Notification and Award Actions for Dependents’ Educational Assistance (DEA)
Section C – Ratings to Extend the Delimiting Date for Educational Assistance
Chapter 02 – Auto and Housing Allowance Eligibility Determinations
Section A – Automobile and Adaptive Equipment Allowance Under 38 U.S.C. Chapter 39
Section B – Specially Adapted Housing (SAH) or Special Home Adaptation (SHA) Grants
Section A – General Information on Eligibility for Medical Services
Section E – Medical Treatment for Veterans Showing a Positive Tuberculin Reaction
Section F – Medical Treatment for Veterans Treated with Nasopharyngeal Radium Irradiation (NRI)
Section G – Eligibility for Medical Services for Polish and Czechoslovakian Armed Forces
Chapter 04 – Eligibility for Dental Treatment
Section A – Overview of Classes of Eligibility for Dental Treatment
Section B – Processing Dental Claims
Section C – Ratings for Dental Treatment Purposes
Chapter 05 – Veteran Readiness and Employment (VR&E) Eligibility Determinations
Section A – Veteran Readiness and Employment (VR&E) Eligibility
Section B – Memorandum Vocational Rehabilitation/Employment (VR&E) Ratings
Chapter 06 – Medal of Honor Pension
Chapter 07 – Home Loan Benefits
Section A – Department of Veterans Affairs (VA) Home Loan Program
Section B – Department of Veterans Affairs (VA) Pension-Related Home Loans
Section B – Memorandum Vocational Rehabilitation/Employment (VR&E) Ratings
Section A – Clothing Allowance
Section A – Social Security Administration (SSA) Requests for Medical Evidence
Section C – Compensation-Based Income Calculations for Social Security Administration (SSA) Purposes
Section D – Pension-Based Income Calculations for Social Security Administration (SSA) Purposes
Chapter 02 – Civil Service and Other Employment Preference Certification
Section A – Civil Service Veterans’ Preference Letter
Section B – Ratings for Veterans’ Civil Service Disability Preference
Section C – State or Municipal Disability Preference Certificate
Section D – Information Sharing With the Office of Personnel Management (OPM)
Chapter 03 – Certifications and Determinations for Public Assistance and Housing
Section A – Certificate of Preference for Public Housing
Section B – Requests from Public Assistance Agencies
Section C – Public Benefit Eligibility for Legal Aliens
Chapter 04 – Certifications for Tax or Financial Purposes
Section B – Request for Information Regarding State Bonus or Tax Exemption
Chapter 05 – Other Certifications and Information Sharing
Section A – Certification for Service Academy Appointment
Section C – Information Requests for Research Purposes
Part 14 (Part XIV) – Matching Programs
Chapter 01 – General Information on Matching Programs
Chapter 02 – Matches With Social Security Administration (SSA) Records
Section A – Social Security Income Match
Section B – Social Security Death Master File (DMF) Match
Section C – Social Security Number (SSN) Verification
Chapter 03 – Routine Review of Running Awards to 100-Year-Old Beneficiaries
Chapter 04 – Federal Tax Information (FTI)
Section A – Federal Tax Information (FTI) Match: General Information
Section B – Federal Tax Information (FTI) Match: Safeguarding
Section D – Federal Tax Information (FTI): Income Verification Match (IVM)
Chapter 05 – Matching Programs That Identify Veterans That Returned to Active Duty
Chapter 06 – Review of Potential Duplicate Payment Cases
Chapter 07 – Data-Matching Programs That Identify Incarcerated Beneficiaries and Dependents
Chapter 08 – Fugitive Felon Match
M21-5 Table of Contents
Linked Table of Content (Click to Open)M21-5 – Appeals and Reviews
Section A – Decision Review Operations Center (DROC) Structure
Section C, DROC Strategic Oversight and Analysis Reviews (SOARs)
Chapter 2 National Training Program
Section A – Decision Review Operations Center (DROC) Quality Review Team (QRT)
Section B – National Quality Reviews
Chapter 4 AMA Control & Other Activities
Chapter 6 Controlling Legacy Appeals
Section A – Veterans Appeals Control and Locator System (VACOLS)
Section B – Establishing an Appellate Record
Section C – Situations After Decisions by the Board of Veterans’ Appeals
Section D – Litigation Before the Court of Appeals for Veterans Claims (CAVC)
Chapter 7 Legacy Appeal Procedures
Section A – General Information on Legacy Appeals
Section B – Notice of Disagreement (NOD)
Section C – Decision Review Officer (DRO) Process
Section D – Documenting Appeal Decisions
Section E – Filing a Substantive Appeal
Section F – Docketing, Certification, and Claims Folder Transfer to the Board of Veterans’ Appeals
Section G – Board of Veterans’ Appeals (Board) Decisions and Remands
Section H – Board of Veterans’ Appeals (Board) Travel Board and Video Hearings
Section I – Court of Appeals for Veterans Claims (CAVC)
Section J – Special Appeal Issues and Cases
Chapter 8 Agent and Attorney Fee Processing
Section A – Introduction to Fees
Section B – Processing a Case Seeking Direct Payment of Fees