Posted on Sep 11, 2015
Are you a Reservist or Guardsman who was injured while on active duty or a deployment and want to file a claim with the VA?
71K
66
57
14
14
0
Here’s some tips on how to file a VA disability claim, especially if this is your first time. If you get injured, go to a military medical facility or TMC. Make sure they document the details of the injury and the treatment you received and ask for copies of the documentation. Notify your local commander and tell them you need a Line of Duty injury report (for Army, it’s a DA FORM 2173). They will likely tell you that you don’t need one because you’re on active duty and your medical records will suffice – do it anyway, you will thank me later. If there are witnesses to your injury, try to get them to write up a statement about your injuries. If you’re coming off a deployment, make sure you report all injuries to the medical out processing station and get further treatment as necessary – again, get copies of all reports, x-rays, therapy, etc. Depending on the seriousness of the injuries, they may ask you if want to stay and receive treatment or go home and get treatment. I know everyone wants to go home but seriously consider getting treatment at the installation you’re at. Again, the key is get documentation.
Once you get home, you should look into enrolling at your local VA hospital for medical treatment of service connected injuries. OEF/OIF/OND returning vets who enroll before February 12, 2016 can obtain treatment of service connected injuries without going through the VA disability application process and will be placed in priority group 6 or higher. You should receive a briefing on all this while out-processing.
You should begin your VA disability application process as soon as possible. If it’s your first time applying, collect all your medical records and get them organized. If you went to a doctor on the civilian side, get all those records too. There are two things I can’t stress enough: Review the VA’s WARMS website, 38 CFR Book C, Schedule for Rating Disabilities, http://www.benefits.va.gov/warms/bookc.asp and get an advocate! You want to review Book C, which describes all injuries and the rating for that injury, because you may find an injury you didn’t think to claim – I found three (of course, you’ll need to have documentation to support any claim). An advocate is a person or organization who is certified in assisting veterans with submitting disability claims. You want an advocate because you don’t want to take on the VA by yourself and an advocate knows how to cut through red tape and ensure your claim is submitted correctly (you don’t want your claim returned for errors). There are many advocates out there – I chose Disabled American Veterans (DAV) but many other organizations have advocates as well such as the American Legion and Veterans of Foreign Wars (VFW).
When submitting your claim, you will need to fill out required forms but I also submitted a Word document as there isn’t a lot of room to describe your injuries on those forms. I also referenced the verbiage used in Book C so my claim mirrored the VA’s language in describing my injuries (this was recommended to me by someone who used to process VA disability claims). You can also submit “buddy letters” that document an injury – if you got hurt and there is no medical documentation, buddy letters will suffice (you usually want to submit at least two per injury if possible). The “buddy” writing it needs to be detailed and they need to swear or affirm they are telling the truth – kind of like a sworn statement. Once you complete all the forms and get your statements and records together, photocopy the whole thing. You’ll need to compile a list of all doctors, hospitals, imaging facilities, therapists, etc., plus their addresses and phone numbers (you have to submit a release waiver for each non-military doctor and facility). Make sure you state if you’re an OEF/OIF/OND veteran on your claim (you’re supposed to receive priority once submitted). After all this is done, review everything with your advocate (if you need help with any of this process your advocate will help you).
Next comes submission of your claim. Give your claim to your advocate – they will submit it on your behalf. They also become your representative for the remainder of the process and are supposed to advise you on anything during the claim process. They will be cc’d on all correspondence between you and the VA. Also, don’t submit anything on your own to the VA, submit any additional paperwork through your advocate. It generally takes about a year to get a decision but it also depends on how complex your claim is. If you don’t agree with the decision you receive you have a year to appeal it but I suggest submitting any appeal as soon as possible. Additionally, you will need to submit evidence the VA hasn't already seen.
At some point in the process the VA will schedule you for physical exams - the last ones I had were performed by a contractor and not at the VA. This reminds me: Be careful what you say to the examiner, they are not there to be your friend. In fact, you will sign paperwork that explains they are strictly there to perform an exam and not treat you. I made an off the cuff comment about shooting a .357 with no hearing protection when I was a kid, trying to emphasize that I had learned the importance of using hearing protection. He wrote it down. That’s about it, other than this hint: If you have been exposed to loud noises such as gunfire, explosions, mortars, or artillery and you have hearing damage that causes your ears to ring or hiss, that’s called tinnitus. It’s an automatic 10% rating and can’t be disproved (at least for now). If you don’t have tinnitus, don’t claim it.
Lastly, please know I've been dealing with the VA and my own claims for about 10 years. My VA file is about a two feet thick. I've been compensated at 100% since 2007 - I had 80% plus 20% individual unemployability (meaning I couldn't work and they felt I was not capable of obtaining gainful employment). I recently was awarded a true 100% rating. I am also drawing social security disability. And yes, it is possible to be retained in the Army Reserve provided you meet at least the minimum retention requirements, which I do (I've been med boarded) and I am not paid (points only). But that's a whole other story.
Also, please read CPL David Salazar's post below, he makes some very good points and has additional advice!
Once you get home, you should look into enrolling at your local VA hospital for medical treatment of service connected injuries. OEF/OIF/OND returning vets who enroll before February 12, 2016 can obtain treatment of service connected injuries without going through the VA disability application process and will be placed in priority group 6 or higher. You should receive a briefing on all this while out-processing.
You should begin your VA disability application process as soon as possible. If it’s your first time applying, collect all your medical records and get them organized. If you went to a doctor on the civilian side, get all those records too. There are two things I can’t stress enough: Review the VA’s WARMS website, 38 CFR Book C, Schedule for Rating Disabilities, http://www.benefits.va.gov/warms/bookc.asp and get an advocate! You want to review Book C, which describes all injuries and the rating for that injury, because you may find an injury you didn’t think to claim – I found three (of course, you’ll need to have documentation to support any claim). An advocate is a person or organization who is certified in assisting veterans with submitting disability claims. You want an advocate because you don’t want to take on the VA by yourself and an advocate knows how to cut through red tape and ensure your claim is submitted correctly (you don’t want your claim returned for errors). There are many advocates out there – I chose Disabled American Veterans (DAV) but many other organizations have advocates as well such as the American Legion and Veterans of Foreign Wars (VFW).
When submitting your claim, you will need to fill out required forms but I also submitted a Word document as there isn’t a lot of room to describe your injuries on those forms. I also referenced the verbiage used in Book C so my claim mirrored the VA’s language in describing my injuries (this was recommended to me by someone who used to process VA disability claims). You can also submit “buddy letters” that document an injury – if you got hurt and there is no medical documentation, buddy letters will suffice (you usually want to submit at least two per injury if possible). The “buddy” writing it needs to be detailed and they need to swear or affirm they are telling the truth – kind of like a sworn statement. Once you complete all the forms and get your statements and records together, photocopy the whole thing. You’ll need to compile a list of all doctors, hospitals, imaging facilities, therapists, etc., plus their addresses and phone numbers (you have to submit a release waiver for each non-military doctor and facility). Make sure you state if you’re an OEF/OIF/OND veteran on your claim (you’re supposed to receive priority once submitted). After all this is done, review everything with your advocate (if you need help with any of this process your advocate will help you).
Next comes submission of your claim. Give your claim to your advocate – they will submit it on your behalf. They also become your representative for the remainder of the process and are supposed to advise you on anything during the claim process. They will be cc’d on all correspondence between you and the VA. Also, don’t submit anything on your own to the VA, submit any additional paperwork through your advocate. It generally takes about a year to get a decision but it also depends on how complex your claim is. If you don’t agree with the decision you receive you have a year to appeal it but I suggest submitting any appeal as soon as possible. Additionally, you will need to submit evidence the VA hasn't already seen.
At some point in the process the VA will schedule you for physical exams - the last ones I had were performed by a contractor and not at the VA. This reminds me: Be careful what you say to the examiner, they are not there to be your friend. In fact, you will sign paperwork that explains they are strictly there to perform an exam and not treat you. I made an off the cuff comment about shooting a .357 with no hearing protection when I was a kid, trying to emphasize that I had learned the importance of using hearing protection. He wrote it down. That’s about it, other than this hint: If you have been exposed to loud noises such as gunfire, explosions, mortars, or artillery and you have hearing damage that causes your ears to ring or hiss, that’s called tinnitus. It’s an automatic 10% rating and can’t be disproved (at least for now). If you don’t have tinnitus, don’t claim it.
Lastly, please know I've been dealing with the VA and my own claims for about 10 years. My VA file is about a two feet thick. I've been compensated at 100% since 2007 - I had 80% plus 20% individual unemployability (meaning I couldn't work and they felt I was not capable of obtaining gainful employment). I recently was awarded a true 100% rating. I am also drawing social security disability. And yes, it is possible to be retained in the Army Reserve provided you meet at least the minimum retention requirements, which I do (I've been med boarded) and I am not paid (points only). But that's a whole other story.
Also, please read CPL David Salazar's post below, he makes some very good points and has additional advice!
Edited >1 y ago
Posted >1 y ago
Responses: 28
The best piece of advice the Chief gave was LOD. Sure you may do with out, but an LOD is always rock solid.
(1)
(0)
I am a retired Reservist. I was deployed to Moron Spain in 2003. While there I injured my knee in a fall while doing PT. My medical records were lost so I can provide my a copy of the medical treatment are Rota NAS. I can't locate my orders, but I have a copy of a Campaign Medal order that was given for the deployment. Can I use that as proof that I was actually deployed to Moron?
(1)
(0)
CW4 Russ Hamilton (Ret)
Gather everything you have and contact a veteran's service organization like the DAV. If you can obtain a "buddy letter" from a couple of people who witnessed the injury or have first hand knowledge, get them. Make sure they sign, date and write "I swear this to be true and accurate" (or something along those lines - ask the service rep).
(1)
(0)
Short answer is yes. However be prepared to jump thru hoops. Your claim has to start with a "line of duty" investigation.
(1)
(0)
CW4 Russ Hamilton (Ret)
Not necesarily. I've never been able to get a LOD done because the AC says "it's in your medical records, you don't need an LOD. Revervists/NG, ALWAYS insist on an LOD, tell them you are NG or Reserve and your commander ordered it.
(0)
(0)
I just returned from a stay in the hospital, had 2 more back surgeries. I’ll try to respond to those of you whom I haven’t responded to individually but I’m kinda out of it right now. Bottom line for those of you who have issues remaining: Get an advocate or veteran’s service officer from DAV or another organization and initiate new claims. I will also note that both the military and the VA have separate disability claims processes, with the military’s being much more difficult. For some of you, your claims may have been submitted through the military and not the VA. Also, denied claims can be appealed all the way up through the federal court system so know that an initial denial isn’t the end. If you are injured while on a drill weekend, ADT or anything that you were on orders for, you can file a claim for it. There are no time constraints on submitting claims that I know of but I’m not an expert. Example, my wife submitted her father for disability for WWII injuries in 2013 and he was awarded 100% in 2014. Don’t give up and go through an advocate.
(1)
(0)
(0)
(0)
CW4 Russ Hamilton (Ret)
OK, get an advocate to help you through the process. An LOD is a serious piece of evidence!
(0)
(0)
Great info. Thank you CW4 Russ Hamilton (Ret). With the recent shadow cast on the PHX VA, what's been your experience with that facility?
(1)
(0)
CW4 Russ Hamilton (Ret)
The Phoenix VA hospital has excellent outpatient services – I haven’t experienced their inpatient services. Wait times are still excessively long at both the hospital and all the new satellite clinics they have recently opened. I asked to see my new doctor at the Scottsdale clinic in August, the first available appointment was in November. If you really need to see a doctor quickly you need to walk-in. The wait is usually 1 – 2 hours at the main hospital. They’re building a new four story parking garage, which has been seriously needed but until the garage is built, parking is near impossible. They started using a valet service, which is good but a lot of vets don’t want strangers driving their cars. There have been fistfights over parking spaces. Regardless, my experiences have been very good and I have been going there for about 10 years. I’m lucky to have private insurance so I don’t have to go there for all care. The biggest problem is wait times. Again, I have no experience with inpatient services – that seems to be where most of the problems existed. I’ve also heard of veterans dying because of the wait times.
(1)
(0)
So how you know on LOD was processed properly? I have one from 2006, have a copy but not sure what the process was. Now I have a second LOD for my left arm and I want to make sure it is process properly.
(0)
(0)
SPC Robert Montoya
Army SP4 here, how can I find my complete medical records from deployment. I was injured in Kandahar, Afghanistan but the VA claims they don't see it. I was in country for 8 months after and have no idea where those documents may be.
(0)
(0)
I was just injuried and have 2 more days of ADT in the reserve. What am I entitled to? Can I remain on AD while my injury heal?
(0)
(0)
CW4 Russ Hamilton (Ret)
You need to report it to your CoC and get an LOD report done. The military should pay for your treatment.
(0)
(0)
Read This Next

Department of Veterans Affairs (VA)
Disability
Deployment
Injuries
