Filing a claim for disability benefits with the VA is a straight forward process. There is no magic formula to the process.

However, recent revelations about some employees at some VA Regional Offices destroying or hiding claims raises issues regarding how veterans can protect themselves from such unconscionable behavior. There are some things you can do to help make sure your claims are received and processed by the Department of Veterans Affairs.

The easiest way to protect against lost or destroyed claims is by delivering the claim to the VA Regional Office directly. Deliver the claim directly to the VA and ask the VA employee accepting the claim to date stamp the claim as received and provide you with a copy. The VA employee should be glad to accommodate your request. If the employee is not willing to abide by your request, ask to see a Supervisor. Now you have a copy of the claim you filed with a VA date stamp showing the date it was received by the VA. If you later discover the claim has been lost or has otherwise not be processed by VA, you can provide them with a copy of what you have and insist they open the claim and begin processing. Remember the date of the claim should be the date shown on the copy VA provided to you. This date is important because most benefits granted are granted effective the date the claim was filed with VA. There are exceptions to this but the date of the claim is a very important date and it should be correct.

Recently one of my staff had a few medical exams. This reminded me of a plea by Col. Tim Gann (not Brig. Gen. Gann), who came to the USAF Doctrine Center in 1997. Col. Gann stated a prostate exam had saved a fellow Army War College student’s life by catching the student’s prostate cancer. Col. Gann swore by this exam as a result. Later our PA, Col. Randy Dobbins, proceeded to stress anyone over age 50 must also get a colonoscopy.

Thus, when one of my staff underwent a colonoscopy I asked them, weeks later, to discuss this procedure to help others understand the procedure and the merits of having these exams. So without any further lead-in, their story:

I recently went for my first colonoscopy. They recommend them regularly after you reach 50 years of age. I have had several flexible sigmoidoscopies since I turned 50 but not the BIG C.

Recent U.S. Court of Appeals for Veterans Claims (CAVC) cases have clarified how medical opinion evidence must be considered. These decisions did not have any impact on current Department of Veterans Affairs regulatory language, but they have made it clear how the CAVC will handle decisions made based on medical opinion evidence.

CAVC has held that the probative value (the weight to be given) of a medical opinion rests primarily in the examiner’s reasoning or rationale. CAVC held that private medical opinions cannot be discounted based on a lack of review of the veterans DVA claims file. CAVC further indicated that a DVA examination is not accorded greater probative value simply based on review of the claim folder.

However, CAVC did hold that DVA DOES NOT have a general duty to inform every claimant providing a private medical opinion of the availability of the DVA claim folder. In other words, DVA’s failure to inform the claimant that the claim folder is available for review by the private physician is not sufficient to reverse a denial based on lack of sufficient reasoning/rationale by the private physician.

Haas v. Nicholson was the case brought on behalf of “blue water” veterans who argued that the presumption of exposure to herbicides (Agent Orange) should be extended to veterans serving in the waters off the coast of Vietnam.

The presumption of exposure to Agent Orange has been defined by the Department of Veterans Affairs (DVA) as “served in the Republic of Vietnam.” This definition means a veteran must have performed duty or visited the country of Vietnam to be considered to have “served in the Republic of Vietnam.” This presumption of exposure, therefore, did not extend to those serving in the waters off the coast of Vietnam.

The argument made by the appellant, Jonathan L. Haas, was that the presumption should extend to those who served in the waters off the coast of Vietnam. The Board of Veterans Appeals (BVA) upheld the VA’s regulatory interpretation that presumption to exposure to Agent Orange did not extend to these “blue water” veterans.

Recently, I was involved in a classic retaliation case. An apartment tenant requested information from an apartment in accordance with the state statute to correct a deficiency with the apartment.

The apartment management was unresponsive to the tenant’s request. The tenant then requested the apartment owner’s address, as provided by a city ordinance which stated a tenant was allowed to send a letter to the owner stating their claim. The tenant was not behind in rent. This is an important requirement for a tenant to prove landlord retaliation in Texas.

Upon the tenant requesting the apartment owner’ s address, the apartment manager immediately called the corporate management for guidance. The corporate manager instructed the apartment manager to terminate the tenant’s lease and give the tenant a 30 day notice immediately. The apartment manager complied and issued the 30 day notice to the tenant within an hour of the tenant’s request for the owner’ s address.

A landlord may not retaliate or attempt to punish a tenant who attempts to exercise “a right or remedy granted to the tenant by ‘by lease, municipal ordinance, or federal or state statute.” Texas Property Code §92.331(a)(1).

Additionally a landlord may not retaliate if he can’t request a repair to the property or attempts to “exercise a remedy” under the Texas Property Code, Residential Tenancies, Chapter 92. Furthermore a landlord may not retaliate if the tenant request a government entity, public utility, “or a civic or nonprofit agency” to enforce a building or housing code.

The Texas Property Code §92.331(b) states a landlord within “6 months after the date of the tenant’s actions” cannot:

A Tenant’s Remedies

Section 92.056 generally makes the landlord liable to the tenant if the tenant meets the requirements of Section 92.052. The landlord, however, has a reasonable period of time to repair the condition. Section 92.56(d) states a reasonable period of time is seven days. “To rebut that presumption, the date on which the landlord received the tenant’s notice, the severity and nature of the condition, and the reasonable availability of materials and labor and of utilities from a utility company must be considered.”

Under Section 92.053, the Burden of Proof (BOP) falls upon the tenant to enforce any inaction by a landlord failing to repair or remedy a Section 92.052 condition. Once the tenant proves their claim the BOP shifts to the landlord.

Smoke Detectors

You need a working smoke detector for the safety of you and your family.

Section 92.254 of the Texas Property Code requires a working smoke detector in each rental unit. The smoke detector must be able to detect both visible and invisible products of combustion. The smoke detector, which is installed must be “tested and listed for use as a smoke detector by Underwriters Laboratories, Inc., Factory Mutual Research Corp, or the United States Testing Company.”

Repair of Property

Texas Property Code § 92.052 provides a landlord “shall make a diligent effort to repair or remedy a condition if” the tenant gives notice AND is not delinquent in rent. Additionally, the repair defect “materially affects the physical health or safety of an ordinary tenant.” Finally, the landlord must provide hot water “a minimum of 120 degrees Fahrenheit.”

A landlord does not have a duty to repair any damage caused by a tenant, a lawful occupant, a tenant’s family member, guest, or invitee. A tenant who damages the property cannot demand the landlord repair the damage.

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