Litlhahiso tsa Matšeliso a Bokooa ba Veterans VA Tsebiso ea Phokotso kapa Karohano ea Boemo: Kopo ea Maemo ea Matsatsi a 30 esale Pele le Melao e Sirelelitsoeng ea Lilemo tse 5, 10, le 20.¶

Ho bula lengolo le tsoang ho Lefapha la Veterans Affairs la United States (VA) le bolelang hore Veterans Benefits Administration (VBA) "e sisinya ho fokotsa tlhahlobo ea bokooa e kopantsoeng le tšebeletso" (mohlala, ho tloha ho 100% ho ea ho 70%, kapa ho tloha ho 70% ho ea ho 30%) kapa **"e fana ka maikutlo a ho fokotsa chelete ea ts'ebeletso ea ts'ebeletso ea tšohanyetso. Phokotso ea matšeliso a mahala a lekhetho a khoeli le khoeli a mohlabani ha e fokotse feela moputso oa khoeli le khoeli ka $1,000 ho isa ho $2,500+, empa e theohela ka tlase ho 100% Permanent and Total (P&T) kapa Kakaretso ea Bokooa bo ipapisitseng le ho se sebetse ha motho ka mong (TDIU) threshold e ka boela ea amoha lelapa la hau tšireletso ea bophelo ea CHAMPVA, Khaolo ea 35 Dependents' Educational Assistance (DEA), litokollo tsa lekhetho la thepa ea naha, le tlhokomelo ea meno. Haeba uena kapa motho ea nang le phihlelo lelapeng la hau le na le mathata a maikutlo kapa a kelello ka mor'a ho fumana tsebiso ea phokotso ea VA, letsetsa kapa u ngolle Veterans Crisis Line ho 988 (ebe o tobetsa 1) United States, boloka sebaka sa heno. dinomoro tsa tshohanyetso e fumanehang, 'me u ikopanye le rona Ts'ireletso ea Sechaba ea Bokooa ba SSDI ea tefo e fetelletseng le tataiso ea ho felisoa, rona tlhokomelo ea nako e telele ea bokooa le tataiso ea sefi sa IME, le tsa rona tekanyetso ea tšohanyetso nakong ea tataiso ea tahlehelo ea chelete.

Tlas'a molao oa federal (38 CFR § 3.105(e) le § 3.105(d)), Lengolo le Reriloeng la Phokotso ea Likhakanyo HASE qeto ea ho qetela, 'me VA e thibetsoe ka molao ho khaola cheke ea hau ea khoeli le khoeli hang-hang. Leha ho le joalo, u tobane le linako tse peli tsa ho qetela: letsatsi la matsatsi a 30 ho tloha ka letsatsi le lengolo la ho kopa Predetermination Personal Hearing (e thibelang ka molao sekhahla sa hau sa matšeliso sa khoeli le khoeli ka botlalo ho fihlela nyeoe e tšoaroa le qeto ea ho qetela e ntšoa), le **nako ea matsatsi a 60 ** ea ho fana ka bopaki bo hanyetsanang. Ka ho kopana le nako eo ea matsatsi a 30 ea ho mamela le ho hlahloba ho hloleha ha VA ho mamela 5-Year (38 CFR § 3.344), Lilemo tse 10 (38 U.S.C. § 1159), Lilemo tse 20 (38 U.S.C. § 110), le Lilemo tse 55 (38 CFR § 3.327) melao ea ts'ireletso ea molao, masole a khale a qobella VA hore e hule phokotso ea litekanyetso pele e lahleheloa ke dolara e le 'ngoe ea moputso.

Etsa sena hona joale¶

1. Sheba letsatsi le tobileng le hatisitsoeng ka holimo ho Lengolo la Phokotso la VA le almanaka ea 30-Day le 60-Day linako tsa ho qetela hang hang. U SE KE U HLAHELA KELEMO ea Tlatsetso (VA Form 20-0995), Tlhahlobo ea Boemo bo Phahameng (VA Form 20-0996), kapa Tsebiso ea Boipiletso ea Boto ea Bahlabani ba Veteran ea ho se lumellane (VA Form 10182) hona joale. Tlas'a Molao oa Ntlafatso ea Boipiletso ba Veterans Appeals and Modernization (AMA), o ka se khone ho etsa boipiletso ka "Tlhahiso" ea ketso ka litsela tse tloaelehileng tsa boipiletso hobane ha e so fihle qeto ea ho qetela. Ho e-na le hoo, u nakong 60-day Due Process Period (38 CFR § 3.105(e)).
2. ** Kenya Kopo e Ngotsoeng ea "Predetermination Personal Uaring" (under 38 CFR § 3.105(i)) PELE ho Letsatsi la 30 kahoo VA e thibetsoe ka molao ho fokotsa cheke ea hau.** Ona ke molao o le mong oa bohlokoa ka ho fetisisa molaong oa li-veterans: haeba VA e amohela kopo ea hau e ngotsoeng ea ** Predetermination Hearing ** nakong ea ** matsatsi a khalendara a 30 ** ho tloha letsatsing la tsebiso ea Phokotso e reriloeng, ** VA E TSOELA ho tsoela pele ho lefa kemiso ea hau ea hona joale ea khoeli le khoeli ea bokooa, le ho hlahloba lintlha tsa bokooa ba khoeli le khoeli ho fihlela ka mor'a ho hlahloba bokooa ba khoeli le khoeli qeto ea ho qetela ea litekanyetso (eo hangata e nkang likhoeli tse 4 ho isa ho tse 10+). Kenya kopo inthaneteng kajeno ka VA QuickSubmit (access.va.gov) ho VA Foromo 21-4138 (Statement in Support of Claim) 'me u romelle kopi e 'ngoe ka lengolo le netefalitsoeng.
3. Lekola hore na lintlha tsa hau li ntse li sebetsa bakeng sa 5 Years, 10 Years, kapa 20 Years (kapa hore na u Age 55+ kapa 100% P&T). Bala palo e nepahetseng ea lilemo ho tloha ka letsatsi la ho qala la tekanyo e khethehileng ea bokooa eo VA a batlang ho e fokotsa. Haeba tekanyetso eo e bile teng ka ** lilemo tse 5 kapa ho feta (Stabilized Rating under 38 CFR § 3.344)**, tlhahlobo e le 'ngoe ea C&P e bonts'ang hore u bile le "letsatsi le monate" ha e ea lekana ho ea ka molao ho fokotsa lintlha tsa hau. Haeba lintlha li ntse li sebetsa ka lilemo tse 20 kapa ho feta (38 CFR § 3.951(b)), VA e thibetsoe ke molao hore e se ke ea e fokotsa ka tlase ho boemo boo bomenemene bo netefalitsoeng bo le sieo.
4. Batla kopi ea hang-hang ea Matšeliso le Pension ea morao-rao (C&P) Tlaleho ea Tlhahlobo (DBQ) e bakileng phokotso. Haeba rakonteraka (Optum Serve / LHI, VES, QTC, or Loyal Source) o entse tlhahlobo ea C&P, Ofisi ea Setereke ea VA, kapa Ofisiri ea Tšebeletso ea Veterans e ngolisitsoeng ka molao (VSO ho tsoa ho DAV, VFW, American Legion, kapa County Veterans Office)** e nang le VBMS (Veterans Benefits Management System) phihlello, e ka hatisa Potso ea Melemo ea Bokooa hantle (DBQ) bakeng sa hau bekeng ena e le hore u ka bona lebokose le leng le le leng mohlahlobi a sa hlahlojoe.
5. ** Bokella lirekoto tsa kalafo ea poraefete, maikutlo a ikemetseng a bongaka (IMO / DBQ), le Lipolelo tsa Buddy (VA Form 21-10210) ka har'a fensetere ea matsatsi a 60.** Ho hlola phokotso, bontša hore ntlafatso leha e le efe e hlokometsoeng tlhatlhobong ea C&P ea metsotso e 15 e ne e le ea nakoana, hore ha ua ka ua hlahlobjoa nakong ea ho phatloha ho hoholo (DeLuca / Sharp factors), kapa hore boemo ha bo e-s'o finyelle ** ntlafatso e tsitsitseng tlas'a maemo a tloaelehileng a bophelo le mosebetsi **.
6. Le ka mohla u se ke oa tlola tlhahlobo e ncha ea VA C&P (38 CFR § 3.655). Haeba phokotso ya hao e etsahetse hobane o fositse ditlhahlobo tse rerilweng tsa C&P ntle le ho tsebisa rakonteraka ("Failure to Report"), hang-hang romela polelo e ngotsoeng e fanang ka nyehelo "Sesosa se Molemo" (joalo ka ha ho mohla u fumanang tsebiso e rometsoeng atereseng ea hau ea hona joale, ho kena sepetlele, ho kula, kapa khohlano ea mosebetsi) le ho bolela hore u **"o itokiselitse ebile u ikemiselitse ho tlaleha tlhahlobo hang-hang **.

Sefate sa qeto: Ho emisa phokotso ea litekanyetso e reriloeng ke VA, ho felisoa ha TDIU, kapa ho khaoloa¶

Latela chate ena ea mohato ka mohato ka letsatsi leo lengolo la VA le reriloeng la ketso e mpe le fihlang ka lebokoseng la hau la poso.

flowchart TD
    Start["Lengolo la VA lea Fihla: 'Phokotso ea Litekanyetso e Reriloeng' kapa 'Severance e Reriloeng'"] --> CheckType{"1. Na Ena ke Ketso e 'HOPANG' (Ts'ebetso ea Matsatsi a 60) kapa Qeto ea 'FINAL'?"}

    CheckType -->|"Phokotso e HLAHISITSANG / QETELA (38 CFR 3.105)"| Day30Rule["MOHATO OA BOHLOKOA OA 1 (PELE LETSATSI LA 30): - Kenya VA Foromo 21-4138 ka VA QuickSubmit e kopang 'Predetermination Personal Hoaring tlas'a 38 CFR 3.105(i)' - Sena se HLOKOMELA tefo ea hau ea khoeli le khoeli ka molao ho fihlela ka mor'a nyeoe le qeto ea ho qetela."]

    CheckType -->|"Qeto ea ho Qetela e se e Nkisitsoe (Ho Khaoha ha Litefo)"| FinalAppeal["QETO EA HO QETELA AMA APPEAL LANES (Ka hare ho 1 Year): - File Supplemental Claim (VA Form 20-0995) with new Private DBQ & treatment notes - Kapa Higher-Level Review (VA Form 20-0996) with Informal Conference haeba VA e tlotse 38 CFR 3.34444 CFR 3.340"]

    Day30Rule --> WhatAction{"2. Ke Mofuta Ofe oa Ketso e Mpe eo VA e e Etsang?"}

    WhatAction -->|"Ho sisinyeha ho Fokotsa Litekanyo tsa % (mohlala, 70% ho isa ho 30%)"| AuditYears["LITLHAKISO TSA MOLAO O TŠIRELETSENG MELAO EA RATING: - Lilemo tse 20 + (38 CFR 3.951b): TŠEBELETSO EA TŠEBELETSO ho tloha ho fokotseha (ntle le bolotsana) - Lilemo tse 5 + (38 CFR 3.344): E Sirelelitsoeng 'Stabilized Rating': VA e ke ke ea fokotsa ho latela tlhahlobo ea 1; e tlameha ho paka ntlafatso e tsitsitseng bophelong / mosebetsi o tloaelehileng - Tlas'a Lilemo tse 5 (38 CFR 3.343 / Kitchen v. McDonough): VA e ntse e tlameha ho paka ntlafatso ea sebele tlas'a 38 CFR 4.1, 4.2, 4.10"]

    WhatAction -->|"Ho Tlosoa ha TDIU e reriloeng (100% Ho se sebetse ho Setso)"| AuditTdiu["AUDIT TDIU PROTECTION (38 CFR 3.343c): - VA e tlameha ho paka 'Mosebetsi oa Sebele' ka Bopaki bo Hlakileng le bo sa Laoleheng - Mosebetsi o fokolang (ka tlase ho Federal Poverty Threshold) kapa mosebetsi o sirelelitsoeng / oa lelapa O KA SE felise TDIU - Kapa mohlabani o tlameha ho ba le likhoeli tse 12 tse latellanang ka ho latellana."]

    WhatAction -->|"Khokahano e Felletseng ea Ts'ebeletso"| AuditSeverance["Audit SEVERANCE STANDARD (38 CFR 3.105d): - 10+ Years Service Connection (38 USC 1159): IMMUNE ho khaotsoeng (ntle le bomenemene) - Tlas'a Lilemo tse 10: Moroalo ke 100% ho VA ho paka hore thuso ea pele e ne e le 'Ka ho Hlakile le ka Phoso' (ka Phoso)"]

    AuditYears --> Submit60["3. PELE HO LETSATSI LA 60: Fumana C&P DBQ ka VSO + Romella DBQ ea Botho, Litlaleho tsa Phekolo & Lipolelo"]
    AuditTdiu --> Submit60
    AuditSeverance --> Submit60

Karolo ea 1: Mantsoe a nepahetseng ao u lokelang ho a apara VA Form 21-4138 pele ho Letsatsi la 30 ho emisa melemo ea hau¶

Ho thibela VA ho theola cheke ea hau ea khoeli le khoeli ha u ntse u bokella litlaleho tsa bongaka, khoasolla ** VA Foromo 21-4138 (Statement in Support of Claim)** ho tloha va.gov, tlatsa lintlha tsa hau, 'me u kenye tlhoko ena ea molao ka lebokoseng la litlhaloso:

.

*1. KOPO EA KA NAKO EA HO UTLOA TŠEBELETSO E SA LE TENG (38 CFR § 3.105(i)): Ho latela 38 CFR § 3.105(e) le 38 CFR § 3.105(i), ke kopa ka molao *Tlhahlobo ea Predetermination Personal ** (ka thelefono kapa Ofising ea heso ea VA) pele qeto efe kapa efe ea ho qetela e etsoa mabapi le phokotso e reriloeng ea boemo ba ka ba bokooa bo amanang le ts'ebeletso]. Hobane kopo ena ea nyeoe e rometsoe nakong ea ** matsatsi a 30 ** ho tloha letsatsing la tsebiso ea ketso e mpe e reriloeng, VA e hlokoa ke 38 CFR § 3.105 (i) (1) ho ntšetsa pele litefello tsa ka tsa matšeliso ka tekanyo ea bona ea hona joale ho fihlela nyeoe e tšoaroa, bopaki bohle bo fanoeng nakong ea matsatsi a 60 le nyeoeng bo hlahlojoa, 'me qeto ea ho qetela ea litekanyetso e phatlalatsoa.

2. BATLA TLALEHO E FELETSENG EA TLHAHLOBO EA C&P: Ke kopa kopi e potlakileng ea tlaleho ea tlhahlobo ea Matšeliso le Pension (C&P) (DBQ) le maikutlo a bongaka a [Letsatsi la Tlhatlhobo] tse itšetlehileng ka ho sisinya phokotso ena e le hore ’na le ngaka ea ka e nkang e ka lokisetsa bopaki ba ho hana pele ho nyeoe ea qeto esale pele.

3. KGANTŠO YA PHOKOTŠO E TŠIRELETŠWEGO: Phokotšo yeo e šišintšwego e thulana le 38 CFR §§ 3.344 [haeba 5+ dilemo], 4.1, 4.2, 4.10, le 4.13 hobane boemo ba ka ha bo so bone ntlafatso ya sebele, e tsitsitseng tlasa maemo a tlwaelehileng a bophelo le mosebetsi.”

Moo u ka kenyang kopo ea hau ea matsatsi a 30 ea ho utloa esale pele KAJENO (Kahoo u na le bopaki bo hatisitsoeng ka nako):¶

1. ** Kenya kopo ka VA QuickSubmit (access.va.gov)**: Kena le hao ID.me kapa Login.gov mangolo a bopaki, khetha QuickSubmit, kenya PDF e saennoeng ea VA Form 21-4138, le dawunelo rasiti ea netefatso e bontšang letsatsi le Tokomane ID.
2. Romela Khatiso e 'ngoe ka lengolo le tiisitsoeng la USPS le Receipt ea ho Khutlisa e Kopiloe ho Setsi sa Keketso ea Bopaki:

   Lefapha la Veterans Affairs, Setsi sa Keketso ea Litlaleho, PO Box 4444, Janesville, WI 53547-4444.

3. ** Botsa VSO ea Hao e Amoheletsoeng (DAV, VFW, American Legion, or State/County VSO)** ho kenya kopi ka ho toba ho VBMS eFolder ea hau ea elektroniki le ho netefatsa hore "Predetermination Hearing Requested" flash e kentsoe ka har'a sistimi ea VA.

Karolo ea 2: Melao ea 6 "Melao e Sirelelitsoeng ea Litekanyetso" (5, 10, and 20-Year Rules + Age 55 & P&T)¶

Litsebi tsa lintlha tsa VA (RVSRs) sebelisa li-computer workflows tse ikemetseng tse atisang ho fetoa ke melao e tlamang ea federal e sireletsang litekanyetso tsa nako e telele tsa bokooa. Sheba nalane ea lintlha tsa hau khahlanong le mola o mong le o mong oa tafole ena:

Karolo ea 3: Ho hlōla maraba a khethehileng a ho fokotsa VA (TDIU Unemployability, C&P Flare-Ups, Cancer Remission, and Missed Exams)¶

Sefi sa 1: The VA e Etsa Tlhahiso ea ho Amoha 100% TDIU (Individual Unemployability) Hobane Ts'ireletso ea Sechaba (SSA) Meputso e tlalehiloeng¶

Selemo se seng le se seng, VA e tsamaisa papali ea komporo e ikemetseng le Tsamaiso ea Ts'ireletso ea Sechaba (SSA / IRS Master File) ho bona hore na li-veterans li fumana 100% Kakaretso ea Bokooa ho Thehiloe ho Hloka Mosebetsi ka Mong (TDIU, 38 CFR § 4.16) e fumane chelete efe kapa efe ea W-2 kapa 1099. Haeba komporo e bona moputso, e romella ** VA Foromo 21-4140 (Employment Questionnaire)** kapa e fana ka tlhahiso ea ho u fokotsa ho tloha ho 100% TDIU ho khutlela ho lintlha tsa tlhophiso (mohlala, 70%). - ** Tseba Sebaka se thata sa Molao bakeng sa ho tlosa TDIU (38 CFR § 3.343(c)): 1. Bopaki bo hlakileng le bo sa foseng ba ho Kena Mosebetsi: Tlas'a 38 CFR § 3.343(c)(1), VA ** ha e khone ** ho fokotsa litekanyetso tsa TDIU ntle le haeba e paka ka ** bopaki bo hlakileng le bo hlakileng ** hore mohlabani o boetse o fumane ** "mokhoa oa sebele." 2. Molao oa Likhoeli tse 12 tse latellanang (38 CFR § 3.343(c)(2)): Le ha o ka leka ho kgutlela mosebetsing, haeba o ile wa qala ho etsa mosebetsi o putsang haholo kamora la 1 Pherekgong, 1985, VA e thibetswe ka molao ho fokotsa maemo a hao a TDIU ntle le haeba o boloka mosebetsi oo o o lefang haholo bakeng sa dikgwedi tse 12 TSE TSAMAISAnang.uninterrupted). Haeba u leka ho sebetsa likhoeli tse 7 'me u tlameha ho tlohela ka lebaka la bokooa bo amanang le tšebeletso, TDIU ea hau e ke ke ea angoa. 3. Mekhelo ea "Mosebetsi o Manyenyane" le "Tikoloho e Sirelelitsoeng / e Sirelelitsoeng" (38 CFR § 4.16(a)): - Moputso o ka tlase ho moeli oa Federal Poverty (about $15,650-$16,320/year for 1 person): Mosebetsi ofe kapa ofe o lefang chelete e ka tlaase ho tekanyo ea bofutsana ea U.S. Census Bureau ea motho a le mong o hlalosoa ke molao e le "Marginal Employment", eseng mosebetsi o nang le chelete e ngata, 'me ** ha ho mohla ** e u thibelang ho tsoa ho 100% TDIU. - Tikoloho ya Mosebetsi e Sireleditsweng/Sireleditsweng: Le ha o ka fumana chelete e ngata** ho feta tekanyo ya bofuma, ha o sebeletsa kgwebo ya lelapa, mohiri ya nang le kutloelo-bohloko, kapa mosebetsi o sireleditsweng o o fang bodulo bo kgethehileng basebetsi ba sa holofalang ba ka lelekoa bakeng sa (unlimited unscheduled absences during PTSD/migraine flare-ups, taking naps at work, reduced production quotas), fana ka setatemente se saennoeng ho tsoa ho mookameli oa hau se ngotseng libaka tseo tsa bolulo ho paka hore ke Mosebetsi o Sirelelitsoeng / o Nyenyane tlas'a 38 CFR § 4.16(a).

Leraba la 2: Liphokotso tsa Metsoalle / Metsoako (Knee, Back, Shoulder, Neck) Moo Mohlahlobi oa C&P a ileng a iphapanyetsa "Bohloko ba ho Bearing Weight & Flare-Ups"¶

Ha mohlabani oa khale a ea tlhahlobong ea C&P bakeng sa mokokotlo o hokahaneng le ts'ebeletso (lumbar spine) kapa tekanyo ea lengole, mohlahlobi o sebelisa goniometer ea polasetiki ho lekanya hore na u khumama hakae hanngoe ka kamoreng ea tlhahlobo ea moea ka "letsatsi le monate," 'me o ngola hore mokhoa oa hau oa ho tsamaea o ntlafetse, o etsa hore ho fokotsehe ho tloha ho 40% ho ea ho 10%. - Mokhoa oa ho Koala Tlhahlobo e sa Lekaneng ea Orthopedic C&P (DeLuca, Mitchell, Sharp, le Correia Melao): - Tlas'a tlamang Federal Circuit le CAVC precedent (DeLuca v. Brown, Sharp v. Shulkin, le Correia v. McDonald), tlhahlobo ea masapo ea C&P **e lekane ka molao 'me e ke ke ea sebelisoa ho fokotsa lintlha ** haeba mohlahlobi a hlolehile ho etsa tlhahlobo le ho hakanya (ka likhato tse nepahetseng tsa tahlehelo ea motsamao): 1. Tahlehelo ea ts'ebetso nakong ea Li-Flare-Ups (esita le haeba ha o na leqhubu nakong ea tlhahlobo, mohlahlobi ** o tlameha ho u botsa ** ho hlalosa ho phatloha ha hao le ho hakanya tekanyo e eketsehileng ea ho sisinyeha e lahlehileng nakong ea ho phatloha); 2. **Teo ea Pheta-pheta (bonyane ho pheta-pheta ha 3); le 3. **Active AND Passive Range of Motion, bobeli ba Boima le Boima ba Boima ** (molao oa Correia). - E-re ngaka ea hau ea poraefete kapa setsebi sa 'mele se tlatse poraefete Back (Thoracolumbar) kapa Knee DBQ ho ngola ka ho hlaka moeli oa hau oa ho sisinyeha ** nakong ea ho phatloha ** le ** tlas'a boima ba 'mele **.

Leraba la 3: Tlokollo ea Kankere ea 100% e Tlamang kapa Phokotso ea Ka mor'a Opereishene (Prostate, Breast, PACT Act Cancers)¶

Ha mofets'e o sebetsang o amanang le ts'ebeletso (joalo ka mofets'e oa Agent Orange kapa Burn Pit / PACT Act ea ho phefumoloha / mofets'e oa mala) o kena tšoarelong ea kalafo, melaoana ea mmuso.e.g., 38 CFR § 4.115b Diagnostic Code 7528) e hloka tlhahlobo e ncha ea C&P likhoeli tse 6 ka mor'a hore kalafo e fele, e sisinya ho fokotsa **tekanyo ea nakoana ea 100% ea mofets'e ** ho theohela ho **tekanyo e setseng ** (hangata 10% kapa 20%). - ** Mokhoa oa ho eketsa Tekanyetso ea Masala a Mofets'e ka Mor'a Mofets'e **: Leha mofets'e ka boeona o se o le teng, VA e tlameha ho lekanya ** masala a mang le a mang a sa foleng le litlamorao tsa kalafo ** ka thoko.38 CFR § 4.115b), ho kenyelletsa: - Ho se sebetse hantle ha moroto / Maqhubu a ho ntša metsi kapa ho se khonehe (requiring absorbent pads: 20%, 40%, or 60% rating): Ho fetola lipache tse monyang ka makhetlo a 2 ho isa ho a 4 ka letsatsi ho lekana le **40% ea tekanyo **; ho fetola li-pads ho feta makhetlo a 4 ka letsatsi ho lekana le **60% rating **; - Chemotherapy-Induced Peripheral Neuropathy (CIPN) matsohong le maotong ka bobeli (4 separate bilateral ratings); - Radiation Enteritis, Ho se sebetse ha Erectile (SMC-K), Maqeba a Ho Buoa, le Ho Tepella Maikutlo / Matšoenyeho a bakoang ke tlhahlobo ea mofetše le masala a sa foleng.

+-----------------------------------------------------------------------------------+
|            WHAT IF YOUR PROPOSED LETTER SAYS "PROPOSED SEVERANCE"                 |
|             (CANCELLING SERVICE CONNECTION UNDER 38 CFR § 3.105(d))               |
+-----------------------------------------------------------------------------------+
| Sometimes the VA does not just propose lowering your percentage: it proposes     |
| "Severing Service Connection" altogether, claiming it made a mistake years ago    |
| when it granted your disability.                                                  |
|                                                                                   |
|   -> THE "CLEAR AND UNMISTAKABLE ERROR (CUE)" SHIELD:                             |
|      Under 38 CFR § 3.105(d), the VA CANNOT sever your service connection simply  |
|      because a new C&P doctor disagrees with the prior doctor who granted your    |
|      claim. A "difference of medical opinion" is NEVER grounds for severance.     |
|      Instead, the VA bears the crushing burden of proving that the original grant |
|      was "Clearly and Unmistakably Erroneous": meaning NO reasonable person      |
|      could have agreed with the original decision based on the law and evidence   |
|      that existed at the time. (And after 10 years, severance is barred.)         |
+-----------------------------------------------------------------------------------+

Boipiletso ba bahale ba libaka le lisebelisoa tsa ombudsman¶

• United States (Department of Veterans Affairs: VBA):
• ** VA QuickSubmit (Evidence Intake Portal)**: Kenya kopo ea hau ea ho utloa Matsatsi a 30 (VA Form 21-4138) le li-DBQ tsa poraefete hang hang ho access.va.gov ( kgetha QuickSubmit).
• ** Setsi sa Mehala sa Naha sa VA le Bukana e Amoheletsoeng ea VSO : Letsetsa 1-800-827-1000 ho netefatsa boemo ba kopo ea hau ea ho mameloa esale pele, kapa ho fumana moemeli oa VSO ea ngolisitsoeng ka molao, moemeli oa likopo, kapa 'muelli oa molao ea nang le tumello ea VA ka ** Ofisi ea VA ea Patlisiso ea Kamohelo ea Kamohelo ho va.gov/ogc/apps/accreditation/index.asp.
• Veterans Crisis Line: Letsetsa 988 ebe o tobetsa 1, mongolo 838255, kapa qoqa ho veteranscrisisline.net.
• Canada (Veterans Affairs Canada: VAC):
• Lefapha la Babuelli ba Lipenshene (BPA) & Boto ea Tlhahlobo le Boipiletso ea Bahlabani ba Veteran (VRAB): Haeba Veterans Affairs Canada (VAC) e hlahloba hape kapa e fokotsa Matšeliso a Bohloko le Mahlomola (PSC) kapa Melemo ea Phallo ea Moputso (IRB) tlhahlobo, o na le tokelo ea ho kemelo ea mahala ea molao ke 'muelli oa molao ho tsoa Bureau of Pension Advocates (BPA ho 1-877-368-0859) ka pel'a Boto ea Tlhahlobo le Boipiletso ea Bahlabani ba Mabitso (VRAB), mme e ka phahamisa tsamaiso e hlokang toka ho Ofisi ya Veterans Ombud (1-877-330-4343 / ombudsman-veterans.gc.ca).
• United Kingdom (Armed Forces Compensation Scheme: AFCS & War Pension Scheme):
• ** Li-Veterans tsa UK tse Tlamang ho Nahanisoa bocha le Lekhotla la Mokhahlelo oa Pele (War Pensions and Armed Forces Compensation Chamber)**: Haeba Veterans UK (Ministry of Defence) e fokotsa kapa e felisa Tefo ea Moputso o Tiisitsoeng oa AFCS (GIP) kapa Penshene ea Bokooa ba Ntoa, kopa tlhahlobo kapa boipiletso bo ikemetseng ho Lekhotla la Mokhahlelo oa Pele (War Pensions and Armed Forces Compensation) ka boemeli ba mahala bo tsoang ho Royal British Legion (0808 802 8080).
• Australia (Department of Veterans' Affairs: DVA):
• Boto ea Tlhahlobo ea Bahlabani (VRB) & MRCA / DRCA / VEA Tshireletso: Haeba DVA e sisinya phokotso ho Sekhahla se Khethehileng (TPI) kapa Tlhaloso e sa Feleng (MRCA) mats'eliso, boipiletso ho Boto ea Boithuto ba Veterans' (VRB ho 1800 550 460 / vrb.gov.au) ka bobuelli ba mahala ho tsoa ho RSL (Returned & Services League).

Lipotso tse botsoang khafetsa¶

Ke sa tsoa fumana lengolo la VA le reng "ba sisinya ho fokotsa" tekanyo ea bokooa ba ka ho tloha ho 70% ho isa ho 30%. Na ke lokela ho kenya Kleime ea Tlatsetso kapa Tlhahlobo ea Boemo bo Phahameng hang-hang?¶

Che. U SE KE UA Faela Kleime ea Tlatsetso (VA Foromo 20-0995) kapa Tlhahlobo ea Boemo bo Phahameng (VA Form 20-0996) ho arabela lengolo la "Proposed" la phokotso. Tlas'a melaoana ea VA (38 CFR § 3.105(e)), phokotso e reriloeng ha e so fihle qeto ea ho qetela, kahoo VA e tla hana liforomo tse tloaelehileng tsa boipiletso esale pele. Sebakeng seo, o tlameha ho fana ka setatemente se ngotsoeng ho VA Foromo ea 21-4138 nakong ea matsatsi a khalendara a 30 ho tloha ka letsatsi le lengolong le kopang "Predetermination Personal Hoaring tlasa 38 CFR § 3.105(i)." Ho kopana le nako eo ea matsatsi a 30 ka molao ho qobella VA hore e lule e lefa cheke ea hau ea khoeli le khoeli ea 70% ha u ntse u bokella bopaki ba bongaka 'me u emetse kutlo ea hau.

Phapano ke efe pakeng tsa nako ea ho qetela ea matsatsi a 30 le letsatsi la ho qetela la matsatsi a 60 lengolong la VA Proposed Rating Reduction?¶

Letsatsi la ho qetela la matsatsi a 60 ke fensetere eo u tlamehang ho fana ka bopaki ba bongaka, li-DBQ tsa poraefete, le ho beha lipolelo pele VA e fana ka qeto ea ho qetela. Leha ho le joalo, nako ea ho qetela ea matsatsi a 30 e potlakile haholo: tlas'a 38 CFR § 3.105 (i), haeba VA e amohela kopo ea hau e ngotsoeng bakeng sa Kemiso ea Predetermination nakong ea matsatsi a 30 ho tloha letsatsing la tsebiso, VA e ke ke ea fokotsa tefo ea hau ea khoeli le khoeli ho fihlela ka mor'a hore nyeoe e tšoaroe 'me ho fanoe ka qeto ea ho qetela. Haeba u hloloheloa nako ea ho mamela ea matsatsi a 30 'me u fana ka bopaki feela ka Letsatsi la 45, VA e ka tsoela pele ho khaola cheke ea hau ea khoeli le khoeli ka Letsatsi la 61 ha u ntse u emetse likhoeli bakeng sa boipiletso.

Tekanyetso ea ka ea VA e bile ho 70% bakeng sa lilemo tse 6, mme mohlahlobi oa C&P oa konteraka o mpone ka metsotso e 10 ka letsatsi le letle mme a re ke ntlafetse. Na VA e ka fokotsa litekanyetso tsa ka ka molao ho latela tlhahlobo eo e le 'ngoe?¶

Tjhe Tlas'a § 3.344(a)-(c), VA e thibetsoe ka molao ho fokotsa lintlha tse tsitsitseng tsa lilemo tse 5 ho latela tlhahlobo e le 'ngoe ea C&P. Sebakeng seo, VA e tlameha ho paka ka rekoto ea hau eohle ea bongaka ea nako e telele hore boemo ba hau bo fihletse "ntlafatso e tsitsitseng" le hore ntlafatso e tla bolokoa tlas'a likhatello tse tloaelehileng tsa bophelo le mosebetsi. Ho qotsa 38 CFR § 3.344 nyeoeng ea hau ea qeto esale pele le ho fana ka lintlha tse tsoelang pele tsa kalafo hoo e ka bang kamehla ho qobella VA ho hlakola phokotso ea tlhahlobo e le 'ngoe.

Ho etsahala'ng haeba lengolo la ka la Tlhahiso ea Phokotso le re VA e fokotsa lintlha tsa ka hobane ke fositse tlhahlobo e reriloeng ea C&P ("Ho hloleha ho Tlaleha")?¶

Tlas'a 38 CFR § 3.655, haeba u fetoa ke tlhahlobo e hlophisitsoeng ea C&P ntle le "Sesosa se Molemo," VA e sisinya ho fokotsa kapa ho emisa matšeliso a hau bakeng sa boemo boo. Hang-hang romella VA Foromo ea 21-4138 nakong ea matsatsi a 30 u kopa Ho utloa esale pele, hlalosa Lebaka la hau le Molemo la ho lahleheloa ke tlhahlobo (mohlala, ha u e-s'o fumane mohala oa mokonteraka kapa lengolo ka poso, u ne u kula, kapa u ne u e-na le ts'ohanyetso ea mosebetsi / lelapa), 'me ka ho hlaka u re: "Ke itokiselitse ebile ke ikemiselitse ho tlaleha tlhahlobo ea C&P hang-hang." Hang ha u se u bontšitse boikemisetso ba ho ba teng le ho theha mabaka a utloahalang, VA e tlameha ho hlophisa tlhahlobo hape le ho emisa phokotso.

Litataiso tse amanang¶

• Ts'ireletso ea Ts'ireletso ea Sechaba (SSDI) e lefang ho feta tefello le ts'ireletso ea pheliso ea melemo
• Tlhokomelo ea inshorense ea nako e telele ea bokooa (LTD), sefi sa IME, le ts'ireletso ea likhoeli tse 24
• Inshorense ea bokooa ea nako e khuts'oane le ea nako e telele ea ERISA ho hana le boipiletso
• Tekanyetso ea maemo a tšohanyetso nakong ea tahlehelo ea chelete
• Lenane la linomoro tsa tshohanyetso

Mehloli le tataiso ea semmuso¶

• Melao ya Federal Regulations (Title 38: Pensions, Bonuses, and Veterans' Relief):38 CFR § 3.105(d) & (e) (Matsatsi a 60 a Nako ea Ts'ebetso bakeng sa Khaotso le Phokotso e Reriloeng); 38 CFR § 3.105(i) (Matsatsi a 30 a Kopo ea ho Utloa esale Pele ho Tsoela Pele ho Melemo); 38 CFR § 3.344 (Molao o Tsitsitseng oa Lintlha tsa Lilemo tse 5); 38 CFR § 3.957 (Tshireletso ea Lilemo tse 10 ea Khokahano ea Litšebeletso); 38 CFR § 3.951(b) (Tsireletso e Tsoelang Pele ea Litekanyo tsa Lilemo tse 20); 38 CFR § 3.343(c) (Maemo a Phokotso ea TDIU); le 38 CFR § 3.327(b)(2) (Likhaolo tsa lilemo tse 55 le Static Disability Exam).
• Khotla ea Boipiletso ea United States bakeng sa Litlaleho tsa Bahlabani ba Ntoa (CAVC): Brown v. Brown (5 Vet. App. 413: Moroalo oa Bopaki ho VA ho Phokotso ea Likarolo); Kitchen v. McDonough (34 Vet. App. 191: Kopo ea 38 CFR §§ 4.1, 4.2, le 4.10 ho Phokotso ka tlase ho Lilemo tse 5); DeLuca v. Brown (8 Vet. App. 202) & Correia v. McDonald (28 Vet. App. 158: Teko e Tlamang ea Flare-Up le Weight-Bearing Range-of-Motion Testing).
• U.S. Lefapha la Veterans Affairs (VBA): M21-1 Adjudication Procedures Manual, Karolo ea X, Karolo e nyenyane ea ii, Khaolo ea 4 (Phetoho ea Liqeto: Phokotso le Likhaollo) le Karolo ea IV, Karoloana ea II, Khaolo ea 1 (Litlhahlobo tsa Kamoso tsa Kamoso).