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Compensation

New Conditions VA Presumes Are Related to Herbicide Exposure

Filing Claims for Service-Connection for Conditions VA Presumes Are Related to Exposure to Herbicides

On October 13, 2009, the Secretary of Veterans Affairs (VA) announced that three new conditions would be added to the list of diseases presumptively associated with exposure to certain herbicide agents: hairy cell and other B-cell leukemias, Parkinson's disease, and ischemic heart disease. This web site was created to provide general information about filing claims for service connection for these conditions.

VA began adjudicating these claims on October 30, 2010.

The questions and information on this website will ensure a Veteran or surviving family member understands the criteria for service connection and the evidence that is required to submit a complete claim.

Additional Agent Orange information can be found at http://www.publichealth.va.gov/exposures/agentorange/benefits.asp

A completed list of Complete list of current Veterans' diseases associated with Agent Orange Exposure

If you are interested in filing a claim, please click on the button below that applies to your situation.

VETERANS-File your claim online with Agent Orange Fast Track.

VeteranSurvivor of a Veteran 

Do you have one or more of the new presumptive conditions?

Do you have one or more of the following conditions?

  • B cell Leukemia's (such as hairy cell leukemia)
  • Parkinson's disease
  • Ischemic heart disease

Please click on the button below that applies to your situation.

YESNO

Were you exposed to herbicides such as Agent Orange while serving in the military?

Yes, I do have one or more of the listed conditions:

Veterans who served or visited in Vietnam from January 9, 1962, to May 7, 1975, or in certain units in Korea from April 1, 1968 to July 31, 1969, are presumed to have been exposed to Agent Orange. Were you exposed to Agent Orange (herbicides) in Vietnam or Korea during these timeframes?

If you were not in Vietnam or Korea, evidence could establish actual exposure to Agent Orange (herbicides) in other locations. Do you feel you were exposed to Agent Orange (herbicides) in service in a location other than Vietnam or Korea?

Please click on the button below that applies to your situation.

YES NO 

Do you have one or more of the 3 new presumptive conditions due to herbicide exposure?

No, I do not have one or more of the listed conditions - This site is focused on claims for B cell leukemia, Parkinson's disease, and Ischemic heart disease due to herbicide exposure.

Please click on the button below that applies to your situation.

I don't have any of these three conditions but I still want to file a claim for disability compensation benefits:

YES NO 

Were you exposed to herbicides such as Agent Orange while serving in the military?

YES, I was exposed to herbicides such as Agent Orange while serving in the military.

Please review the following options:

Please click on where you served:

Korea: Presumed Exposure
Vietnam: Presumed Exposure  


Other locations: Direct Exposure
 


Were you exposed to herbicides such as Agent Orange while serving in the military?

NO, I was not exposed to herbicides such as Agent Orange while serving in the military:

This site is focused on claims for B cell leukemia, Parkinson's disease, and Ischemic heart disease due to herbicide exposure.

Based on scientific evidence, VA presumes that B cell leukemias, Parkinson's disease, and ischemic heart disease were caused by military service for Veterans who were exposed to certain herbicides while they were serving in the military. If a Veteran has one of these conditions and was not exposed to herbicides in the military, then service connection may still be established (on a "direct" rather than a "presumptive" basis) if there is evidence that the disease is related to military service.

Please click on the button below that applies to your situation.

Do you still want to file a claim for disability compensation benefits?

YES NO 

Were you exposed to herbicides such as Agent Orange while serving in the military?

Exposed in Korea:

If your exposure to herbicides has not been established by VA, we need documents to show that you served between April 1, 1968, and July 31, 1969, in a unit that operated in or near the Korean demilitarized zone (DMZ) and in an area in which herbicides are known to have been applied during that period. If you click on the following link and scroll to page 2-C-22, you will find those units listed that the Department of Defense and VA have determined were exposed to herbicides in Korea. Link: http://www.warms.vba.va.gov/admin21/m21%5F1/mr/part4/subptii/ch02/ch02%5Fsecc.doc

If you have evidence to show you were in Korea in one of the units that operated in or near the Korean DMZ in an area in which herbicides are known to have been applied or can tell us where to get that evidence for you, please send it in with your claim. We have provided links to help you in obtaining records on the last page.

Have you received medical treatment for one or more of the three conditions?

YES NO

Were you exposed to herbicides such as Agent Orange while serving in the military?

Exposed in other location outside of Vietnam or Korea:

Although there is no presumed exposure to Agent Orange outside of Vietnam or Korea, a veteran may establish actual (or direct) exposure if evidence shows exposure to Agent Orange. If your exposure to herbicides has not been established by VA, we need documents to show that you were exposed to herbicides.

The attached link shows some locations that the Department of Defense has indicated Agent Orange may have been used or tested. Link: http://www.publichealth.va.gov/exposures/agentorange/outside_vietnam.asp

If you have evidence to show that you were exposed to herbicides in service, or can tell us where to get those records, please send it in with your claim. We have provided links to help you in obtaining records on the last page.

Have you received medical treatment for one or more of the three conditions?

YES NO

Were you exposed to herbicides such as Agent Orange while serving in the military?

Exposed in Vietnam:

Since we presume exposure to Agent Orange for Veterans who had duty or visited in Vietnam or in its inland waterways (often referred to as "brown water service") at any time from January 9, 1962, through May 7, 1975, we need documents to show that you were there during this timeframe

If you have evidence to show you were in Vietnam or can tell us where to get that evidence for you, please send it in with your claim. We have provided links to help you in obtaining records on the last page.

If we have already established that you were in Vietnam, we do not need any additional evidence.

Have you received medical treatment for one or more of the three conditions?

YES NO

Where have you received medical treatment for one or more of the three conditions?

Please click on where you were treated:

Military facility Private facility VA facility  


Have you received medical treatment for one or more of the three conditions?

NO, I haven't received treatment.

To support a claim for service connection, the law requires that you have a current disability. This must be shown by medical evidence or by lay evidence of persistent and recurrent symptoms of the claimed disability.

I still want to file a claim for disability compensation benefits:

Please click on the button below that applies to your situation.

YES NO

Where did you receive medical treatment?

Treated in a military treatment facility:

At a military treatment facility. Please provide the name, location, and dates of treatment. However, your claim may be decided faster if you send in the appropriate medical evidence to support your claim. The medical reports must include certain information, such as the diagnosis, that relates to the claimed condition. Depending on the nature of the reports, VA may be able to establish service connection and assign a disability evaluation without further development of evidence or scheduling of additional medical examinations.

Do you plan to see your medical provider and obtain medical evidence of your disability prior to submitting your claim?

YES  NO

Where did you receive medical treatment?

Treated in a private (non-government) treatment facility or hospital:

At a private (non-government) treatment facility or hospital. HIPAA privacy rules require we obtain a signed consent form to obtain treatment records from a private medical facility. Please complete a VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs. However, your claim may be decided faster if you send in the appropriate medical evidence to support your claim. The medical reports must include certain information, such as the diagnosis, that relates to the claimed condition. Depending on the nature of the reports, VA may be able to establish service connection and assign a disability evaluation without further development of evidence or scheduling of additional medical examinations.

Do you plan to see your medical provider and obtain medical evidence of your disability prior to submitting your claim?

YES  NO

Agent Orange - Where did you receive medical treatment?

Treated in a VA treatment facility:

Please provide the name, location, and dates of treatment. However, your claim may be decided faster if you send in the appropriate medical evidence to support your claim. The medical reports must include certain information, such as the diagnosis, that relates to the claimed condition. Depending on the nature of the reports, VA may be able to establish service connection and assign a disability evaluation without further development of evidence or scheduling of additional medical examinations.

Do you plan to see your medical provider and obtain medical evidence of your disability prior to submitting your claim?

YES  NO

What condition will see your medical provider about?

What condition do you plan to see your medical provider about to obtain medical evidence of your disability prior to submitting your claim?

VA facility

Do you plan to see your medical provider and obtain medical evidence of your disability prior to submitting your claim?

No - I do not want to see my medical provider prior to submitting my claim.

If you are interested in filing a claim for one of the three new Agent Orange presumptive conditions, please select the appropriate choice:

YES  NO

What condition will see your medical provider about?

Ischemic heart disease

VA may decide claims faster if the medical reports include the diagnosis and history of illness; METS level, determined by exercise testing, when symptoms of dyspnea, fatigue, angina, dizziness, or syncope result (Note: If exercise testing is medically contraindicated, then an estimate of the METS level is sufficient); evidence of congestive heart failure, cardiac hypertrophy or dilatation on electrocardiogram, echocardiogram, or X-ray; ejection fraction percentages if left ventricular dysfunction is present; any continuous medications that are required. Ischemic heart disease is a disease characterized by a reduced supply of blood to the heart. Title 38 CFR 4.104, diagnostic codes 7005 and 7006 shows Arteriosclerotic heart disease and Myocardial Infarction rating requirements at http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=%2Findex.tpl. When you visit a medical provider for this condition, please have them complete the questionnaire that is provided, so we can be sure it includes everything we need to reach a decision.

If you are visiting a medical provider and would like to have them review one of our exam requests for this condition so you can be sure to include everything we need, you can view/print it at http://www.vba.va.gov/bln/21/benefits/exams/disexm28.htm

If you are interested in filing a claim for one of the three new Agent Orange presumptive conditions, please select the appropriate choice:

YES  NO

What condition will see your medical provider about?

B cell Leukemias (such as hairy cell leukemia)

VA may decide claims faster if the medical reports include diagnosis and history of illness; whether the leukemia is active or is in a treatment phase. If the condition is not active or in a treatment phase, then medical reports should include the type and date of last treatment and current residual effects from the leukemia. B cell leukemia's are cancers, which affect B cells, such as hairy cell leukemia. See Title 38 CFR 4.117, diagnostic code 7703 for leukemia rating requirements at http://www.gpoaccess.gov/ecfr/. When you visit a medical provider for this condition, please have them complete the questionnaire that is provided, so we can be sure it includes everything we need to reach a decision.

If you are visiting a medical provider and would like to have them review one of our exam requests for this condition so you can be sure to include everything we need, you can view/print it at http://www.vba.va.gov/bln/21/benefits/exams/disexm29.htm

If you are interested in filing a claim for one of the three new Agent Orange presumptive conditions, please select the appropriate choice:

YES  NO

What condition will see your medical provider about?

Parkinson's disease

VA may decide claims faster if the medical reports include the diagnosis and history of illness; specific findings and full description of impairment of motor, sensory, and mental functioning due to Parkinson's; any continuous medications that are required. Parkinson's disease is a motor system condition with symptoms that include trembling of the limbs and face and impaired balance. Title 38 CFR 4.124a, diagnostic code 8004 shows Paralysis agitans rating requirements at http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=%2Findex.tpl. When you visit a medical provider for this condition, please have them complete the questionnaire that is provided, so we can be sure it includes everything we need to reach a decision.

If you are visiting a medical provider and would like to have them review one of our exam requests for this condition so you can be sure to include everything we need, you can view/print it at http://www.vba.va.gov/bln/21/benefits/exams/disexm07.htm

If you are interested in filing a claim for one of the three new Agent Orange presumptive conditions, please select the appropriate choice:

YES  NO

I have never filed a disability compensation claim with the Department of Veterans Affairs

You may electronically file your application at http://vabenefits.vba.va.gov/vonapp/main.asp. You can attach up to 5 electronic files to your VONAPP application before you submit it using VONAPP. The total size of all attachment must be one megabyte or less. You will need to send a copy of your/the Veterans military discharge document (DD Form 214) along with all pertinent medical records.

You can also file an application for benefits by completing VA Form 21-526 for new claimants, VA Form 21-4138 for claimants who have applied for benefits in the past, and VA Form 21-534 for widow/widower benefits. These forms can be mailed to your local Regional Office.

If you have already submitted a claim for benefits, please visit the ebenefits website to view your claim status.

If you have questions or comments concerning this website, please contact us using the Inquiry Routing & Information System (IRIS).

If you need to obtain a copy of your/the Veterans DD Form 214, you may request one at the following website: http://www.archives.gov/veterans/military-service-records/.

You may visit any VA Regional Office and a representative will assist you with filing a claim.

Additionally, Veteran Service Organizations can assist you by answering general questions and petitioning on your behalf for services they believe you are qualified to receive.

At any time, you may call 1-800-827-1000 to speak to a VA Benefits Counselor.

Go Back to the beginning.

I have previously filed a disability compensation claim with the Department of Veterans Affairs

I have previously filed a disability compensation claim with the Department of Veterans Affairs and I now wish to file a new claim for presumptive service connection for one or more of the three new Agent Orange presumptive conditions.

Please send a completed VA Form 21-526b, Veterans Supplemental Claim For Compensation, indicating that you wish a file a claim to the nearest VA regional office. Make sure you include all pertinent medical reports with your statement.

You may send a signed statement indicating that you wish a file a claim to the nearest VA regional office. Make sure you include all pertinent medical reports with your statement.

You may electronically file your claim online at http://vabenefits.vba.va.gov/vonapp/main.asp. To start the application process, click on the "Start VONAPP" button, read the introductory screens, and create a VONAPP account.

Once an account is created, VONAPP will display the "Create a New Form" screen, where you should select VA Form 21-4138, Statement in Support of Claim. Please follow the on-screen prompts to submit the form.

At any time, you may call 1-800-827-1000 to speak to a VA Benefits Counselor.

Go Back to the beginning.

Did the Veteran have one or more of the following conditions during his or her lifetime?

Did the Veteran have one or more of the following conditions during his or her lifetime?

  • B cell Leukemia's (such as hairy cell leukemia)
  • Parkinson's disease
  • Ischemic heart disease
YES  NO

Was the Veteran exposed to herbicides such as Agent Orange while serving in the military?

Was the Veteran exposed to herbicides such as Agent Orange while serving in the military?

YES  NO

Did the Veteran have one or more of the following conditions during his or her lifetime?

No, the veteran did not have any of these three conditions but I still want to file a claim for Dependency and Indemnity Compensation:

YES  NO

Where was the veteran exposed to herbicides while serving in the military?

Veterans who served or visited in Vietnam from January 9, 1962, to May 7, 1975, or in certain units in Korea from April 1, 1968 to July 31, 1969, are presumed to have been exposed to Agent Orange. Were you exposed to Agent Orange (herbicides) in Vietnam or Korea during these timeframes?

If you were not in Vietnam or Korea, evidence could establish actual exposure to Agent Orange (herbicides) in other locations. Do you feel you were exposed to Agent Orange (herbicides) in service in a location other than Vietnam or Korea?

Korea: Presumed Exposure Vietnam: Presumed Exposure 


Other locations: Direct Exposure 


Was the Veteran exposed to herbicides such as Agent Orange while serving in the military?

NO, Was the Veteran exposed to herbicides such as Agent Orange while serving in the military.

Based on scientific evidence, VA presumes that B cell leukemias, Parkinson's disease, and ischemic heart disease were caused by military service for Veterans who were exposed to certain herbicides while they were serving in the military. If a Veteran has one of these conditions and was not exposed to herbicides in the military, then service connection may still be established (on a "direct" rather than a "presumptive" basis) if there is evidence that the disease is related to military service.

YES  NO

Do you want to file a claim?

You may electronically file your application at http://vabenefits.vba.va.gov/vonapp/main.asp. You can attach up to 5 electronic files to your VONAPP application before you submit it using VONAPP. The total size of all attachment must be one megabyte or less. You will need to send a copy of your/the Veterans military discharge document (DD Form 214) along with all pertinent medical records.

If you need to obtain a copy of your/the Veterans DD Form 214, you may request one at the following website:
http://www.archives.gov/veterans/military-service-records/.

You may visit any VA Regional Office and a representative will assist you with filing a claim.

Additionally, Veteran Service Organizations can assist you by answering general questions and petitioning on your behalf for services they believe you are qualified to receive.

At any time, you may call 1-800-827-1000 to speak to a VA Benefits Counselor.

Go Back to the beginning.

Do you want to file a claim?

I do not want to file a claim for VA benefits.

This site is intended for the use of Veterans and their survivors who wish to submitt benefit claims based on the three presumptive conditions of B cell leukemia's, Parkinson's disease, and Ischemic heart disease.

Go Back to the beginning.

Where was the veteran exposed?

Exposed in Korea:

The veteran was exposed to herbicides while serving in specific units along the Korean DMZ (demilitarized zone) between April 1968 and July 1969. If the Veteran?s exposure to herbicides has not been established by VA, we need documents to show that the Veteran served between April 1, 1968, and July 31, 1969, in a unit that operated in or near the Korean demilitarized zone (DMZ) and in an area in which herbicides are known to have been applied during that period. If you click on the following link and scroll to page 2-C-22, you will find those units listed that the Department of Defense and VA have determined were exposed to herbicides in Korea. Link: http://www.warms.vba.va.gov/admin21/m21%5F1/mr/part4/subptii/ch02/ch02%5Fsecc.doc

If you have evidence to show the Veteran was in Korea in one of the units that operated in or near the Korean DMZ in an area in which herbicides are known to have been applied or can tell us where to get that evidence for you, please send it in with your claim.

We have provided links to help you in obtaining records on the last page.

Did the veteran receive medical treatment for one or more of the three conditions?

YES  NO

Agent Orange - Where was the veteran exposed?

Exposed in Vietnam:

Since we presume exposure to Agent Orange for Veterans who had duty or visited in Vietnam or in its inland waterways (often referred to as "brown water service") at any time from January 9, 1962, through May 7, 1975, we need documents to show that the Veteran was there during this timeframe.

If you have evidence to show the Veteran was in Vietnam or can tell us where to get that evidence for you, please send it in with your claim. We have provided links to help you in obtaining records on the last page.

If we have already established that the Veteran was in Vietnam, we do not need any additional evidence.

Did the veteran receive medical treatment for one or more of the three conditions?

YES  NO

Agent Orange - Where was the veteran exposed?

Exposed in other location outside of Vietnam or Korea:

Although there is no presumed exposure to Agent Orange outside of Vietnam or Korea, a veteran may establish actual (or direct) exposure if evidence shows exposure to Agent Orange. If the Veterans exposure to herbicides has not been established by VA, we need documents to show that the Veteran was exposed to herbicides. The attached link shows some locations that the Department of Defense has indicated Agent Orange may have been used or tested. Link: http://www.publichealth.va.gov/exposures/agentorange/outside_vietnam.asp

If you have evidence to show that the Veteran was exposed to herbicides in service, or can tell us where to get those records, please send it in with your claim. We have provided links to help you in obtaining records on the last page.

Did the veteran receive medical treatment for one or more of the three conditions?

YES  NO

Where did the veteran receive medical treatment for one or more of the three conditions?

Please click on where the veteran was treated:

VA facility Military facility Private facility 


Did the veteran receive medical treatment for one or more of the three conditions?

NO, the veteran didn't receive treatment.

To support a claim for these conditions, the law requires that the Veteran had one of the three disabilities.

Go Back to the beginning.

Agent Orange - Where did the veteran receive medical treatment?

Treated in a VA treatment facility:

Please provide the name, location, and dates of treatment. However, your claim may be decided faster if you send in the appropriate medical evidence to support your claim. The medical reports must include certain information, such as the diagnosis, that relates to the claimed condition.

If you are interested in filing a claim for one of the three new Agent Orange presumptive conditions, please select the appropriate choice:

I have previously filed a Dependency and Indemnity Compensation claim with the Department of Veterans AffairsI have never filed a Dependency and Indemnity Compensation claim with the Department of Veterans Affairs

Where did the veteran receive medical treatment?

Treated in a military treatment facility: At a military treatment facility. Please provide the name, location, and dates of treatment. However, your claim may be decided faster if you send in the appropriate medical evidence to support your claim. The medical reports must include certain information, such as the diagnosis, that relates to the claimed condition.

If you are interested in filing a claim for one of the three new Agent Orange presumptive conditions, please select the appropriate choice:

I have never filed a Dependency and Indemnity Compensation claim with the Department of Veterans AffairsI have previously filed a Dependency and Indemnity Compensation claim with the Department of Veterans Affairs

Where did the veteran receive medical treatment?

Treated in a private (non-government) treatment facility or hospital: At a private (non-government) treatment facility or hospital. HIPAA privacy rules require we obtain a signed consent form to obtain treatment records from a private medical facility. Please complete a VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs. However, your claim may be decided faster if you send in the appropriate medical evidence to support your claim. The medical reports must include certain information, such as the diagnosis, that relates to the claimed condition.

If you are interested in filing a claim for one of the three new Agent Orange presumptive conditions, please select the appropriate choice:

I have never filed a Dependency and Indemnity Compensation claim with the Department of Veterans AffairsI have previously filed a Dependency and Indemnity Compensation claim with the Department of Veterans Affairs 


 


I have never filed a Dependency and Indemnity Compensation claim with the Department of Veterans Affairs

You may electronically file your application at http://vabenefits.vba.va.gov/vonapp/main.asp. You can attach up to 5 electronic files to your VONAPP application before you submit it using VONAPP. The total size of all attachment must be one megabyte or less. You will need to send a copy of your/the Veterans military discharge document (DD Form 214) along with all pertinent medical records.

If you need to obtain a copy of your/the Veterans DD Form 214, you may request one at the following website:
http://www.archives.gov/veterans/military-service-records/.

You may visit any VA Regional Office and a representative will assist you with filing a claim.

Additionally, Veteran Service Organizations can assist you by answering general questions and petitioning on your behalf for services they believe you are qualified to receive.

At any time, you may call 1-800-827-1000 to speak to a VA Benefits Counselor.

Go Back to the beginning.

I have previously filed a Dependency and Indemnity Compensation claim with the Department of Veterans Affairs

I have previously filed a Dependency and Indemnity Compensation claim with the Department of Veterans Affairs and I now wish to file a new claim for presumptive service connection for one or more of the three new Agent Orange presumptive conditions.

You may send a signed statement indicating that you wish a file a claim to the nearest VA regional office. Make sure you include all pertinent medical reports with your statement.

You may electronically file your claim online at http://vabenefits.vba.va.gov/vonapp/main.asp.

At any time, you may call 1-800-827-1000 to speak to a VA Benefits Counselor.

Go back to the beginning.