Initial vault setup
- VA strategy documents for Fred - Kobe VA dependent benefits documents - Infrastructure overview - Home dashboard - Obsidian config Created by Funky (OpenClaw) on Thu Feb 5 02:54:14 UTC 2026
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# Kobe VA Dependent Benefits: Complete Documentation Checklist
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**Purpose:** Master checklist for gathering all documentation needed for VA dependent benefits claim. Use this to track progress and ensure nothing is missed.
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**Claim Goal:** Establish that Kobe has a permanent disability that existed before age 18, rendering him incapable of self-support.
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---
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## CLAIM TIMELINE TRACKER
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| Milestone | Target Date | Actual Date | Status |
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|-----------|-------------|-------------|--------|
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| Records requests sent | ___/___/___ | ___/___/___ | [ ] |
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| Doctor appointment scheduled | ___/___/___ | ___/___/___ | [ ] |
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| All medical records received | ___/___/___ | ___/___/___ | [ ] |
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| Lay statement completed | ___/___/___ | ___/___/___ | [ ] |
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| Doctor letter obtained | ___/___/___ | ___/___/___ | [ ] |
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| Complete package compiled | ___/___/___ | ___/___/___ | [ ] |
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| VA Form 21-686c completed | ___/___/___ | ___/___/___ | [ ] |
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| Claim submitted to VA | ___/___/___ | ___/___/___ | [ ] |
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| VA acknowledgment received | ___/___/___ | ___/___/___ | [ ] |
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| C&P exam scheduled (if needed) | ___/___/___ | ___/___/___ | [ ] |
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| Decision received | ___/___/___ | ___/___/___ | [ ] |
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---
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## SECTION 1: VA FORMS & OFFICIAL DOCUMENTS
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### Required Forms
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**Primary Form:**
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- [ ] **VA Form 21-686c** - Declaration of Status of Dependents
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- Available: https://www.va.gov/find-forms/about-form-21-686c/
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- Can file online via eBenefits or VA.gov
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- Or mail paper form to regional office
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- **Key sections for disabled child:**
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- Part III, Section B: Information about helpless child
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- Must answer questions about child's disability
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- Requires doctor signature in certain cases
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**Additional Forms (may be needed):**
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- [ ] **VA Form 21-4138** - Statement in Support of Claim
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- Use this to submit lay statement if needed
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- Can also be used for additional explanatory information
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- [ ] **VA Form 21-0788** - Authorization to Disclose Information
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- Allows VA to request medical records directly
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- Fill out for each medical provider
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- [ ] **VA Form 21-4142** - Authorization for Release of Information
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- Another authorization form for medical records
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- Use if providers require specific VA form
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**Identity Documents:**
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- [ ] Kobe's birth certificate (certified copy)
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- [ ] Kobe's Social Security card (copy)
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- [ ] Your DD-214 (if not already in VA file)
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- [ ] Proof of your VA disability rating (award letter)
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**Status:**
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- Forms obtained: [ ]
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- Forms completed: [ ]
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- Forms ready to submit: [ ]
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---
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## SECTION 2: MEDICAL RECORDS
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**Purpose:** Establish medical history, diagnoses, and permanence of disability
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### A. Primary Care Records
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**Pediatrician/Family Doctor:**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Address/Contact: _______________________
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- [ ] Request sent: ___/___/___
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- [ ] Records received: ___/___/___
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- [ ] **Date range:** [Start] to [End]
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**What to request:**
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- [ ] Complete medical history
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- [ ] Well-child visit notes
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- [ ] Growth and developmental screening results
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- [ ] Referral letters to specialists
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- [ ] Immunization records
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- [ ] Any developmental delay documentation
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**Additional Primary Care Providers:**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Records sent: ___/___/___ | Received: ___/___/___
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### B. Specialist Records
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**Developmental Pediatrician:**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Developmental assessments
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- [ ] Diagnosis documentation
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- [ ] Functional assessments
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- [ ] Treatment recommendations
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**Neurologist (if applicable):**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Neurological exam results
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- [ ] Brain imaging (MRI, CT, EEG)
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- [ ] Seizure documentation
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- [ ] Medication management notes
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**Psychiatrist/Psychologist:**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Psychological evaluation reports
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- [ ] IQ testing results
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- [ ] Adaptive behavior assessments (Vineland, ABAS)
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- [ ] Diagnostic assessments (ADOS for autism, etc.)
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- [ ] Cognitive functioning reports
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**Geneticist (if applicable):**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Genetic testing results
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- [ ] Chromosomal analysis
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- [ ] Syndrome diagnosis documentation
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### C. Therapy Records
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**Speech-Language Pathologist:**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Initial evaluation
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- [ ] Progress notes
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- [ ] Standardized test results (CELF, PPVT, etc.)
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- [ ] Current functional level
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**Occupational Therapist:**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Sensory processing evaluations
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- [ ] Fine motor assessments
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- [ ] Self-care skills evaluations
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- [ ] ADL functioning reports
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**Physical Therapist (if applicable):**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Gross motor assessments
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- [ ] Mobility evaluations
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- [ ] Equipment needs documentation
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**Behavioral/ABA Therapist:**
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- [ ] **Provider:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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- [ ] **Key documents:**
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- [ ] Functional behavior assessments
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- [ ] Behavior intervention plans
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- [ ] Progress data
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- [ ] Adaptive skill assessments
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### D. Hospital/Emergency Records
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- [ ] **Facility:** [Hospital Name] ________________
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- [ ] **Dates of service:** _____________________
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- [ ] **Reason:** (birth records, ER visits, admissions)
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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**What to request:**
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- [ ] Birth records (especially if complications)
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- [ ] Newborn screening results
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- [ ] ER visit records (head injuries, seizures, etc.)
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- [ ] Inpatient admission records
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- [ ] Surgical records (if any)
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**Additional facilities:**
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- [ ] **Facility:** _____________ | Sent: ___/___ | Received: ___/___
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- [ ] **Facility:** _____________ | Sent: ___/___ | Received: ___/___
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---
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## SECTION 3: EDUCATIONAL RECORDS
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**Purpose:** Document educational impact and need for special services
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### A. School Records
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**Current School:**
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- [ ] **School:** [Name] ________________________
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- [ ] **Contact:** [Special Ed Coordinator] ____________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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**What to request:**
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- [ ] **Current IEP (Individualized Education Program)**
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- [ ] Present levels of performance
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- [ ] Goals and objectives
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- [ ] Services provided (hours/type)
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- [ ] Accommodations and modifications
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- [ ] Most recent progress reports
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- [ ] **All previous IEPs** (every year)
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- Shows progression and long-term needs
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- [ ] **Initial evaluation for special education**
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- Documents when disability was first identified by school
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- Often includes comprehensive testing
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- [ ] **All re-evaluations** (typically every 3 years)
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- [ ] Psychoeducational evaluation
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- [ ] Academic achievement testing
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- [ ] Cognitive/IQ testing
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- [ ] Adaptive behavior assessment
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- [ ] Functional behavior assessment
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- [ ] **Report cards** (all years)
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- Shows academic functioning
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- [ ] **Progress reports** (IEP goal progress)
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- [ ] **504 Plan** (if applicable, before IEP)
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- [ ] **Discipline records**
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- Behavioral incident reports
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- Suspensions or removals from class
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- [ ] **Attendance records**
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- May show pattern of school avoidance or medical absences
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**Previous Schools:**
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- [ ] **School:** _____________ | Sent: ___/___ | Received: ___/___
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- [ ] **School:** _____________ | Sent: ___/___ | Received: ___/___
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### B. Early Intervention Records
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**Birth to Age 3:**
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- [ ] **Program:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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**What to request:**
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- [ ] Initial IFSP (Individualized Family Service Plan)
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- [ ] All IFSP updates
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- [ ] Evaluation reports
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- [ ] Service provider notes
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- [ ] Developmental assessments
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- [ ] Transition plan to preschool
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**Age 3-5 (Preschool):**
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- [ ] **Program:** [Name] ________________________
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- [ ] Request sent: ___/___/___ | Received: ___/___/___
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**What to request:**
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- [ ] Preschool IEP
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- [ ] Developmental assessments
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- [ ] Readiness evaluations
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---
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## SECTION 4: DIAGNOSTIC ASSESSMENTS
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**Purpose:** Formal testing that documents disability severity
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### Key Assessments to Obtain
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**Intellectual/Cognitive:**
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- [ ] **IQ Testing** (WISC, WAIS, Stanford-Binet, etc.)
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- [ ] Test name: ___________________
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- [ ] Date administered: ___/___/___
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- [ ] Full Scale IQ: _____
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- [ ] Verbal IQ: _____
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- [ ] Performance IQ: _____
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- [ ] Where obtained: _________________
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- [ ] Copy in file: [ ]
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**Adaptive Functioning:**
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- [ ] **Vineland Adaptive Behavior Scales**
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- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
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- [ ] **ABAS (Adaptive Behavior Assessment System)**
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- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
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- [ ] **Other:** ___________________
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- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
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**Academic Achievement:**
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- [ ] **WIAT (Wechsler Individual Achievement Test)**
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- [ ] Date: ___/___/___ | Reading: ___ | Math: ___ | Copy: [ ]
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- [ ] **Woodcock-Johnson**
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- [ ] Date: ___/___/___ | Scores: _________ | Copy: [ ]
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- [ ] **Other:** ___________________
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**Autism Screening (if applicable):**
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- [ ] **ADOS-2** (Autism Diagnostic Observation Schedule)
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- [ ] Date: ___/___/___ | Result: _________ | Copy: [ ]
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- [ ] **ADI-R** (Autism Diagnostic Interview-Revised)
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- [ ] Date: ___/___/___ | Result: _________ | Copy: [ ]
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- [ ] **M-CHAT** (Modified Checklist for Autism in Toddlers)
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- [ ] Date: ___/___/___ | Result: _________ | Copy: [ ]
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**Speech/Language:**
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- [ ] **CELF** (Clinical Evaluation of Language Fundamentals)
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- [ ] Date: ___/___/___ | Scores: _________ | Copy: [ ]
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- [ ] **PPVT** (Peabody Picture Vocabulary Test)
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- [ ] Date: ___/___/___ | Score: _____ | Copy: [ ]
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**Other Relevant Testing:**
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- [ ] **Test:** ___________ | Date: ___/___ | Result: _____ | Copy: [ ]
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- [ ] **Test:** ___________ | Date: ___/___ | Result: _____ | Copy: [ ]
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---
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## SECTION 5: STATEMENTS & LETTERS
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### A. Medical Opinion Letter (CRITICAL)
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**Doctor to complete letter stating:**
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- [ ] **Provider:** [Name of doctor] ________________________
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- [ ] Specialty: _____________________
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- [ ] **Letter requested:** ___/___/___
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- [ ] **Letter received:** ___/___/___
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**Letter must include:**
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- [ ] Child's diagnoses (with ICD codes)
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- [ ] When disability began (preferably before age 18)
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- [ ] Nature and severity of disability
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- [ ] Functional limitations in clear terms
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- [ ] Prognosis (permanent vs. temporary)
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- [ ] Opinion: Child is "permanently incapable of self-support"
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- [ ] Medical basis for opinion
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- [ ] Doctor's credentials and relationship to child
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**Use the template:** `kobe-va-doctor-letter-template.md`
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### B. Parent Lay Statement
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- [ ] **Lay statement completed:** ___/___/___
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- [ ] **Reviewed and revised:** ___/___/___
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- [ ] **Signed and dated:** ___/___/___
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**Use the template:** `kobe-va-lay-statement-template.md`
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**Key elements included:**
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- [ ] Specific examples of functional limitations
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- [ ] Comparison to typical children same age
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- [ ] Daily care requirements described
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- [ ] Safety concerns documented
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- [ ] Educational impact explained
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- [ ] Social functioning described
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- [ ] Family impact included
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- [ ] Permanence emphasized
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### C. Third-Party Statements (OPTIONAL BUT HELPFUL)
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**Teacher/School Staff:**
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- [ ] **Name:** _____________ | **Role:** _____________
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- [ ] Statement requested: ___/___/___
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- [ ] Statement received: ___/___/___
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**Therapist:**
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- [ ] **Name:** _____________ | **Type:** _____________
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- [ ] Statement requested: ___/___/___
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- [ ] Statement received: ___/___/___
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**Other Family Members:**
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- [ ] **Name:** _____________ | **Relationship:** _____________
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- [ ] Statement completed: ___/___/___
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**What they should address:**
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- Their relationship to child and how long they've known him
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- Specific observations of limitations
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- How child compares to others they work with
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- Prognosis based on their professional judgment
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---
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## SECTION 6: FINANCIAL DOCUMENTATION
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**Purpose:** May be needed to show child is not self-supporting
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- [ ] **Proof child lives with you:**
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- [ ] Lease/mortgage showing child's name or your address
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- [ ] School enrollment showing your address
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- [ ] Medical records showing your address
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- [ ] **Proof you provide financial support:**
|
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- [ ] Bank statements showing expenses for child
|
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- [ ] Medical bills in child's name
|
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- [ ] Receipts for therapy, equipment, medications
|
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|
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- [ ] **Proof child has no income:**
|
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- [ ] Statement that child receives no SSI/SSDI
|
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- [ ] Or copy of SSI award letter (doesn't disqualify from VA benefits)
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- [ ] Documentation child is not employed
|
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---
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## SECTION 7: SUPPORTING EVIDENCE COMPILATION
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### Evidence Categories
|
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|
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**A. Diagnosis Evidence**
|
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- [ ] Organized by condition (autism, intellectual disability, etc.)
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- [ ] Earliest documentation first
|
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- [ ] Shows progression over time
|
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- [ ] Includes formal diagnostic reports
|
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|
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**B. Functional Limitation Evidence**
|
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- [ ] ADL assessments
|
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- [ ] Adaptive behavior testing
|
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- [ ] School functional assessments
|
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- [ ] Therapy progress notes showing limitations
|
||||
- [ ] IEP present levels of performance
|
||||
|
||||
**C. Permanence Evidence**
|
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- [ ] Early childhood diagnoses
|
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- [ ] Lack of progress despite intervention
|
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- [ ] Doctor statements about prognosis
|
||||
- [ ] Progressive worsening (if applicable)
|
||||
- [ ] Genetic diagnoses (if applicable)
|
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|
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**D. Timeline Documentation**
|
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- [ ] Create a chronological timeline showing:
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- When first concerns arose
|
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- When diagnoses were made
|
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- What interventions were tried
|
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- Current status
|
||||
- [ ] Emphasizes: "This started before age 18 and is permanent"
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|
||||
---
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|
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## SECTION 8: ORGANIZATION & SUBMISSION
|
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|
||||
### 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: ___/___/___
|
||||
Reference in New Issue
Block a user