Initial vault setup

- VA strategy documents for Fred
- Kobe VA dependent benefits documents
- Infrastructure overview
- Home dashboard
- Obsidian config

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# Kobe VA Dependent Benefits: Complete Documentation Checklist
**Purpose:** Master checklist for gathering all documentation needed for VA dependent benefits claim. Use this to track progress and ensure nothing is missed.
**Claim Goal:** Establish that Kobe has a permanent disability that existed before age 18, rendering him incapable of self-support.
---
## CLAIM TIMELINE TRACKER
| Milestone | Target Date | Actual Date | Status |
|-----------|-------------|-------------|--------|
| Records requests sent | ___/___/___ | ___/___/___ | [ ] |
| Doctor appointment scheduled | ___/___/___ | ___/___/___ | [ ] |
| All medical records received | ___/___/___ | ___/___/___ | [ ] |
| Lay statement completed | ___/___/___ | ___/___/___ | [ ] |
| Doctor letter obtained | ___/___/___ | ___/___/___ | [ ] |
| Complete package compiled | ___/___/___ | ___/___/___ | [ ] |
| VA Form 21-686c completed | ___/___/___ | ___/___/___ | [ ] |
| Claim submitted to VA | ___/___/___ | ___/___/___ | [ ] |
| VA acknowledgment received | ___/___/___ | ___/___/___ | [ ] |
| C&P exam scheduled (if needed) | ___/___/___ | ___/___/___ | [ ] |
| Decision received | ___/___/___ | ___/___/___ | [ ] |
---
## SECTION 1: VA FORMS & OFFICIAL DOCUMENTS
### Required Forms
**Primary Form:**
- [ ] **VA Form 21-686c** - Declaration of Status of Dependents
- Available: https://www.va.gov/find-forms/about-form-21-686c/
- Can file online via eBenefits or VA.gov
- Or mail paper form to regional office
- **Key sections for disabled child:**
- Part III, Section B: Information about helpless child
- Must answer questions about child's disability
- Requires doctor signature in certain cases
**Additional Forms (may be needed):**
- [ ] **VA Form 21-4138** - Statement in Support of Claim
- Use this to submit lay statement if needed
- Can also be used for additional explanatory information
- [ ] **VA Form 21-0788** - Authorization to Disclose Information
- Allows VA to request medical records directly
- Fill out for each medical provider
- [ ] **VA Form 21-4142** - Authorization for Release of Information
- Another authorization form for medical records
- Use if providers require specific VA form
**Identity Documents:**
- [ ] Kobe's birth certificate (certified copy)
- [ ] Kobe's Social Security card (copy)
- [ ] Your DD-214 (if not already in VA file)
- [ ] Proof of your VA disability rating (award letter)
**Status:**
- Forms obtained: [ ]
- Forms completed: [ ]
- Forms ready to submit: [ ]
---
## SECTION 2: MEDICAL RECORDS
**Purpose:** Establish medical history, diagnoses, and permanence of disability
### A. Primary Care Records
**Pediatrician/Family Doctor:**
- [ ] **Provider:** [Name] ________________________
- [ ] Address/Contact: _______________________
- [ ] Request sent: ___/___/___
- [ ] Records received: ___/___/___
- [ ] **Date range:** [Start] to [End]
**What to request:**
- [ ] Complete medical history
- [ ] Well-child visit notes
- [ ] Growth and developmental screening results
- [ ] Referral letters to specialists
- [ ] Immunization records
- [ ] Any developmental delay documentation
**Additional Primary Care Providers:**
- [ ] **Provider:** [Name] ________________________
- [ ] Records sent: ___/___/___ | Received: ___/___/___
### B. Specialist Records
**Developmental Pediatrician:**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Developmental assessments
- [ ] Diagnosis documentation
- [ ] Functional assessments
- [ ] Treatment recommendations
**Neurologist (if applicable):**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Neurological exam results
- [ ] Brain imaging (MRI, CT, EEG)
- [ ] Seizure documentation
- [ ] Medication management notes
**Psychiatrist/Psychologist:**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Psychological evaluation reports
- [ ] IQ testing results
- [ ] Adaptive behavior assessments (Vineland, ABAS)
- [ ] Diagnostic assessments (ADOS for autism, etc.)
- [ ] Cognitive functioning reports
**Geneticist (if applicable):**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Genetic testing results
- [ ] Chromosomal analysis
- [ ] Syndrome diagnosis documentation
### C. Therapy Records
**Speech-Language Pathologist:**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Initial evaluation
- [ ] Progress notes
- [ ] Standardized test results (CELF, PPVT, etc.)
- [ ] Current functional level
**Occupational Therapist:**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Sensory processing evaluations
- [ ] Fine motor assessments
- [ ] Self-care skills evaluations
- [ ] ADL functioning reports
**Physical Therapist (if applicable):**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Gross motor assessments
- [ ] Mobility evaluations
- [ ] Equipment needs documentation
**Behavioral/ABA Therapist:**
- [ ] **Provider:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
- [ ] **Key documents:**
- [ ] Functional behavior assessments
- [ ] Behavior intervention plans
- [ ] Progress data
- [ ] Adaptive skill assessments
### D. Hospital/Emergency Records
- [ ] **Facility:** [Hospital Name] ________________
- [ ] **Dates of service:** _____________________
- [ ] **Reason:** (birth records, ER visits, admissions)
- [ ] Request sent: ___/___/___ | Received: ___/___/___
**What to request:**
- [ ] Birth records (especially if complications)
- [ ] Newborn screening results
- [ ] ER visit records (head injuries, seizures, etc.)
- [ ] Inpatient admission records
- [ ] Surgical records (if any)
**Additional facilities:**
- [ ] **Facility:** _____________ | Sent: ___/___ | Received: ___/___
- [ ] **Facility:** _____________ | Sent: ___/___ | Received: ___/___
---
## SECTION 3: EDUCATIONAL RECORDS
**Purpose:** Document educational impact and need for special services
### A. School Records
**Current School:**
- [ ] **School:** [Name] ________________________
- [ ] **Contact:** [Special Ed Coordinator] ____________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
**What to request:**
- [ ] **Current IEP (Individualized Education Program)**
- [ ] Present levels of performance
- [ ] Goals and objectives
- [ ] Services provided (hours/type)
- [ ] Accommodations and modifications
- [ ] Most recent progress reports
- [ ] **All previous IEPs** (every year)
- Shows progression and long-term needs
- [ ] **Initial evaluation for special education**
- Documents when disability was first identified by school
- Often includes comprehensive testing
- [ ] **All re-evaluations** (typically every 3 years)
- [ ] Psychoeducational evaluation
- [ ] Academic achievement testing
- [ ] Cognitive/IQ testing
- [ ] Adaptive behavior assessment
- [ ] Functional behavior assessment
- [ ] **Report cards** (all years)
- Shows academic functioning
- [ ] **Progress reports** (IEP goal progress)
- [ ] **504 Plan** (if applicable, before IEP)
- [ ] **Discipline records**
- Behavioral incident reports
- Suspensions or removals from class
- [ ] **Attendance records**
- May show pattern of school avoidance or medical absences
**Previous Schools:**
- [ ] **School:** _____________ | Sent: ___/___ | Received: ___/___
- [ ] **School:** _____________ | Sent: ___/___ | Received: ___/___
### B. Early Intervention Records
**Birth to Age 3:**
- [ ] **Program:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
**What to request:**
- [ ] Initial IFSP (Individualized Family Service Plan)
- [ ] All IFSP updates
- [ ] Evaluation reports
- [ ] Service provider notes
- [ ] Developmental assessments
- [ ] Transition plan to preschool
**Age 3-5 (Preschool):**
- [ ] **Program:** [Name] ________________________
- [ ] Request sent: ___/___/___ | Received: ___/___/___
**What to request:**
- [ ] Preschool IEP
- [ ] Developmental assessments
- [ ] Readiness evaluations
---
## SECTION 4: DIAGNOSTIC ASSESSMENTS
**Purpose:** Formal testing that documents disability severity
### Key Assessments to Obtain
**Intellectual/Cognitive:**
- [ ] **IQ Testing** (WISC, WAIS, Stanford-Binet, etc.)
- [ ] Test name: ___________________
- [ ] Date administered: ___/___/___
- [ ] Full Scale IQ: _____
- [ ] Verbal IQ: _____
- [ ] Performance IQ: _____
- [ ] Where obtained: _________________
- [ ] Copy in file: [ ]
**Adaptive Functioning:**
- [ ] **Vineland Adaptive Behavior Scales**
- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
- [ ] **ABAS (Adaptive Behavior Assessment System)**
- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
- [ ] **Other:** ___________________
- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
**Academic Achievement:**
- [ ] **WIAT (Wechsler Individual Achievement Test)**
- [ ] Date: ___/___/___ | Reading: ___ | Math: ___ | Copy: [ ]
- [ ] **Woodcock-Johnson**
- [ ] Date: ___/___/___ | Scores: _________ | Copy: [ ]
- [ ] **Other:** ___________________
**Autism Screening (if applicable):**
- [ ] **ADOS-2** (Autism Diagnostic Observation Schedule)
- [ ] Date: ___/___/___ | Result: _________ | Copy: [ ]
- [ ] **ADI-R** (Autism Diagnostic Interview-Revised)
- [ ] Date: ___/___/___ | Result: _________ | Copy: [ ]
- [ ] **M-CHAT** (Modified Checklist for Autism in Toddlers)
- [ ] Date: ___/___/___ | Result: _________ | Copy: [ ]
**Speech/Language:**
- [ ] **CELF** (Clinical Evaluation of Language Fundamentals)
- [ ] Date: ___/___/___ | Scores: _________ | Copy: [ ]
- [ ] **PPVT** (Peabody Picture Vocabulary Test)
- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
**Other Relevant Testing:**
- [ ] **Test:** ___________ | Date: ___/___ | Result: _____ | Copy: [ ]
- [ ] **Test:** ___________ | Date: ___/___ | Result: _____ | Copy: [ ]
---
## SECTION 5: STATEMENTS & LETTERS
### A. Medical Opinion Letter (CRITICAL)
**Doctor to complete letter stating:**
- [ ] **Provider:** [Name of doctor] ________________________
- [ ] Specialty: _____________________
- [ ] **Letter requested:** ___/___/___
- [ ] **Letter received:** ___/___/___
**Letter must include:**
- [ ] Child's diagnoses (with ICD codes)
- [ ] When disability began (preferably before age 18)
- [ ] Nature and severity of disability
- [ ] Functional limitations in clear terms
- [ ] Prognosis (permanent vs. temporary)
- [ ] Opinion: Child is "permanently incapable of self-support"
- [ ] Medical basis for opinion
- [ ] Doctor's credentials and relationship to child
**Use the template:** `kobe-va-doctor-letter-template.md`
### B. Parent Lay Statement
- [ ] **Lay statement completed:** ___/___/___
- [ ] **Reviewed and revised:** ___/___/___
- [ ] **Signed and dated:** ___/___/___
**Use the template:** `kobe-va-lay-statement-template.md`
**Key elements included:**
- [ ] Specific examples of functional limitations
- [ ] Comparison to typical children same age
- [ ] Daily care requirements described
- [ ] Safety concerns documented
- [ ] Educational impact explained
- [ ] Social functioning described
- [ ] Family impact included
- [ ] Permanence emphasized
### C. Third-Party Statements (OPTIONAL BUT HELPFUL)
**Teacher/School Staff:**
- [ ] **Name:** _____________ | **Role:** _____________
- [ ] Statement requested: ___/___/___
- [ ] Statement received: ___/___/___
**Therapist:**
- [ ] **Name:** _____________ | **Type:** _____________
- [ ] Statement requested: ___/___/___
- [ ] Statement received: ___/___/___
**Other Family Members:**
- [ ] **Name:** _____________ | **Relationship:** _____________
- [ ] Statement completed: ___/___/___
**What they should address:**
- Their relationship to child and how long they've known him
- Specific observations of limitations
- How child compares to others they work with
- Prognosis based on their professional judgment
---
## SECTION 6: FINANCIAL DOCUMENTATION
**Purpose:** May be needed to show child is not self-supporting
- [ ] **Proof child lives with you:**
- [ ] Lease/mortgage showing child's name or your address
- [ ] School enrollment showing your address
- [ ] Medical records showing your address
- [ ] **Proof you provide financial support:**
- [ ] Bank statements showing expenses for child
- [ ] Medical bills in child's name
- [ ] Receipts for therapy, equipment, medications
- [ ] **Proof child has no income:**
- [ ] Statement that child receives no SSI/SSDI
- [ ] Or copy of SSI award letter (doesn't disqualify from VA benefits)
- [ ] Documentation child is not employed
---
## SECTION 7: SUPPORTING EVIDENCE COMPILATION
### Evidence Categories
**A. Diagnosis Evidence**
- [ ] Organized by condition (autism, intellectual disability, etc.)
- [ ] Earliest documentation first
- [ ] Shows progression over time
- [ ] Includes formal diagnostic reports
**B. Functional Limitation Evidence**
- [ ] ADL assessments
- [ ] Adaptive behavior testing
- [ ] School functional assessments
- [ ] Therapy progress notes showing limitations
- [ ] IEP present levels of performance
**C. Permanence Evidence**
- [ ] Early childhood diagnoses
- [ ] Lack of progress despite intervention
- [ ] Doctor statements about prognosis
- [ ] Progressive worsening (if applicable)
- [ ] Genetic diagnoses (if applicable)
**D. Timeline Documentation**
- [ ] Create a chronological timeline showing:
- When first concerns arose
- When diagnoses were made
- What interventions were tried
- Current status
- [ ] Emphasizes: "This started before age 18 and is permanent"
---
## SECTION 8: ORGANIZATION & SUBMISSION
### A. Document Organization
**Create binder or digital folders with:**
1. **Section 1: Forms**
- [ ] VA Form 21-686c (completed)
- [ ] VA Form 21-4138 (if using for lay statement)
- [ ] Other VA forms
2. **Section 2: Identity Documents**
- [ ] Birth certificate
- [ ] Social Security card
- [ ] Your VA documents
3. **Section 3: Medical Opinion Letter**
- [ ] Doctor's letter (THE MOST IMPORTANT DOCUMENT)
4. **Section 4: Parent Lay Statement**
- [ ] Your detailed statement
5. **Section 5: Medical Records**
- [ ] Organized by provider
- [ ] Chronological within each provider
- [ ] Tab dividers between providers
6. **Section 6: Educational Records**
- [ ] Most recent IEP first
- [ ] Then previous IEPs in reverse chronological order
- [ ] Evaluation reports
7. **Section 7: Testing & Assessments**
- [ ] Psychological evaluations
- [ ] IQ testing
- [ ] Adaptive behavior assessments
- [ ] Academic testing
8. **Section 8: Third-Party Statements**
- [ ] Teacher statements
- [ ] Therapist statements
- [ ] Other supporting letters
9. **Section 9: Timeline & Summary**
- [ ] Create one-page timeline of key dates
- [ ] Brief summary of evidence
### B. Document Preparation
- [ ] **Make copies:**
- [ ] Keep original documents
- [ ] Submit copies to VA (unless they require originals)
- [ ] Keep second set of copies for your records
- [ ] **Organize chronologically:**
- [ ] Oldest documents first or most recent first (be consistent)
- [ ] **Label everything:**
- [ ] Write child's name and DOB on every page
- [ ] Number pages if submitting large packet
- [ ] **Create index:**
- [ ] List of all documents being submitted
- [ ] Where each can be found (page numbers)
### C. Submission Methods
**Option 1: Online** (fastest)
- [ ] Via VA.gov or eBenefits
- [ ] Upload documents as PDFs
- [ ] Receive immediate confirmation
- [ ] Can track status online
**Option 2: Mail**
- [ ] Send to VA Regional Office
- [ ] Use certified mail, return receipt requested
- [ ] Keep proof of mailing
- [ ] Allow 7-10 business days for processing
**Option 3: In Person**
- [ ] Regional office or VA medical center
- [ ] Get stamped copy as proof of filing
- [ ] Can ask questions in person
**Submission details:**
- [ ] **Method chosen:** _______________
- [ ] **Date submitted:** ___/___/___
- [ ] **Confirmation received:** ___/___/___
- [ ] **Claim number assigned:** _______________
---
## SECTION 9: POST-SUBMISSION TRACKING
### A. Initial Processing
- [ ] **VA acknowledgment received:** ___/___/___
- [ ] **Claim number:** _______________
- [ ] **Assigned Regional Office:** _______________
- [ ] **Expected decision timeframe:** _______________
### B. Development (if VA requests more info)
- [ ] **Request for additional evidence:** ___/___/___
- [ ] What they want: _____________________
- [ ] Deadline: ___/___/___
- [ ] Submitted: ___/___/___
- [ ] **C&P Exam scheduled** (Compensation & Pension exam)
- [ ] Date: ___/___/___ | Time: _____ | Location: _________
- [ ] Type: (In-person / Telehealth / Records review)
- [ ] Examiner: _____________________
- [ ] Exam completed: ___/___/___
- [ ] **Bring to exam:**
- [ ] Photo ID
- [ ] List of current medications
- [ ] Summary of functional limitations
- [ ] Any recent medical records not yet submitted
### C. Decision
- [ ] **Decision letter received:** ___/___/___
- [ ] **Decision:** (Approved / Denied / Deferred)
- [ ] **Effective date:** ___/___/___
- [ ] **Monthly benefit amount:** $_________
**If Approved:**
- [ ] First payment received: ___/___/___
- [ ] Set up direct deposit if not already done
- [ ] Understand reporting requirements (child's status changes)
**If Denied:**
- [ ] Read denial letter carefully
- [ ] Note reasons for denial
- [ ] Deadline to appeal: ___/___/___ (1 year from decision)
- [ ] Decide: (Gather more evidence / File appeal / Request HLR / Supplemental claim)
---
## SECTION 10: COMMON PITFALLS & HOW TO AVOID THEM
### ❌ Missing Critical Evidence
**Problem:** "I didn't know I needed that"
**Solution:** This checklist! Submit everything, let VA decide what's relevant
### ❌ Vague Statements
**Problem:** "He has problems with daily living"
**Solution:** "He cannot dress himself, requires assistance bathing, and cannot prepare any food"
### ❌ No Doctor Letter
**Problem:** Submitted only medical records, no clear opinion
**Solution:** Get explicit letter stating "permanently incapable of self-support"
### ❌ Missing Permanence
**Problem:** Didn't emphasize disability is lifelong
**Solution:** Include prognosis, show early onset, document lack of progress
### ❌ No Comparison to Peers
**Problem:** Didn't show how child differs from typical children
**Solution:** Include adaptive behavior testing, educational evaluations
### ❌ Too Much Medical Jargon
**Problem:** Submitted only doctor notes full of terminology
**Solution:** Include parent lay statement in plain English
### ❌ Gaps in Timeline
**Problem:** Missing years of records
**Solution:** Create timeline explaining gaps, submit statement if records unavailable
### ❌ Insufficient Functional Evidence
**Problem:** Proves diagnosis but not impact
**Solution:** Focus on what child CANNOT do, need for supervision, ADL limitations
---
## SECTION 11: QUICK REFERENCE
### Absolute Must-Haves (Cannot file without these)
1.**VA Form 21-686c** (Declaration of Status of Dependents)
2.**Birth certificate** (proves age and relationship)
3.**Medical evidence of disability** (diagnosis + functional impact)
### Extremely Important (Claim likely fails without these)
4.**Doctor letter with clear opinion** (permanently incapable of self-support)
5.**Proof disability began before age 18**
6.**Evidence of functional limitations** (IEP, adaptive behavior testing, therapy notes)
### Very Helpful (Strengthens claim significantly)
7.**Parent lay statement** (your detailed observations)
8.**IEP and school records** (educational impact)
9.**Adaptive behavior assessment** (Vineland, ABAS showing scores)
10.**Early childhood records** (shows permanence)
### Nice to Have (Additional support)
11. ✅ Third-party statements (teachers, therapists)
12. ✅ Photos or videos showing functional limitations
13. ✅ Financial documentation of care costs
---
## SECTION 12: KEY CONTACT INFORMATION
**VA Resources:**
- **VA Benefits Hotline:** 1-800-827-1000
- **eBenefits:** https://www.ebenefits.va.gov/
- **VA.gov:** https://www.va.gov/
- **MyHealtheVet:** https://www.myhealth.va.gov/
**Your VA Information:**
- **Regional Office:** _______________
- **File Number / VA Claim Number:** _______________
- **eBenefits Username:** _______________
**Your VSO (Veterans Service Organization):**
- **Organization:** (DAV, VFW, American Legion, etc.) _______________
- **VSO Name:** _______________
- **Phone:** _______________
- **Email:** _______________
**Key Medical Providers:**
- **Primary Doctor:** _____________ | Phone: _____________
- **Specialist:** _____________ | Phone: _____________
- **Therapist:** _____________ | Phone: _____________
**Key School Contacts:**
- **Special Ed Coordinator:** _____________ | Phone: _____________
- **IEP Case Manager:** _____________ | Phone: _____________
---
## SECTION 13: NOTES & REMINDERS
**Document any issues, questions, or important information here:**
**___/___/___** -
_________________________________________________________________
_________________________________________________________________
**___/___/___** -
_________________________________________________________________
_________________________________________________________________
**___/___/___** -
_________________________________________________________________
_________________________________________________________________
---
## FINAL CHECKLIST BEFORE SUBMISSION
**Review this right before you mail/upload:**
- [ ] VA Form 21-686c completed and signed
- [ ] All required identity documents included
- [ ] Doctor letter explicitly states "permanently incapable of self-support"
- [ ] Parent lay statement is detailed and specific
- [ ] Medical records show diagnoses with dates
- [ ] Evidence shows disability existed before age 18
- [ ] Functional limitations are well-documented
- [ ] IEP or educational evaluations included
- [ ] All documents have child's name and DOB on them
- [ ] Made copies of everything for my records
- [ ] Know where I'm submitting (online/mail/in person)
- [ ] Have tracking method (certified mail or upload confirmation)
- [ ] Wrote down confirmation/claim number
**You've got this, Fred. One step at a time.** 💪
---
**Document Status:**
- Started: ___/___/___
- Last updated: ___/___/___
- Submitted to VA: ___/___/___