This post describes the VA disability appeals process for decisions issued prior to February 19, 2019. Decisions received after that date are subject to the new VA appeals process.
At The Comerford Law Office, many of our clients contact us after being denied benefits. These veterans know they are disabled and yet the VA has either turned down the application or given them a low rating. Many of these people are confused about what to do or whether getting the decision overturned is even possible.
When you receive your decision letter, read it carefully. It should explain why you were denied benefits or underrated. The letter should also explain your appeal rights.
The first step in an appeal is to file a Notice of Disagreement (NOD), which is typically VA Form 21-0958. You have one year form the date of the decision letter to file, and if you miss this deadline then the original decision is irreversible. Your decision letter should tell you where to submit the NOD.
In this type of review, a Decision Review Officer (DRO) will take a fresh look at your case. The officer does not rely on the original decision, which is completely disregarded. Typically, you can present new evidence to the Decision Review Officer to consider. For example, if your condition has worsened, you can present evidence that it is more severe than initial thought.
If the DRO agrees with you, then he or she can approve your claim and issue a new rating. However, if the officer upholds the original decision, then he or she issues a Statement of the Case (SOC).
This SOC should identify why your claim was rated the way it was or denied entirely. After the SOC is issued, you can either accept the decision or continue to appeal. If you wish to continue to appeal, you typically have 60 days to fill out VA Form 9 and to include supporting documentation. Remember to include everything—medical and factual evidence—and submit this substantive appeal to the address included in your Statement of the Case.
Your appearance can be in person or by video conference. Regardless of which method you select, you might need to wait a long time—typically a year or more. During the hearing, you can offer testimony under oath, though the proceedings will be relatively informal. You can also submit additional evidence that will be placed in your file.
The judge can grant your appeal, deny it, or issue a remand. On remand, the case is sent back to your local VA office to either collect evidence or follow some other procedure. Typically, the BVA issues a remand when it does not have sufficient evidence to render a decision.
Because appeals are complicated and drawn out, many disabled veterans give up even if they have valid claims. To help your case, you should work with an attorney who understands the appeals processes and how to build a compelling case. The Comerford Law Office has handled many appeals and is prepared to work for you. To schedule a free consultation, please call 312-863-8572 or submit an online contact form.
Retroactive pay regarding the failure to account for all the veteran’s medical conditions.
Military Sexual Trauma case
Disability associated with Chronic Fatigue Syndrome
Retroactive pay regarding a PTSD misdiagnosis.
PTSD resulting in Unemployability
Traumatic brain injury case
Wrongfully denied SSA claim
Post-traumatic stress disorder (PTSD)
Non-presumptive cardiac impairment linked to Agent Orange
Agent Orange exposure case that led to Parkison’s disease.
ERISA long term disability benefits.