Section D - Claims for Service Connection for Post-Traumatic Stress Disorder (PTSD) - Updated 5/7/12

Subpart II - Compensation
Chapter 1 - Development

Overview


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In this Section
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13.   General Information on Developing Claims for Service Connection for PTSD
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Introduction
This topic contains general information on developing claims for service connection for posttraumatic stress disorder (PTSD), including
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 ·      requirements for establishing service connection for PTSD

 ·      when a Veteran’s testimony alone may establish the occurrence of a stressor

 ·      definitions of

 -     engaging in combat, and

 -     fear of hostile military or terrorist activity

<span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      individual decorations as evidence of combat participation

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      action to take if a Veteran received a combat decoration but does not state the nature of the stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      establishing the occurrence of a stressor related to fear of hostile military or terrorist activity

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      when stressor corroboration is not required

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      when stressor corroboration is required

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      primary evidence to corroborate a claimed in-service stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      secondary sources of evidence that may corroborate a claimed in-service stressor, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      considering buddy statements. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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Change Date
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<p class="MapTitleContinued"> 13. General Information on Developing Claims for Service Connection for PTSD, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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a.   Requirements for Establishing Service Connection for PTSD
<p class="MsoBlockText">Per 38 CFR 3.304(f), a finding of service connection for PTSD requires
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      credible supporting evidence that the claimed in-service stressor actually occurred

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      medical evidence diagnosing the condition in accordance with 38 CFR 4.125, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a link, established by medical evidence, between current symptomatology and the claimed in-service stressor.

<p class="MsoBlockText">

<p class="MsoBlockText">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 Veteran’s

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      combat service

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      POW experience

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      in-service diagnosis of PTSD, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      fear of hostile military or terrorist activity.

<p class="MsoBlockText">

<p class="MsoBlockText">References:   For more information on

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      establishing service connection for PTSD, see

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     M21-1MR, Part IV, Subpart ii, 1.D

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     38 CFR 3.304(f), and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     38 U.S.C.1154(b)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      handling an in-service diagnosis of PTSD, see M21-1MR, Part III, Subpart iv, 4.H.28.d, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·        when the Veteran’s testimony alone may establish the occurrence of an in-service stressor, see M21-1MR, Part III, Subpart iv, 4.H.29.a. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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b.   When a Veteran’s Testimony Alone May Establish the Occurrence of a Stressor
<p class="MsoBlockText">A Veteran’s lay testimony alone may establish the occurrence of the claimed   in-service stressor for purposes of establishing service connection for PTSD if
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      PTSD is diagnosed in service, and the stressor is related to that service, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·        the stressor is related to the Veteran’s

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     engagement in combat with the enemy

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     experience as a POW as defined by 38 CFR 3.1(y), or

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     fear of hostile military or terrorist activity, if a VA psychiatrist or psychologist, or contract equivalent, confirms

<p class="BulletText3" style="mso-list:l15 level1 lfo7"> §   the claimed stressor is adequate to support a diagnosis of PTSD, and

<p class="BulletText3" style="mso-list:l15 level1 lfo7"> §   the Veteran’s symptoms are related to the claimed stressor.

<p class="MsoBlockText">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      For the Veteran’s testimony alone to establish the occurrence of a claimed stressor

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     the stressor must be consistent with the

<p class="BulletText3" style="mso-list:l15 level1 lfo7"> §   circumstances, conditions, or hardships of service for claims based on an in-service PTSD diagnosis or POW or combat service, or

<p class="BulletText3" style="mso-list:l15 level1 lfo7"> §   places, types, and circumstances of service for claims based on a fear of hostile military or terrorist activity, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     there must be no clear and convincing evidence to the contrary.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      For claims decided prior to July 13, 2010, a Veteran’s testimony alone could not establish the occurrence of a stressor that was related to the Veteran’s fear of hostile military or terrorist activity.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      The July 13, 2010, amendment of 38 CFR 3.304(f) is not considered a liberalizing rule under 38 CFR 3.114(a).

<p class="MsoBlockText">

<p class="MsoBlockText">References:   For

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      more information on evidence requirements for claims based on

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -       a diagnosis of PTSD in service, see 38 CFR 3.304(f)(1)

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     combat service, see 38 CFR 3.304(f)(2) and VAOPGCPREC Opinion 12-99

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     a fear of hostile military or terrorist activity, see 38 CFR 3.304(f)(3), and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     POW service, see 38 CFR 3.304(f)(4), and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      definitions of

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     engaging in combat, see M21-1MR, Part IV, Subpart ii, 1.D.13.c, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     fear of hostile military or terrorist activity, see M21-1MR, Part IV, Subpart ii, 1.D.13.d. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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c.   Definition:   Engaging in Combat
<p class="MsoBlockText">Engaging 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
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      combatant, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      service member performing duty in support of combatants, such as providing medical care to the wounded. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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d.   Definition:   Fear of Hostile Military or Terrorist Activity
<p class="MsoBlockText">Fear of hostile military or terrorist activity means
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the Veteran experienced, witnessed, or was confronted with an event or circumstance that involved

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     actual or threatened death or serious injury, or

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     a threat to the physical integrity of the Veteran or others, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the Veteran’s response to the event or circumstances involved a psychological or psycho-physiological state of fear, helplessness, or horror.

<p class="MsoBlockText">

<p class="MsoBlockText">Examples of exposure to hostile military or terrorist activity include presence at events involving

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      actual or potential improvised explosive devices (IEDs)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      vehicle-imbedded explosive devices

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      incoming artillery, rocket, or mortar fires

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      small arms fire, including suspected sniper fires, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      attacks upon friendly aircraft. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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e.   Individual Decorations as Evidence of Combat Participation
<p class="MsoBlockText">When 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:
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Air Force Achievement Medal with “V” Device

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Air Force Combat Action Medal

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Air Force Commendation Medal with “V” Device

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Air Force Cross

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Air Medal with “V” Device

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Army Commendation Medal with “V” Device

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Bronze Star Medal with “V” Device

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Combat Action Badge

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Combat Action Ribbon (Note:   Prior to February 1969, the Navy Achievement Medal with “V” Device was awarded.)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Combat Aircrew Insignia

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Combat Infantry/Infantryman Badge

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Combat Medical Badge

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Distinguished Flying Cross

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Distinguished Service Cross

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Joint Service Commendation Medal with “V” Device

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Medal of Honor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Navy Commendation Medal with “V” Device

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Navy Cross

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Purple Heart, and/or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Silver Star.

<p class="MsoBlockText">

<p class="MsoBlockText">Important:   Receipt of one of the decorations cited above is not the only acceptable evidence of engagement in combat. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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f.   Action to Take if   a Veteran Received Combat Decoration but Does Not State Nature of Stressor
<p class="MsoBlockText">If a Veteran received one of the combat decorations cited in M21-1MR, Part IV, Subpart ii, 1.D.13.e, but does not expressly state the nature of the stressor
 * style="width:387.0pt;padding:0in 5.4pt 0in 5.4pt" valign="top" width="516"|

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      assume the stressor is combat-related

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      order an examination, if necessary to decide the claim, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      in the examination request

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     state that VA has verified the Veteran’s combat service, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     specify any details regarding the combat stressor contained in the record. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 13. General Information on Developing Claims for Service Connection for PTSD, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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g.   Establishing the Occurrence of a Stressor Related to Fear of Hostile Military or Terrorist Activity
<p class="MsoBlockText">Under 38 CFR 3.304(f)(3), a Veteran’s lay statement alone may establish the occurrence of a stressor related to the fear of hostile military or terrorist activity if
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      evidence shows the Veteran served in an area of potential hostile military or terrorist activity, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a VA psychiatrist or psychologist (or contract equivalent)

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     accepts the Veteran’s statement as being adequate to support a diagnosis of PTSD, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     relates the Veteran’s symptoms to the claimed stressor.

<p class="MsoBlockText">

<p class="MsoBlockText">Schedule an examination if there is evidence of a PTSD diagnosis or symptoms, and the Veteran’s 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.

<p class="MsoBlockText" style="tab-stops:248.25pt">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For more information on scheduling examinations in PTSD cases, see M21-1MR, Part III, Subpart iv, 4.H.31. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 13. General Information on Developing Claims for Service Connection for PTSD, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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h.   When Stressor Corroboration Is Not Required
<p class="MsoBlockText">In the absence of clear and convincing evidence to the contrary, corroboration of the details of the claimed stressful event or circumstances, including the Veteran’s personal participation, is not required if
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      PTSD is diagnosed in service, and the claimed stressor is related to that service

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the claimed stressor is consistent with the circumstances, conditions, or hardships of the Veteran’s verified combat or POW service, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the claim is based on fear of hostile military or terrorist activity, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     the claimed exposure to such activity is consistent with the places, types, and circumstances of the Veteran’s service, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     PTSD has been diagnosed by a VA psychiatrist or psychologist, or   contract equivalent, who confirms that

<p class="BulletText3" style="mso-list:l15 level1 lfo7"> §   the claimed stressor is adequate to support a diagnosis of PTSD

<p class="BulletText3" style="mso-list:l15 level1 lfo7"> §   the Veteran’s symptoms are related to the claimed stressor, and

<p class="BulletText3" style="mso-list:l15 level1 lfo7"> §   the claimed stressor is related to fear of hostile military or terrorist activity (see M21-1MR, Part IV, Subpart ii, 1.D.13.d).

<p class="MsoBlockText">

<p class="MsoBlockText">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 Veteran’s fear of hostile military or terrorist activity. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 13. General Information on Developing Claims for Service Connection for PTSD, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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i.   When Stressor Corroboration Is Required
<p class="MsoBlockText">Develop to corroborate the details of a claimed stressful event or circumstances only when the claimed stressor does not meet one of the criteria in M21-1MR, Part III, Subpart iv, 4.H.29.h.
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<p class="MsoBlockText">

<p class="MsoBlockText">Examples of claimed stressors that must be corroborated are

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·        a plane crash caused by severe weather

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·        a severe motor vehicle accident

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      witnessing the death, injury, or threat to the physical being of another person caused by something other than hostile military or terrorist activity, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      actual or threatened death or serious injury, or other threat to one’s physical being, caused by something other than hostile military or terrorist activity.

<p class="MsoBlockText">

<p class="MsoBlockText">Note:   For more information on processing claims for PTSD based on personal trauma, see

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      M21-1MR, Part III, Subpart iv, 4.H.30

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the PTSD Personal Assault Information site on the Compensation Service Intranet, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      38 CFR 3.304(f)(5). <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 13. General Information on Developing Claims for Service Connection for PTSD, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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j.   Primary Evidence to Corroborate a Claimed In-Service Stressor
<p class="MsoBlockText">Primary 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).
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<p class="MsoBlockText">

<p class="MsoBlockText">Primary evidence includes

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      service personnel records (SPRs) and pay records

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      military occupation evidence (Note:   A Veteran’s military occupation may be specified on his/her DD Form 214 or in SPRs)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      hazard pay records (Note:   This information may be requested from the Department of Defense Finance and Accounting Service (DFAS))

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      service treatment records (STRs)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      military performance reports (Note:   This information may be requested via PIES)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      verification that the Veteran received Combat/Imminent Danger/Hostile Fire Pay   ( Note :   This information may be requested through the Veterans Information Solution (VIS))

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      unit and organizational histories

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      daily staff journals

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      operational reports-lessons learned (ORLLs)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      after action reports (AARs)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      radio logs, deck logs, and ship histories

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      muster rolls

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      command chronologies and war diaries, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      monthly summaries and morning reports.

<p class="MsoBlockText">

<p class="MsoBlockText"> Notes  :

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext;font-style:normal;mso-bidi-font-style:italic"> ·      Many of the unit documents listed above are available on the Compensation Service Intranet site, Stressor Verification.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext;font-style:normal"> ·      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.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For more information on Combat/Imminent Danger/Hostile Fire Pay, see the PTSD Rating Job Aid site and the agenda from the VSCM Conference Call, March 16, 2006. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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k.   Secondary Sources of Evidence That May Corroborate a Claimed In-Service Stressor
<p class="MsoBlockText">Review 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:
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      buddy statements

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      contemporaneous letters and diaries

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      newspaper archives, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      information from Veterans Benefits Administration (VBA)-sanctioned websites, which may be accessed through the PTSD Rating Job Aid website.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For more information on Combat/Imminent Danger/Hostile Fire Pay, see the PTSD Rating Job Aid website.

<p class="MsoBlockText">

<p class="MsoBlockText">Important: 

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      All sources of evidence obtained for purposes of stressor verification must be fully documented in the file.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext;mso-bidi-font-style:italic"> ·      It may not be necessary to corroborate the claimed stressor if it is

<p class="BulletText2" style="mso-list:l2 level1 lfo8"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;mso-bidi-font-style:italic"> -     related to the Veteran’s fear of hostile military or terrorist activity, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     consistent with the places, types, and circumstances of the Veteran’s service. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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l.   Considering Buddy Statements
<p class="MsoBlockText">Accept 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.
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<p class="MsoBlockText">

<p class="MsoBlockText">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.

<p class="MsoBlockText">

<p class="MsoBlockText">Note:   Upon receipt of a DD Form 214 (or other document containing personally identifiable information) from a fellow Veteran

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      place the document in a separate envelope in the claims folder, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      annotate on the envelope that the contents must not be

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     reproduced, or

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     reviewed by the Veteran to whom the claims folder pertains or his/her representative. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt"> '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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14.   Requesting Evidence That a Stressor Occurred
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Introduction
<p class="MsoBlockText">This topic contains information on requesting evidence that a stressor occurred, including
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the location of in-service mental health treatment records

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      developing for in-service mental health treatment records

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      when to request hospital reports and clinical records

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      when to request evidence from the Veteran to establish a stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the information to request from the Veteran to support a stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the minimum information required from the Veteran

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the PIES codes to use when submitting a records request

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      relevant personnel records in posttraumatic stress disorder (PTSD) cases, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      where to send requests for Navy deck logs. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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Change Date
<p class="MsoBlockText">May 7, 2012 {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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a.   Location of In-Service Mental Health Treatment Records
<p class="MsoBlockText">In-service mental health treatment records are
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      maintained by the military or civilian treating facility, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      not stored by the Department of Defense with the traditional service treatment records (STRs).

<p class="MsoBlockText">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      The records are typically destroyed five years after the end of the year in which the case is closed.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Civilian facility records cannot be obtained from the National Personnel Records Center (NPRC) through PIES. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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b.   Developing for In-Service Mental Health Treatment Records
<p class="MsoBlockText">The table below shows the steps to follow when developing for in-service mental health treatment records from a civilian mental health facility. <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 14. Requesting Evidence That a Stressor Occurred, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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c.   When to Request Hospital Reports and Clinical Records
<p class="MsoBlockText">Request hospital reports and clinical records if the Veteran indicates pertinent treatment in a Department of Veterans Affairs (VA) facility, Vet Center, or elsewhere. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 14. Requesting Evidence That a Stressor Occurred, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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d.   When to Request Evidence From the Veteran to Establish a Stressor
<p class="MsoBlockText">Request the Veteran provide credible supporting evidence to establish that a stressor occurred unless the evidence of record shows that
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      PTSD was diagnosed in service, and the claimed stressor is related to that service, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the claimed stressor is related to the Veteran’s

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     verified combat or POW service and consistent with the circumstances, conditions, or hardships of such service, or

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     fear of hostile military or terrorist activity, and exposure to such activity is consistent with the places, types, and circumstances of the Veteran’s service. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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e.   Information to Request From the Veteran to Support a Stressor
<p class="MsoBlockText">Use the PTSD development letter in the Modern Awards Processing-Development (MAP-D) application to request information from the Veteran.
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<p class="MsoBlockText">

<p class="MsoBlockText">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

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      date of the incident

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      place of the incident

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      unit of assignment at the time of the incident

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      detailed description of the event

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      medals or citations received as a result of the incident, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      name and other identifying information concerning any other individuals involved in the event, if appropriate.

<p class="MsoBlockText">

<p class="MsoBlockText">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 M21-1MR, Part IV, Subpart ii, 1.D.13.d. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 14. Requesting Evidence That a Stressor Occurred, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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f.   Minimum Information Required From the Veteran
<p class="MsoBlockText">At a minimum, the Veteran must provide the following:
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a stressor that can be documented

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the location where the incident took place

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the approximate date (within a two-month period) of the incident, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the unit of assignment at the time the stressful event occurred.

<p class="MsoBlockText">

<p class="MsoBlockText">Inform the Veteran that

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the information is necessary to obtain supportive evidence of each of the stressful events, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      failure to respond or an incomplete response may result in denial of the claim.

<p class="MsoBlockText">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Specific details of claimed stressful events may also be gathered from such sources as VA or private medical treatment reports and examination reports.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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 PTSD Rating Job Aid website) and supply this information on the Veteran’s behalf.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For information on the types of stressors that may be impossible to corroborate, see the JSRRC Stressor Verification Guide, Section V. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 14. Requesting Evidence That a Stressor Occurred, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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g.   PIES Codes to Use When Submitting a Records Request
<p class="MsoBlockText">Use the following PIES request codes to request records required to process a claim for service connection for PTSD:
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Use PIES request code O18 if

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     the stressor is associated with an episode of personal assault or trauma, such as rape, or

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     the Veteran is claiming service connection for PTSD as a result of both personal trauma and other types of stressors.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Use PIES request code O19 for verification of all other types of stressors.

<p class="MsoBlockText">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Only select documents from the Veteran’s personnel folder, including those listed under M21-1MR, Part IV, Subpart ii, 1.D.14.h, are provided in response to submission of a PIES request under request code O19.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      A copy of all documents within the personnel folder are provided in response to a PIES request submitted under request code O18.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Records related to in-service mental health treatment cannot be requested through PIES because they are

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     maintained by the military or civilian treating facility, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     not stored by the Department of Defense with the traditional STRs. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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h.   Relevant Personnel Records in PTSD Cases
<p class="MsoBlockText">The table below identifies the forms that contain information about the Veteran’s unit(s) of assignment, military occupation, and service locations.
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<p class="MsoBlockText">

<p class="MsoBlockText">Note:   These forms are among the documents that will be provided in response to PIES requests submitted under request code O19. <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 14. Requesting Evidence That a Stressor Occurred, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

<p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''

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i.   Where to Send Requests for Navy Deck Logs
<p class="MsoBlockText">Use the table below to determine the address to use when requesting Navy deck logs. <p class="MsoNormal"> <p class="MsoNormal"> <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt"> '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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15.   Requesting Corroboration of an In-Service Stressor
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Introduction
<p class="MsoBlockText">This topic contains information on requesting verification of an in-service stressor, including
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      when to request corroboration of an in-service stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      where to send a request for corroboration of an in-service stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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))

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      sending requests for research of Marine Corps unit records to NARA

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      accessing Korean Conflict and Vietnam Era unit records through Virtual VA

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      requesting stressor corroboration from Marine Corps records dated after the Vietnam Era

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the responsibilities of the Marine Corps Archives and Special Collections (MCASC)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      information to include in requests to MCASC

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      sample letter to MCASC for a determination as to the availability of records required to corroborate a stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the duties of the JSRRC coordinator

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      invalid or incomplete requests

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      denying service connection because of an unconfirmed stressor

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      handling requests for more information, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the failure of a Veteran to provide sufficient information. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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Change Date
<p class="MsoBlockText">June 6, 2011 <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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a.   When to Request Corroboration of an In-Service Stressor
<p class="MsoBlockText">Submit a request for corroboration of an in-service stressor if
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the evidence does not corroborate the Veteran’s 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)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the in-service stressor claimed is capable of being documented

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the Veteran’s records contain

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     evidence of a diagnosis of PTSD, such as outpatient treatment records showing treatment for PTSD, or

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     competent lay evidence of persistent or recurrent symptoms of PTSD, such as the Veteran’s description of symptoms indicative of PTSD, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      development is complete in every respect except for

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     corroboration of the in-service stressor, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     a confirmed diagnosis of PTSD.

<p class="MsoBlockText">

<p class="MsoBlockText">Important:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="MsoBlockText">

<p class="MsoBlockText">References:   For information on

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      where to send a request for corroboration of an in-service stressor, see M21-1MR, Part IV, Subpart ii, 1.D.15.b, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the types of stressors that may be impossible to corroborate, see the JSRRC Stressor Verification Guide, Section V. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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b.   Where to Send a Request for Corroboration of an In-Service Stressor
<p class="MsoBlockText">Use the table below to determine where to send a request for corroboration of an in-service stressor, including requests for deck logs. <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

<p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''

<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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c.   Information to Include in Requests to JSRRC
<p class="MsoBlockText">The following information must be included when submitting a request for stressor corroboration to JSRRC’s mailing address or through the PIES/Defense Personnel Records Imaging System (DPRIS) interface:
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      adequate identifying information, to include the claimant’s full name and Social Security number (SSN)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a description of the claimed stressor(s)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      month and year during which the stressful event occurred (JSRRC will research records dated 30 days before the date provided and 30 days after)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the Veteran’s unit of assignment at the time of the stressful event, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the geographic location where the stressful event took place.

<p class="MsoBlockText">

<p class="MsoBlockText">Note:   The telephone number for VA’s liaison officer at JSRRC is (703) 428-6870.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For a listing of the personnel documents containing information about the Veteran’s unit(s) of assignment and service locations, see M21-1MR, Part IV, Subpart ii, 1.D.14.f.

<p class="MsoBlockText">

<p class="MsoBlockText">Additional information identified by JSRRC as helpful in conducting research includes

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the medals or citations received by the Veteran, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the names of other soldiers or sailors involved in the stressful incident. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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d.   Sending Requests for Research of Marine Corps Unit Records to NARA
<p class="MsoBlockText">Send a request for research of Marine Corps unit records to NARA when
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      corroboration of a stressor is required, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the unit records cover the Vietnam Era or earlier.

<p class="MsoBlockText">

<p class="MsoBlockText">Exception:   Unit records covering the Korean Conflict or the Vietnam Era may be accessed through Virtual VA.   For more information, see M21-1MR, Part IV, Subpart ii, 1.D.15.e

<p class="MsoBlockText">

<p class="MsoBlockText">Use to table below to request stressor corroboration from NARA. <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

<p class="MsoNormal"> <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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e.   Accessing Korean Conflict and Vietnam Era Unit Records Through Virtual VA
<p class="MsoBlockText">Marine Corps unit records covering the Korean Conflict and Vietnam Era are available to VA personnel through Virtual VA.
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<p class="MsoBlockText">

<p class="MsoBlockText">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.

<p class="MsoBlockText">

<p class="MsoBlockText">Note:   NARA maintains custodianship of the records in Virtual VA and is the ultimate authority on their content and organization. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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f.   Requesting Stressor Corroboration From Marine Corps Records Dated After the Vietnam Era
<p class="MsoBlockText">Send requests for stressor corroboration from Marine Corps unit records dated after the Vietnam Era directly to MCASC.
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<p class="MsoBlockText">

<p class="MsoBlockText">References:   For information on

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      MCASC’s mailing address and fax number, see M21-1MR, Part IV, Subpart ii, 1.D.15.b

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      what to include in the request to MCASC, see M21-1MR, Part IV, Subpart ii, 1.D.15.h, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a sample of a letter to MCASC for a determination as to the availability of records required to corroborate a stressor, see M21-1MR, Part IV, Subpart ii, 1.D.15.i. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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g.   Responsibilities of MCASC
<p class="MsoBlockText">When 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
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      identifying the record(s) required to document the stressors, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      providing confirmation that the claimed stressor(s) cannot be corroborated using records in its custody.

<p class="MsoBlockText">

<p class="MsoBlockText">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 RO’s negative findings. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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h.   Information to Include in Record Requests to MCASC
<p class="MsoBlockText">The following information must be included in each request to MCASC for records needed to document a claimed stressor:
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the Veteran’s name and VA file number

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the name of the Veteran’s squadron/battalion (or higher echelon)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the date (month and year) the stressful event occurred (not to exceed a 60-day period)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a concise description of the stressful event

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      identification of the unit records reviewed through Virtual VA

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the mailing address of the requesting RO, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a point of contact at the RO.

<p class="MsoBlockText">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      The request may be faxed or mailed to MCASC, but it must be on VA letterhead and no more than one page in length.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Do not attach to the request any medical information or statement(s) from the Veteran.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="MsoBlockText">

<p class="MsoBlockText">References:   For

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      MCASC’s mailing address and fax number, see M21-1MR, Part IV, Subpart ii, 1.D.15.b, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      sample of a letter to MCASC for a determination as to the availability of records required to corroborate a stressor, see M21-1MR, Part IV, Subpart ii, 1.D.15.i. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
 * }

<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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i.   Sample Letter to MCASC
<p class="MsoBlockText">A sample letter to MCASC for a determination as to the availability of records required to corroborate a stressor is below.
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<p class="MsoBlockText">

<p class="MsoBlockText"> <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
 * }

<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

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j.   Duties of the JSRRC Coordinator
<p class="MsoBlockText">The JSRRC coordinator is the primary point of contact for all JSRRC-related related issues within each regional office and
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      determines whether or not submission of a request for stressor verification is appropriate

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      serves as the MCASC and NARA point of contact for issues related to records requests

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      personally submits all of the RO’s requests for stressor corroboration

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      determines the status of research requests pending at JSRRC by checking the stressor corroboration database, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      forwards inquiries from the regional office regarding JSRRC-related issues to the VACO JSRRC e-mailbox at VAVBAWAS/CO/JSRRC. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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k.   Invalid or Incomplete Requests
<p class="MsoBlockText">JSRRC, 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.
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<p class="MsoBlockText">

<p class="MsoBlockText">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.

<p class="MsoBlockText">

<p class="MsoBlockText">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

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the claimant fails to provide the minimum information required to conduct research, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the JSRRC coordinator has taken the actions described in M21-1MR, Part IV, Subpart ii.1.D.16. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
 * }

<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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l.   Denying Service Connection Because of an Unconfirmed Stressor
<p class="MsoBlockText">Denying 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
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the Veteran has failed to provide the basic information required to conduct research, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the JSRRC coordinator has taken the actions described in M21-1MR, Part IV, Subpart ii.1.D.16. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
 * }
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m.   Handling Requests for More Information
<p class="MsoBlockText">Occasionally, 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.
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<p class="MsoBlockText">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext;mso-bidi-font-style:italic"> ·      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.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For more information on stressor corroboration and the additional evidence that may be required to conduct research, see the JSRRC Stressor Verification Guide. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
 * }

<p class="MapTitleContinued"> 15. Requesting Corroboration of an In-Service Stressor, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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n.   Failure of a Veteran to Provide Sufficient Information
<p class="MsoBlockText">Use the table below to determine what action to take when a Veteran fails to provide sufficient information about a claimed stressful event.
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<p class="MsoBlockText">

<p class="MsoBlockText"> <p class="MsoNormal"> <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt"> '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
 * }

16.   Completion of a Formal Finding of a Lack of Information Required to Document the Claimed Stressor(s)
{| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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Introduction
<p class="MsoBlockText">This topic contains information on completing a formal finding of a lack of information required to document the claimed stressor(s), including
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      action by the JSRRC coordinator

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      requirements for a formal finding, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a sample of a formal finding. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
 * }

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Change Date
<p class="MsoBlockText">June 6, 2011 {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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 * }
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a.   Action by the JSRRC Coordinator
<p class="MsoBlockText">The 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 Veteran’s involvement in it.
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<p class="MsoBlockText">

<p class="MsoBlockText">To ensure that the information of record is insufficient, the JSRRC coordinator should review the claims folder to confirm

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the claimant was properly notified of the information required to document the stressor(s), and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      all relevant evidence, to include service records, has been considered in an attempt to confirm the occurrence of the stressful event. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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b.   Requirements for a Formal Finding
<p class="MsoBlockText">The formal finding
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      must be approved by the Veterans Service Center Manager (VSCM) or his/her designee

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      should be on a separate page to be filed in the claims folder, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      should note

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     the actions taken to obtain the required information

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     that all procedures have been properly followed

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     that evidence of all efforts to obtain the records is in the claims folder

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     that all efforts to obtain the needed information have been exhausted

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     that further efforts would be futile, and

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     that the information required to document the stressful event(s) is unavailable.

<p class="MsoBlockText">

<p class="MsoBlockText">Note:   It is not necessary to contact the Veteran by telephone to

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      advise him/her of the formal finding, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      allow additional time to submit the needed information. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">   Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
 * }

<p class="MapTitleContinued"> 16. Completion of a Formal Finding of a Lack of Information Required to Document the Claimed Stressor(s), Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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c.   Sample of a Formal Finding
<p class="MsoBlockText">A sample of a formal finding of a lack of information required to document the claimed stressor(s) is shown below: <p class="MsoNormal"> <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt"> '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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 * }

17.   Developing Claims for Service Connection for PTSD Based on Personal Trauma
{| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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Introduction
<p class="MsoBlockText">This topic contains information on developing claims for service connection for PTSD based on personal trauma, including
 * style="width:387.0pt;padding:0in 5.4pt 0in 5.4pt;  height:372.15pt" valign="top" width="516"|

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      general information on personal trauma

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the evidence required to establish service connection

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the process for obtaining information from the Veteran

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      DoD’s reporting procedures following military sexual trauma (MST) incidents

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the action VA takes upon receipt of a claim based on MST

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the language to include in the section 5103 notice if the MST report is restricted

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the language to include in the section 5103 notice if the MST report is unrestricted

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      developing with DoD in claims based on MST

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a sample development letter to DoD in claims based on MST

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a sample Response to Request for DD Form 2910 or Other Similar Form

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the letters to use to obtain information from the Veteran

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the process for obtaining service records in claims based on personal trauma

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the problems associated with development in claims based on personal trauma

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      alternative sources for information in claims based on personal trauma

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the process for obtaining police reports in claims based on personal trauma, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      contact information for DoD MST units. <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">
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Change Date
<p class="MsoBlockText">December 16, 2011 <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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a.   General Information on Personal Trauma
<p class="MsoBlockText">Personal 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.
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<p class="MsoBlockText">

<p class="MsoBlockText">These incidents are often violent and may lead to the development of PTSD.

<p class="MsoBlockText">

<p class="MsoBlockText">Examples:   Rape, physical assault, domestic battering, robbery, mugging, stalking, and harassment.

<p class="MsoBlockText">

<p class="MsoBlockText">Note:   Service connection for PTSD based on in-service personal trauma derives from the PTSD personal assault regulation, 38 CFR 3.304(f)(5).

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For more information on processing claims for PTSD based on personal trauma, see the PTSD Personal Assault Information site on the Compensation Service Intranet. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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b.   Evidence Required to Establish Service Connection
<p class="MsoBlockText">To establish service connection for PTSD, there must be credible evidence to support the Veteran’s assertion that the stressful event occurred.
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<p class="MsoBlockText">

<p class="MsoBlockText">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. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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c.   Obtaining Information From the Veteran
<p class="MsoBlockText">Identifying 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.
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<p class="MsoBlockText">

<p class="MsoBlockText">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. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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d.   DoD’s Reporting Procedures Following MST Incidents
<p class="MsoBlockText">DoD 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.
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<p class="MsoBlockText">

<p class="MsoBlockText">Following an MST incident, a servicemember may elect one of these reporting options by completing DD Form 2910, '' Victim Reporting Preference Statement. ''

<p class="MsoBlockText">

<p class="MsoBlockText">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. ''

<p class="MsoBlockText">

<p class="MsoBlockText">Notes:

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      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.

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      In restricted reporting cases, DoD stores the evidence, including results from the SAFE, for one year following the date of the victim’s report of sexual assault. If the victim does not claim the evidence or elect an unrestricted report within one year, DoD destroys it. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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e.   Action VA Takes Upon Receipt of Claim Based on MST
<p class="MsoBlockText">The table below shows the action VA takes upon receipt of a claim based on MST. <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued <p class="BlockLine" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">

<p class="MsoNormal"> {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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f.   Language to Include in the Section 5103 Notice if MST Report Is Restricted
<p class="MsoBlockText">Include the follow language in the section 5103 notice if the MST report is restricted:
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<p class="MsoBlockText">

<p class="MsoBlockText">''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 don’t 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. ''

<p class="MsoBlockText">

<p class="MsoBlockText">''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.''

<p class="MsoBlockText">

<p class="MsoBlockText">''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 .'' <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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g.   Language to Include in the Section 5103 Notice if MST Report Is Unrestricted
<p class="MsoBlockText">Include the follow language in the section 5103 notice if the MST report is unrestricted:
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<p class="MsoBlockText">

<p class="MsoBlockText">We have requested the following records from the Department of Defense: 

<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      DD Form 2910, Victim Report Preference Statement, or similar form, and/or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      sexual assault forensic examination (SAFE).

<p class="MsoBlockText">

<p class="MsoBlockText">''If you have these records in your possession, please provide us with copies. If you don’t 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.'' {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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h.   Developing With DoD in Claims Based on MST
<p class="MsoBlockText">Initiate development to DoD immediately when the Veteran indicates the MST report was unrestricted or upon receipt of VA Form 21-4142.
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<p class="MsoBlockText">

<p class="MsoBlockText">Send the development letter shown in 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.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For contact information for MST units in each branch of service, see M21-1MR. Part IV, Subpart ii, 1.D.17.p.

<p class="MsoBlockText">

<p class="MsoBlockText">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.

<p class="MsoBlockText">

<p class="MsoBlockText">If DoD indicates they cannot locate the documents, prepare a memorandum of unavailability per M21-1MR, Part III, Subpart iii, 2.I.59. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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i.   Sample Development Letter to DoD in Claims Based on MST
<p class="MsoBlockText">Below is a sample development letter requesting evidence from DoD in claims based on MST.
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<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For a sample Response to Request for DD Form 2910 or Other Similar Form, see M21-1MR, Part IV, Subpart ii, 1.D.17.j. <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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j.   Sample Response to Request for DD Form 2910 or Other Similar Form
<p class="MsoBlockText">Below is a sample Response to Request for DD Form 2910 or Other Similar Form.
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<p class="MsoBlockText">

<p class="MsoBlockText">Note:   Enclose this form with the sample development letter shown in M21-1MR, Part IV, Subpart ii, 1.D.17.i. <p class="MsoNormal"> <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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k.   Letters to Use to Obtain Information From the Veteran in Claims Based on Personal Trauma
<p class="MsoBlockText">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
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Military Sexual Trauma (MST) (claims for any conditions, mental or physical (including PTSD), resulting from MST)

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      PTSD – Personal Trauma (claims for PTSD resulting from a non-sexual personal trauma), or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      Non-PTSD Personal Trauma (claims for any condition, mental or physical (other than PTSD), resulting from a non-sexual personal trauma).

<p class="MsoBlockText">

<p class="MsoBlockText">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.

<p class="MsoBlockText">

<p class="MsoBlockText">Important:   Letters used by ROs to solicit details concerning a combat stressful incident are inappropriate for PTSD claims based on personal trauma. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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l.   Obtaining Service Records in Claims Based on Personal Trauma
<p class="MsoBlockText">Review the claim and all attached documents. Request STRs and the entire personnel folder from the appropriate records custodian, if necessary.
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<p class="MsoBlockText">

<p class="MsoBlockText">Note:   Veterans Service Representatives (VSRs) must work closely with Rating Veterans Service Representatives (RVSRs) when developing personal trauma cases. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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m.   Problems Associated With Development in Claims Based on Personal Trauma
<p class="MsoBlockText">Because a personal trauma is an extremely personal and sensitive issue
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      many incidents of personal trauma are not officially reported, and

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      the victims of this type of in-service trauma may find it difficult to produce evidence to support the occurrence of the stressor.

<p class="MsoBlockText">

<p class="MsoBlockText">It is often necessary to seek alternative evidence.

<p class="MsoBlockText">

<p class="MsoBlockText">Reference:   For information on alternative sources for information, see M21-1MR, Part IV, Subpart ii, 1.D.17.n. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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<p class="MapTitleContinued"> 17. Developing Claims for Service Connection for PTSD Based on Personal Trauma, Continued {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-padding-alt:0in 5.4pt 0in 5.4pt"
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n.   Alternative Sources for Information in Claims Based on Personal Trauma
<p class="MsoBlockText">Service 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
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      rape crisis center or center for domestic abuse

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      counseling facility

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      health clinic

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      family members or roommates

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      faculty members

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      civilian police reports

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      medical reports from civilian physicians or caregivers who may have treated the Veteran either

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     immediately following the incident, or

<p class="BulletText2" style="mso-list:l2 level1 lfo8"> -     sometime later

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      chaplain or clergy

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      fellow service persons, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      personal diaries or journals. {| border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;mso-table-layout-alt:fixed;mso-padding-alt: 0in 5.4pt 0in 5.4pt"
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o.   Obtaining Police Reports in Claims Based on Personal Trauma
<p class="MsoBlockText">Obtain reports, as appropriate, from
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<p class="MsoBlockText">

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      military police

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      shore patrol

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      a provost marshal’s office, or

<p class="BulletText1" style="mso-list:l13 level1 lfo5"><span style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:  Symbol;color:windowtext"> ·      other military law enforcement offices.

<p class="MsoBlockText">

<p class="MsoBlockText">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. <p class="ContinuedOnNextPa" style="margin-left:0in;mso-border-between:.75pt solid windowtext; mso-padding-between:1.0pt">Continued on next page '''<span style="font-size:16.0pt; mso-bidi-font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:AR-SA"> '''
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p.   Contact Information for DoD MST Units
<p class="MsoBlockText">Use the following links to obtain information from MST units at each branch of service.
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<p class="MsoBlockText">

<p class="MsoBlockText">Note:   The website address for the Department of Defense Sexual Assault Prevention and Response Office (SAPRO) is http://www.sapr.mil. <p class="MsoNormal">
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