VA FORMS
Service Treatment Records
Military Personnel Records
Medical Records
Compensation Development
100

What va form is used to file a original compensation claim?

526ez

100

What are the three locations one can find service treatment records?

Pies, RMC, and HAIMS

100

What are the locations of where military personnel records can be obtained from?

1) Pies

2) DPRIS

100

What is the name of the system/program used to pull VAMC records?

CAPRI

100

Where do you change/update EFT information?

In Share under change of address tab

200

What va form is used to appoint a service organization as power of attorney?

VA Form 21-22

200

How does one determine where the service treatment records are held?

By branch and exit date

200

What is the document found in the MPR's that provides the type of separation and is used to verify service?

DD214

200

Who processes the request to obtain private treatment records?

DOMA/ PMR

200

What form is filed to appeal a denied contention(s)?

VA from 0995

300

What VA form is used to add dependents to an award?

VA Form 686C

300

What are service treatment records?

Records of treatment during service

300

Where are the MPR located for a Navy veteran who exited the military on Jan 5, 1994?

PIES/NPRC

300

IF 4142/4142a was submitted with a claim and it was sent to DOMA/PMR for processing automatically, what would you see on the top of the 4142/4142a forms?

PMR Referred

300

What End Product (EP) is associated with an appeal claim?

EP 040

400

What is the VA form 8940 used to claim?

individual unemployability

400

What are the three main items we locate in the service treatment records?

1) Enlistment exam

2) exit exam (if applicable)

3) treatment of claimed condition(s)

400

Where are the MRP's located for an veteran in the Marines who exited the service on December 29, 1999?

DPRIS

400

What are the 3 elements needed to qualify for an exam?

1)Current Disability, diagnosis or symptoms 

2)Event, injury or disease in service or Presumptive 

3)Diagnosis or symptoms may be associated with element one or is secondary to SC 

400

What is the 38 CFR code for agent orange presumptive conditions?

38 CFR 3.309(e)

500

What VA forms are used to provide authorization to release private treatment records?

VA forms 4142 and 4142a

500

Where are the STR's held at for a service member who is enlisted in the Air Force with an exit date of 12/20/2021?

HAIMS

500

Where are the MPR's located for a veteran in the Army who exited the service on September 29, 2002?

Dpris

500

What is the timeframe DOMA/PMR has to provide a response to the request?

Hint: The tracked item is set to this timeframe automatically when chosen

15 days

500

What are the symptoms of undiagnosed illness and medically unexplained chronic multisymptom illnesses for Gulf War?

38 CFR 3.317 (b) states:

1)Fatigue (2) Signs or symptoms involving skin. 

(3) Headache.  (4) Muscle pain. 

(5) Joint pain. (6) Neurological signs or symptoms. 

(7) Neuropsychological signs or symptoms. 

(8) Signs or symptoms involving the respiratory system (upper or lower). (9) Sleep disturbances. 

(10) Gastrointestinal signs or symptoms. 

(11) Cardiovascular signs or symptoms. 

(12) Abnormal weight loss. 

(13) Menstrual disorders.

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