Permanent & Total   P & T

What does that mean for you?


The state or quality of lasting or remaining unchanged indefinitely.

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Send Your Documents,

Forms & Evidence here...

Use Certified Mail!!!

Department of Veterans Affairs
Claims Intake Center
PO BOX 4444
JANESVILLE, WI 53547- 4444
Toll Free Fax: 844-531-7818

Regional Loan Center

Contact Information

Vocational Rehabilitation

and Employment

Contact your VARO

Pension Management Centers

Education and Training
Regional Processing Offices

VA has three RPOs that handle GI Bill claims.

Find your region here.

How to Use My HealtheVet
My HealtheVet is the VA's Personal Health Record.

It is designed for Veterans, Servicemembers, their caregivers and others. To use My HealtheVet, you will need a computer with Internet access...

Military Veteran T-Shirt
Dysfunctional Veteran Cap

What's your VA up to today?
If you aren't reading the

Federal Register, you may miss it.

Tactical Military Gear

Office of Child Support Enforcement
Income Withholding and Medical Support for Department of Veterans Affairs Benefits
Frequently Asked Questions

VA Home Loans and

Housing-Related Assistance
VA Assistance to Veterans Who Are Severely Disabled

​Veterans with certain service-connected disabilities may apply for grants to build an adapted home or install ramps, widen

doors, or make other modifications

to live more independently.

What Additional Benefits
Are YOU Eligible For?

VBA  Derivative Benefits Eligibility​ 
There are additional benefits that you may be eligible for that are based on a favorable decision for a VA benefit and/or based on special circumstances. 
These are known as derivatives.

The Alphabet Soup of

Disability Income:

When you can't work, there are

three programs that can help:

Social Security Disability Insurance,

long-term disability and workers'

comp. You may even qualify for more than one, but that can also cause issues.

I am a Veteran
Veterans of the United States Uniformed Services may be eligible for a broad range of programs and services provided by the Department of Veterans Affairs (VA). 

Agent Orange Newsletter
Hepatitis C Treatment

Disability Benefits
Apply for disability compensation and other benefits for conditions related to your military service.

Health Care Benefits
Apply for VA health care, find out how to access services, and manage your health and benefits online.

Education Benefits
Apply for and manage benefits that help you pay for college and training programs.

Housing Assistance
Find out if you qualify for a VA home loan. If you have a service-connected disability, find out if you qualify for a housing grant to help you live more independently.

Careers and Employment
Find out if you're eligible for Vocational Rehabilitation and Employment (VR&E) services, get support for your Veteran-owned small business, and access other resources to help build your career skills and find a job.

Life Insurance
Explore VA life insurance options, manage your policy online, and file claims.

Pension Benefits
Apply for monthly pension benefits for wartime Veterans and survivors.

Burials and Memorials
Get help planning a burial or memorial service, and find out how to get survivor and dependent benefits.

Family and Caregiver Benefits
As the family member of a Servicemember or Veteran, find out if you qualify for benefits like health care, VA-backed home loans, life insurance, or money to help pay for college. If you’re caring for a Veteran with disabilities, find out if you can get added support.

The Shocking Health Effects Of 

Agent Orange
Now A Legacy Of Military Death

Jim Strickland Facebook Page

RANDOM Drug Screens 

at your VA Clinic...

Legal? Or maybe not?

Legal Aid for low income citizens

Life Insurance
VA provides Veterans, Servicemembers,

and their families with $1.3 trillion in

insurance coverage each year. VA also

offers a variety of life insurance options

Veterans Benefits on Reddit

Military Service Records,

Awards, and Unit Histories: 

A Guide to

Locating Sources

VA Benefits for Your Child
The Department of Veterans Affairs (VA) offers several benefits for the children of veterans: 
(1) Education benefits 
(2) Health care CHAMPVA 
(3) Life insurance

(4) Memorial benefits 

Special Compensation

for Assistance with

Activities of Daily Living (SCAADL)

Special Compensation

for Assistance with Activities

of Daily Living (SCAADL) Calculator 

What Are
Activities Of Daily Living

Who are all these people and

what have they done for you today?

The New & Improved VBA

(Click for a full-sized PDF)

There are 3 Great Lies, it's been said...

1) Of course I'll respect you in the morning, darling.

2) The check is in the mail.

3) Hello, we're from the            ​​and we're here to help you.


Who's Running This Show?

British Broadcasting Corporation
Business Insider


Disability, Survivors, SSDI,

Dependents, Pension


Central Intelligence Agency
Electronic Reading Room


Chicago Tribune

Christian Science Monitor

Choice Program

Billing Issues
1-877-881-7618      9 a.m. – 5 p.m. ET

The Code of Federal Regulations Title 38


Courthouse News
Ann Coulter
CNN Sources

"Contact Your Representative!!!"
Who are my representatives?

C & P Exams

Everything You Need To Survive

Contact Your Representative
Discharges & Military Records

Daily Caller

Daily Beast

DENIED!!!   How To Appeal


Education For Dependents

Defense Threat Reduction Agency



Child Support  Alimony

Benefits Garnishment

My HealtheVet Website

The Federal Register

Financial Times

FOX News

Free Beacon

GUNS Weapons   Concealed Carry

NICS     Veterans 2nd Amendment Rights


Gulf News

The Guardian

Home Based Primary Care (HBPC)

The Hill


IMO  IME  DBQs   Nexus Letters

India Times


Independent Expert  Medical Opinions

The Jerusalem Post


Medical Records Review

Marijuana   &  VA  DRUG TESTING & VA

Moscow Times

M21-1 Adjudication Procedures Manual
National Personnel Records Center

New York Times
Mother Jones

National Enquirer

Patient Record Flags

New Outreach for Vets Regarding
Discharges & Military Records.

Obstructive Sleep Apnea



Records of the Veterans Administration [VA]

Radio Garden

Real Clear Politics



Smoking Gun

Socialist Worker


The Sun

Talking Points Memo


USA Today

U.S. Medicine
Veterans Benefits Administration
Fact Sheets

The VA App Store

VA urges veterans to be
screened for hepatitis C

VA’s Airborne Hazards and Open Burn
Pit Registry for Veterans and Servicemembers

VA Payment for Emergency Care

The Veterans Law Library

Ventusky Weather Wind Map

Veterans Benefits Administration
Benefit Brochures

Veterans injured by service wait
years for compensation hearings

Vietnam War Resources


Washington Post
Washington Times

Welcome to Military Disney Tips!

Weekly World News

World Net Daily
World Public Opinion



The VAWatchdog


​​FREE case evaluation.

The attorneys and doctors

you'll meet here will

be happy to review your

case for free. It will only cost you a little of your time to speak with an expert. What  are  you waiting for?

Pinups For Veterans


No Form, No Benefit!

VA Form 21-526EZ

Disability Service Connection
Secondary Service Connection

IncreasedDisability Compensation

Temporary Total Disability Rating
 Individual Unemployability
Compensation under

38 U.S.C. 1151
 Special Monthly Compensation
Specially Adapted Housing

Special Home Adaptation

Automobile Allowance

/Adaptive Equipment
Benefits Based on a Veteran's
Seriously Disabled Child

VA Form 21-0958 - NOD
​Notice of Disagreement
VA Form 21-534 EZ
Application for DIC,

Death Pension
Change of Address​

Add Your Dependents

Declaration of Status of Dependents

TDIU Annual

VA Form 4140


Military Records DD 214

Official Military Personnel Files (OMPFs)
Official Personnel Folders (OPF)

Selective Service Records

Deceased Veteran's Claim Files

Individual Deceased Personnel File

Benefits from Other Federal Agencies

A general list of other Federal agencies that

offer benefit programs and resources for

Service members, Veterans, and their families.

Veterans Legal Help Navigator
Welcome to the Veterans Legal Help Navigator. This online tool helps veterans' caseworkers and advocates across the country find the right fit legal help for veterans.

Veteran Proud
Wounded Warrior Project Veterans Benefits

Since 2005 This Is The Site VA Reads

When They Want To Learn What They've Been Doing​

Veterans Law Attorney
Veterans Legal Aid

Jim Strickland is a nationally known

advocate for veterans and a member of the 

Stateside Legal Advisory Board.

Five Reasons to Appeal

1. You filed a claim for a disability benefit and were denied.

2. You filed a claim for a benefit and the rating is too low.

3.You've been denied a health care benefit, for example...prosthetics or dental services.

4. You have had a temporary rating and VA tells you that they are going to reduce that rating.

5. You've been notified that VA is proposing to appoint a fiduciary.

How to Appeal

1. You filed a claim for a disability benefit and were denied.

File a NOD

Use this form

Use certified mail and send the form to:

Department of Veterans Affairs
Claims Intake Center
PO Box 5235
Janesville, WI 53547-5235

Also send a copy via fax to:
Toll Free Fax: 844-822-5246

Once you've done that,

talk with a veterans law attorney.

When you are denied a benefit, you have the right to retain a veterans law

attorney at no out of pocket cost to yourself.

We urge you to talk to a lawyer as soon as you're able to.

Veterans Law Attorney

How to Appeal
5. You've been notified that VA is proposing to appoint a fiduciary.
Your best bet is to talk with a veterans law attorney.

Veterans Law Atorney

You have the right to appeal any benefits decision

made by the Veterans Benefits Administration.

The VA appeals process is set in law and is different

from other judicial appeals processes.

Have you already filed an appeal?
When the Veterans Benefits Administration Regional Office receives your

Notice of Disagreement, you’ll be able to check the status of your appeal on

​How long does it take VA to make a decision? 12-18 months.

The Veterans Benefits Administration usually takes 12-18 months to review new

appeals and decide whether to grant some or all of the appeal.

5-7 years When you request a review from a Veterans Law Judge at the Board of

Veterans’ Appeals, it could take 5-7 years for you to get a decision.

Veterans Question and Answer

How to Appeal

3. You've been denied a health care benefit,

for example...prosthetics or dental services.

You must appeal in writing to the director of your health care facility.

To appeal a denial of a health care benefit, you'll have to contact the

director of your facility, usually at the VA hospital that

is the hub for the facility that denied your benefit.

You must send the letter to the director at the VAMC address

and you must use certified mail.

In your letter you should be as brief as you can when describing

the problem you're having with your health care benefits.

How to Appeal

4. You have had a temporary rating and VA

tells you that they are going to reduce that rating.

Prostate cancer is the most frequent rating VA tries to lower.

Many, many VA ratings are assigned as temporary ratings during recuperation

or are conditions that VA believes will improve with treatment over time.

The term "future exams are scheduled" is your signal that a benefit rating is temporary.

The term "permanent & total" is the signal that the benefit is permanent

although "permanent" may not mean what you think it does.

Click here for our statement on P & T.

All cancer diagnoses are rated as temporary.

VA assumes you will get treatment and be cured.

This is why there is a conflict when prostate cancer (PC) is service connected.

The prostate cancer rated veteran is usually a Vietnam vet who has a

presumptive agent orange associated cancer. The usual course of the claim

is that the RVN veteran gets a diagnosis of PC and then files a claim.

There is always a perfunctory C & P exam.

The VA will respond with a temporary 100% service connected rating. The veterans file

will be flagged to schedule a future exam, usually 6 months or so after the assumed

treatment. If the veteran chooses treatment such as surgery, radiation or chemotherapy,

the C & P exam will determine the residual effects of treatment and the

100% temporary rating will usually adjust downward to reflect any disabilities

caused by treatment of the service connected condition.

Prostate Cancer Evaluations

Many veterans who are diagnosed with PC choose a new way to deal with it. Men are

more and more often choosing "watchful waiting" or "active surveillance." Men who choose

this option receive no treatment and their cancer remains active. Thus, they

are entitled to the 100% temporary rating for the duration of their disease process.

Simple enough, right? But VA will still manage to screw this up.

If during the follow-up exam (this may be a phone call exam) the examiner doesn't

understand that your cancer is active, he may rate you as 0% disabled because

you aren't having the typical post-procedure problems like frequent urination

or erectile dysfunction. If you are taking any medicine for your benign

prostate hypertrophy (BPH) the examiner may note that as prostate cancer treatment

and VA will propose to reduce your 100% rating. Common medicines for BPH are

tamsulosin (Flomax) or terazosin (Hytrin) dutasteride (Avodart) or finasteride (Proscar).

If you take any of the above medicines for BPH the VA is likely

to try and reduce your 100% PC rating to 0%.

If you are a veteran who is service connected for prostate cancer and you have

chosen watchful waiting and VA proposes to lower your rating, you must take action right now.

Nobody will help you with this, you must DIY.

VA usually encloses instructions of what to do if you disagree with their decision or proposal.

Carefully read any instructions. Read them again.

You must notify VA in writing that you still have cancer.

You must notify VA in writing that they made the wrong decision.

You should tell them that due to an inadequate examination,

they are making a mistake attempting to lower your 100% rating.

Be brief, be courteous, stick to the facts in your letter. One single page is enough.

Use certified mail to send your letter to:

Department of Veterans Affairs
Claims Intake Center
PO Box 5235
Janesville, WI 53547-5235

Then fax a copy to:
Toll Free Fax: 844-822-5246

We've used prostate cancer as our example here but the above instructions

apply to other conditions as well.

Veterans Medical Opinion Doctor

How to Appeal

2. You filed a claim for a benefit and the rating is too low.

File a NOD

Use this form

Use certified mail and send the form to:

Department of Veterans Affairs
Claims Intake Center
PO Box 5235
Janesville, WI 53547-5235

Also send a copy via fax to:
Toll Free Fax: 844-822-5246

If you have applied for a disability benefit and the benefit is awarded but the rating is too

low, you're probably going to have to manage the appeal yourself. Since you weren't

denied the benefit, a veterans law attorney won't be able to help in most cases.

You can manage your own appeal. File the NOD as above.

As you fill in the NOD form, tell VA that you believe you should have a higher rating.

Explain why you believe your rating should be higher.

Compare ratings at The Schedule For Rating Disabilities.

Use examples from The Schedule to support your appeal for a higher rating.

Veterans Clinical Psychologist

We urge vets to talk with an attorney.

It doesn't cost anything to discover your options.

VAWatchdog does not recommend that any veteran proceed beyond the DRO

Process unless he/she is represented by a skilled attorney.

Appeals, indeed all claims, have become much more complex.

This has opened a door to the VBA making more mistakes than ever before.

Along with all this is the fact that VBA has become more willing to fight appeals.

Veterans need an advocate who is trained in law and skilled at the task.

How To Hire A Lawyer  

The Court of Appeals for Veterans Claims (CAVC) 
How To Appeal a Board of Veterans' Appeals Decision  
You must have a final decision from the Board of Veterans' Appeals before appealing

to this Court. (The VA Regional Office is not the Board of Veterans' Appeals.)    
If you are not sure of the status of your claim at the VA or BVA, please call the BVA status line at 202-565-5436.   
Required Steps for Filing an Appeal:  

1. The appellant must file a written Notice of Appeal (NOA) that

includes all of the following information:   

A. Current name
B. Current address
C. Current telephone number
D. Current e-mail address
E. VA claims file number
F. Date of Board decision being appealed  

2. The Notice of Appeal (NOA) must be received not later than 120 days after the date

on which the Board mailed the notice of the decision to the last known address of the appellant. 

Please Note: The date stamped on the front of the BVA's decision is the date it was mailed.   
3. A $50 nonrefundable filing fee, paid by check or money order payable to the

"U.S. Court of Appeals for Veterans Claims," or a Declaration of Financial

Hardship must be received by the Court no later than

14 days after you send the Notice of Appeal (NOA).   
4. File the Notice of Appeal (NOA) and filing fee or Declaration of Financial

Hardship with the Court by mail, fax, or e-mail to the following address:     
Clerk of the Court     
United States Court of Appeals for Veterans Claims     
625 Indiana Ave. NW, Suite 900     
Washington DC, 20004-2950     
Fax: (202) 501-5848     

E-mailed pleadings must be in separate PDF files.   
5. Once the appeal has been docketed, the Clerk will send a Notice of Docketing

to all parties advising them of the date the Clerk received the Notice of Appeal (NOA). 

The Clerk will also note what is next required of both the appellant and the Secretary.  

The Board of Veterans Appeals (BVA) 
The Board of Veterans' Appeals (also known as "BVA" or "the Board") is a part of the VA,

located in Washington, D.C. Members of the Board review benefit claims determinations

made by local VA offices and issue decision on appeals.  These Law Judges, attorneys

experienced in veterans law and in reviewing benefit claims, are the only ones who can

issue Board decisions.  Staff attorneys, also trained in veterans law, review the facts of

each appeal and assist the Board members.   {38 U.S.C. §§ 7103, 7104} Anyone who

is not satisfied with the results of a claim for veterans benefits (determined by a

VA regional office, medical center, or other local VA office) should read the "How do I

Appeal" pamphlet.  It is intended to explain the steps involved in filing an appeal and to

serve as a reference for the terms and abbreviations used in the appeal process. Considering

a BVA Hearing? Select a Video Hearing. Board of Veterans' Appeals Decisions Search To

conduct a search of BVA's decisions, enter the word or group of words you are looking for

in the fields below. From the resulting list, you can connect directly to individual decision

texts or you can return to this page to conduct additional searches. Personally identifying

information has been removed, so searching by the Veteran's name, C-File or

Social Security Number will not be effective. Decisions are loaded

monthly, usually within 45 days after the end of

each month. VA Pamphlet 01-02-02A, April 2002 " How Do I Appeal " (PDF)

The Steps To An Appeal  

* Veteran files a claim the usual way.

* The usual process occurs; This may take 12 to 24 months.

* The veteran receives the letter from VA that denies the benefit.

* The veteran then chooses how to appeal. There is a one year time limit.

* The veteran may then retain a lawyer, tell VA that a DRO Process

appeal is desired or the vet may seek a BVA hearing.

* If DRO Process is the chosen, the appeal is handled at the Regional Office.

* If BVA is desired, the claim will be "perfected" by the RO prior to being sent to BVA.

This may equal DRO Process.

* If BVA claim is denied, the veteran may proceed to the CAVC.

* VAWatchdog does not recommend reconsideration.

* VAWatchdog recommends that almost all appeals

be handled by an expert attorney.

How To Appeal A Claim That Has Been Denied By The

​Department of Veterans Affairs (VA)

We believe that most applications for benefits will

be wrongly denied or the rating will be too low.
It doesn't matter if the claim is well grounded or not. It is likely that your claim will

require an appeal. VAWatchdog advises that veterans must expect that their benefit

application will be denied and that the veteran should be prepared to appeal.

This is a routine and ordinary part of the process. Denial of the initial claim should not

cause the veteran undue anxiety. Many, if not most, claims are won on appeal.
In every award (denial of award) letter there is information about why the veteran

was denied. Now is the time to carefully read through that. You may want to

read it a number of times. The information contained in the letter may be full of

errors itself and it won't always be easy to understand.