Sample Va Disability Claim Letter

Sample Va Disability Claim LetterView and download your VA decision letters online - VA News If you’ve filed a VA disability claim and are waiting for a decision letter, you can access it online with a VA. Here it is: My name is &%&%%&%. It must have a rationale to it. This letter connects your current medical condition and either a service-connected condition or an event related to your military service. I deployed to Iraq in 2005 and Afghanistan and 2008. A VA buddy letter, or lay statement, can be used to help support a veteran’s claim and provide insight into how a veteran’s condition affects their daily life. Example: “I am writing on behalf of veteran John Smith, who served in the U. Without this letter, your claim may be denied. Learn how to access your VA records, benefit letters, and documents online. 1 How to Use a Doctor Disability Letter to Win Your Social Security Disability Case 1. I am board certified to practice in my specialty of orthopedic surgery. List the Name of the Disability You're Claiming in the First Section of the VA Form 21-4138 #2. would provide to confirm a sleep apnea claim. Development letters are typically sent in the early stages of your claim. Sign and date the letter. Here is a copy of an actual claim letter for the following claims: 1) sinusitis disability, allergic rhinitis disability and sleep apnea disability. Identify the veteran and the purpose of your letter of support. What is a Lay Statement in a VA Disability Claim? A lay statement provides your statement (you are a lay person) describing: “Who, What, When, Where, Why, and How” a condition should be service-connected and what the rating should be. I have personally reviewed his medical history - (name the documents). The BEST Path to Proving Sleep Apnea is Service Connected. See full list on hillandponton. You must have a current medical diagnosis of a condition or a disability. Download VA benefit letters Download VA Letters and Documents Please wait while we load the application for you. Continue reading to learn more about how to submit VA buddy letters and who can write them. Smith suffers from Parkinson's Disease. The best VA Statements in Support of a Claim include the following 4 sections with specific examples tailored to you: #1. When filing a VA disability claim, former military service members can fill out the VA Form 21-4138, also known as the Statement in Support of Claim. The doc really needs to identify something specific in service to associate with your disability AND whatever that is needs to be documented or verified in some way. Your VA disability award letter will begin with a brief explanation of the decision about your case. To receive some benefits, Veterans need a letter proving their status. To receive some benefits, Veterans need a letter proving their status. A great VA nexus letter IS medical evidence and can influence the C&P examiner's medical opinion, as well as the VA Rating Official's final disability decision, due to the medical nexus evidence provided in the letter. To simply say that your current back disability "was caused by his military service" is much too vague. A VA sworn declaration is a letter or statement in support of a veteran’s claim. A personal statement you write on the VA Form 21-4138 documenting how you think your current non-combat Post Traumatic Stress Disorder is due to an in-service sexual assault and stressor event that occurred 20 years ago IS lay evidence. I want to use this as a sample that I can ask my Doctor to provide. In my professional experience, (give medical rationale to support the opinion). How to Write a Letter for VA Disability Increase (With Free Samples) When trying to get a veteran Affairs disability increase, the wise thing is to file the disability claim with the United States Department of veteran affairs with a letter of appeal. A reasoned explanation for the conclusion. “My name is John Doe, and I’m the husband of veteran [INSERT VETERAN’S NAME]. VA Personal Statement Examples For your reference, find examples of VA buddy letters below: TDIU Lay Statement PTSD Lay Statement Please note that these are merely examples and should not. Last updated: June 3, 2022 Feedback. Be sure to note if you are affiliated with the VA. VA buddy letters, also known as lay statements or lay evidence, are credible statements made in support of a claim for VA disability benefits. What Is a VA Buddy Letter? A buddy statement is a kind of evidence that you can submit with your claim for disability compensation through the VA. Reach out to CCK today for a free case evaluation. Find out how to change your address and other information in your VA. They have connections with doctors and can help you find the right provider. One of the forms an author can use to provide a statement is VA Form 21-4138, Statement in Support of a Claim. Step #1: Login to Your VA. If the claim leaves any doubt in the mind of the ratings specialist who makes that award decision, you may be denied. Total disability based on individual unemployability (TDIU) benefits are for veterans that cannot keep or obtain gainful employment. To win your VA disability compensation claim, you must demonstrate three things: a medical diagnosis, a connection to active duty military service (nexus), and medical evidence of recurring or persistent symptoms. We believe that using our VA nexus letter template will give you the best chance to win your veterans benefits claim in front of the VA Regional Office, VARO. Win Your Veterans Benefits Claim With this VA Nexus Letter Example! In the closing lines of the statement, the person writing the statement may wish to include wording to specify that they certify that. Regardless of the stage of your disability claim with the VA, American Medical Experts is here to help you get a Nexus Letter in order to obtain your best disability rating possible. You will find 3 options; typing, drawing, or uploading one. I need a sample nexus letter that a Dr. I've written my stressor letter and given it to my Disabled American Vets representative. While each VA buddy statement will be slightly different, here is a VA buddy letter example to consider. Please let me know your opinions!! I will be giving this to my civilain sleep doc & submitting with my claim. Explain the Approximate Timeframe Your Disability Began Along with Why It Should Be Service Connected (or Why Your VA Rating Should Be Increased for Conditions Already Service Connected) #3. But before I show you how to write your VA nexus letter, let me tell you more about VA nexus letters in general so that you know why they are important. There will be a section labeled “What We Decided” that will list your claimed condition or conditions. Want to find Doctors Who Write VA Nexus Letters for Veterans? Click HERE now. To receive some benefits, Veterans need a letter proving their status. Be sure the details you fill in Sample Va Disability Claim Letter is up-to-date and correct. A NEXUS letter should be written by a veteran’s primary care physician stating their medical opinion regarding whether the claim was service connected or not. He emailed this to me today cuz I found him on Faceb**k & asked him to do a statement for me. When filing a VA disability claim, former military service members can fill out the VA Form 21-4138, also known as the Statement in Support of Claim. And any other letters i have i'll post them up to help out. M21-1 Part III, Subpart ii, Chapter 2, Section G, Topic 1, Block e (III. A great VA nexus letter IS medical evidence and can influence the C&P examiner’s medical opinion, as well as the VA Rating Official’s final disability decision, due to the medical nexus evidence provided in the letter. DATE Reference: name) To Whom It May Concern, I am Dr. VA buddy statements typically serve two main purposes, both of which add credibility and context to your claim. Talk to the Veterans Crisis Linenow. Find out how to change your address and other information in your VA. VA Form 21-4138: Statement in Support of Claim VA Form 21P-0510: Eligibility Verification Report (Instructions) VA Form 21P-0512s-1: Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) VA Form 21P-0512V-1: Old Law and Section 306 Eligibility Verification Report (Veteran). Sign and date the letter, and include your full name and address. To simply say that your current back disability "was caused by his military service" is much too vague. Also, please sign and date the letter. You’ve eye-witnessed the harm that PTSD has caused. What is a Lay Statement in a VA Disability Claim? A lay statement provides your statement (you are a lay person) describing: “Who, What, When, Where, Why, and How” a condition should be service-connected and what the rating should be. Smith suffers from Parkinson’s Disease. How to Write a Letter for VA Disability Increase (With Free Samples) When trying to get a veteran Affairs disability increase, the wise thing is to file the disability claim with the United States Department of veteran affairs with a letter of appeal. A disability letter example for him is as follows: DC 9411, Post Traumatic Stress Disorder (PTSD) Due to Combat Deployment to Afghanistan. Tinnitus Great Statement of Claims Letter Share 4 posts c. It is one of the most important pieces of evidence in seeking disability benefits. This letter can help in providing vital evidence that will help your claims. Identify the veteran and the purpose of your letter of support. SAMPLE DISABILITY COMPENSATION LETTER Next Steps On Disability Letter And Disability Claim I hope that helps push your claim along by greasing your wheels in at least one way to. VA Form 21-4138: Statement in Support of Claim VA Form 21P-0510: Eligibility Verification Report (Instructions) VA Form 21P-0512s-1: Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) VA Form 21P-0512V-1: Old Law and Section 306 Eligibility Verification Report (Veteran). Be sure the details you fill in Sample Va Disability Claim Letter is up-to-date and correct. In my capacity as a primary care provider, I have cared for Mr. The best form to use for lay statements is a VAF 21-10210. Based on your current disability (or disabilities), your. mcelvaine 4 2 Mar 28, 2018 #1 Here is a copy of letter i used that granted me tinnitus after being denied three times I hope this will help someone else out. The letter can be written on a letter-sized piece of paper or better still print on the VA form; This letter should not be exaggerated or made up. Download VA benefit letters Download VA Letters and Documents Please wait while we load the application for you. The final document will be physically mailed to the home address listed in your VA. e) To remove a reference to the Letter Creator tool and add a reference to the Untimely Claim Withdrawal Notification letter template. Edit your sample va nexus letter for sleep apnea online Type text, add images, blackout confidential details, add comments, highlights and more. If you are seeking VA disability benefits for a service-related illness or condition, we can help you every step of the way, including how to get a buddy statement written from a co-worker, friend, or family. f Example: Effect That Withdrawal of a Claim Has on a. You have to show eligibility of your military service. The following medical references and studies also support my opinion (list any supportive literature). July 21, 2021. VA Permanent Disability Letter Part #1: Provide a Brief Introduction of Who You Are and Why You’re Seeking 100% P&T Status; Deserve a HIGHER VA Rating? WE CAN HELP. I am board certified to practice in my specialty. VA Form 21-4138: Statement in Support of Claim VA Form 21P-0510: Eligibility Verification Report (Instructions) VA Form 21P-0512s-1: Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) VA Form 21P-0512V-1: Old Law and Section 306 Eligibility Verification Report (Veteran). com/_ylt=AwrhbYvcsFpk3n4MvhVXNyoA;_ylu=Y29sbwNiZjEEcG9zAzUEdnRpZAMEc2VjA3Ny/RV=2/RE=1683693916/RO=10/RU=https%3a%2f%2fwww. Select the Get Form button to begin filling out. The below are the sample formats on how this letter can be written: Sample 1 format. This sample VA. Request your military records, including DD214 Submit an online request to get your DD214 or other military service records through the milConnect website. Finding a doctor to write a nexus letter. NOTICE TO VETERAN/SERVICE MEMBER OF EVIDENCE NECESSARY TO SUBSTANTIATE A CLAIM FOR VETERANS DISABILITY COMPENSATION AND RELATED. Here’s the top 4 ways to get a copy of your VA Rating Decision Letter: #1. The form has a section called “Statement,” in which an individual can include information they feel is relevant to their disability benefits claim. Leave a google review of the doctor to help other veterans. A great VA nexus letter IS medical evidence and can influence the C&P examiner’s medical opinion, as well as the VA Rating Official’s final disability decision, due to the medical nexus evidence. Step #1: List the Name of the Disability You’re Claiming in the First Section of. Check each and every field has been filled in correctly. If there are certain things that a veteran can no longer do as a result of their disability, mention those as well. Include the date to the sample using the Date function. 4646 John R. The NEXUS letter is a written medical opinion by a qualified medical provider specifically regarding the veteran’s injury/disability in question. If you have to find a new doctor for your nexus letter, you may feel a little lost. The Department of Veterans Affairs (VA) has launched a campaign to raise awareness about VA’s Fully Developed Claims (FDC) Program and electronic claims submission,. Include the date to the sample using the Date function. THE NEXUS LETTER: Nexus Letter and how to make it work for you. Here is a sample nexus letter to show your medical provider. Your VA Disability Rating Decision Letter includes the VA's final rating decision and analysis as well as WHY and HOW the VA Rater and C&P examiner arrived at their opinions and conclusions for your VA claim. VA buddy letters, also known as lay statements or lay evidence, are credible statements made in support of a claim for VA disability benefits. Download VA Benefit Letters | Veterans Affairs. Your letter should stick to the facts and be specific. The Department of Veterans Affairs (VA) has launched a campaign to raise awareness about VA’s Fully Developed Claims (FDC) Program and electronic claims submission, also known as eClaims, through the VA/DoD eBenefits web portal. If VA denied your claim for disability benefits, the team at CCK may be able to help you submit a lay statement as part of an appeal. In particular, VA is working to increase the number of electronic FDCs for disability compensation filed on eBenefits. The NOD should include the date of the denial and rating decision, a clearly worded statement explaining that the veteran disagrees with the. Turn on the Wizard mode in the top toolbar to obtain more tips. Win Your Veterans Benefits Claim With this VA Nexus Letter Example! In the closing lines of the statement, the person writing the statement may wish to include. My rep has told me that I should have my wife write a letter of support describing the events that led up to the attack on her, the attack and how it has affected both my wife and myself through the years. This is a letter from a former co-worker. gov homepage and click the “Sign In” button at the top of the. In particular, VA is working to increase the number of electronic FDCs for disability compensation filed on eBenefits. gov profile for disability compensation, claims and appeals, VA health care, and other benefits. Making a VA PTSD claim ultimately requires submitting VA Form 21-0781 Statement in Support of Claim for Service Connection for PTSD, or VA Form 21-0781-A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault. 75+ Years Of Experience & Service American Medical Experts has helped Thousands of Veterans with their claims. pdf copies of your VA disability letter online. I am Nancy's sister, and have known her all her life. Veteran Reference: C-File # and/or Social Security Number To the Department of Veterans Affairs: I am the primary care provider for Mr. Get your VA records and documents online Learn how to access your VA records, benefit letters, and documents online. The best form to use for lay statements is a VAF 21-10210. The NEXUS letter is a way of linking your injury to your VA or medical claim. Sworn declarations are usually written by someone without medical expertise, such as a relative, spouse, friend, co-worker, or fellow servicemember. The https://ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. To win your VA disability compensation claim, you must demonstrate three things: a medical diagnosis, a connection to active duty military service (nexus), and medical evidence of recurring or persistent symptoms. ” Identify yourself, including your credentials and your experience. I hand wrote my initial application for disability compensation without reviewing my Service Medical Records (SMR). The MFR is a letter in which you detail what went wrong during the exam. Only the facts and statements should be written. Doctor’s Letter Head Date: Subject: Medical history of Mr. Making a VA PTSD claim ultimately requires submitting VA Form 21-0781 Statement in Support of Claim for Service Connection for PTSD, or VA Form 21-0781-A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault. Ensure That The Buddy Letter Is From Someone Credible And Competent. A disability letter example for him is as follows: DC 9411, Post Traumatic Stress Disorder (PTSD) Due to Combat Deployment to Afghanistan. In this example, the brother of a veteran is writing on behalf of his brother with PTSD. This is a multi-purpose form that has been used by the. Veteran has one year;to file a Notice of Disagreement , which is filed on VA Form 21-0958. Win Your Veterans Benefits Claim With this VA Nexus Letter Example! In the closing lines of the statement, the person writing the statement may wish to include wording to specify that they certify that statements are true and correct to the best of knowledge and belief. This form has predetermined sections for information such as the veteran's identification, the body content of the statement, and the author's date and signature. VA Permanent Disability Letter Part #1: Provide a Brief Introduction of Who You Are and Why You’re Seeking 100% P&T Status; Deserve a HIGHER VA Rating? WE CAN HELP. VA Permanent Disability Letter Example VA-Permanent-Disability-Letter-Template-Example Download My name is John B. ) either caused your condition or aggravated a pre-existing condition. A claim for a Veterans Benefits Administration (VBA) disability compensation award must be based on irrefutable evidence. When filing a VA disability claim, former military service members can fill out the VA Form 21-4138, also known as the Statement in Support of Claim. Regardless of the stage of your disability claim with the VA, American Medical Experts is here to help you get a Nexus Letter in order to obtain your best disability rating possible. You can also consult a lawyer who handles VA cases. If you don’t score on each of these criteria, you won’t get approved for VA disability or compensation benefits. Win Your Veterans Benefits Claim With this VA Nexus Letter Example! In the closing lines of the statement, the person writing the statement may wish to include wording to specify that they certify that statements are true and correct to the best of knowledge and belief. Tinnitus Great Statement of Claims Letter Share 4 posts c. Before sharing sensitive information, make sure you're on a federal government site. Here is an example of a letter written about Nancy, a claimant who has applied for disability for depression. the letter VA sends to claimants as notification that VA has acted on his/her request for withdrawal of a claim, see M21-1, Part III, Subpart ii, 2. End your letter with this declaration: I certify under penalty of perjury that the foregoing statement is true and correct to the best of my knowledge and belief. Disability Claim. VA Permanent and Total Disability Letter Part #2: Explain Why and How Your Disability Conditions Should Be Considered Static, Permanent, and Total. Check out our sample letter for full details on the contents, but briefly, it should contain the doctor's name and credentials, the diagnosis and history of the condition, details on how the condition is connected to your military service, and a clear statement that the condition is 'more likely than not' the result of _________. VA Personal Statement Examples For your reference, find examples of Statement in Support of Claim below: TDIU Lay Statement PTSD Lay Statement Please note that these are merely examples and should not be submitted in support of any claim for VA disability benefits. Read them your MFR and tell them you are requesting another C&P exam. Local Regional Office will issue a Rating Decision that grants, denies, or partially grants the claim. How to write your claim: List the Name of the VA Disability You're Claiming in the First Section of the VA Form 21-4138 Explain the Approximate Timeframe Your VA Disability Began Along with Why It Should Be Service Connected (or Why Your VA Rating Should Be Increased for Conditions Already Service Connected). Get your VA letters online Sorry, this is taking longer than expected. (print name) (Include full pertinent credentials) thom It May Concern — e been asked to write a letter in support of (Date) 's claim. A strong disability nexus letter for PTSD must include: A discussion of relevant medical history from service to the present day, The likelihood that the PTSD was caused or aggravated during service, and. How to write your claim: List the Name of the VA Disability You're Claiming in the First Section of the VA Form 21-4138 Explain the Approximate Timeframe Your VA Disability Began Along with Why It Should Be Service Connected (or Why Your VA Rating Should Be Increased for Conditions Already Service Connected). Your VA Disability Rating Decision Letter includes the VA’s final rating decision and analysis as well as WHY and HOW the VA Rater and C&P examiner arrived at their opinions and conclusions for your VA claim. And my sleep study was not done in the military. Claim Withdrawn Letter template. The letter can be written on a letter-sized piece of paper or better still print on the VA form; This letter should not be exaggerated or made up. Before sharing sensitive information, make sure you're on a federal government site. To receive some benefits, Veterans need a letter proving their status. What is the disability rating for ANXIETY? The VA will give you a disability rating based upon the severity of your ANXIETY, specifically related to your level of occupational and social impairment. Veterans Nexus Letter: Sample, Example & Template To win an award of a disability benefit, you must meet 3 criteria: 1. The VA now has a form for the “stressor letter” that veterans commonly submit when applying for service connection for Post-Traumatic Stress Disorder ( PTSD ). Statement in Support of a Claim Sample: 4 Critical Sections Explained. Identify the veteran and the purpose of your letter of support. This form has predetermined sections for information such as the veteran’s identification, the body content of the statement, and the author’s date and signature. To receive some benefits, Veterans need a letter proving their status. SAMPLE DISABILITY COMPENSATION LETTER Next Steps On Disability Letter And Disability Claim I hope that helps push your claim along by greasing your. It is one of the most important pieces of evidence in seeking disability benefits. First, buddy statements can provide a witness account of your injury or stressor. A year later, my command decided to send me home. If so, you may be entitled to receive medical care for injuries or illnesses related. Be sure the details you fill in Sample Va Disability Claim Letter is up-to-date and correct. I was stationed with him from 1990 to 1991, in Fort &^%%&. Access and download your VA Benefit Summary Letter (sometimes called a VA award. The Department of Veterans Affairs (VA) has launched a campaign to raise awareness about VA's Fully Developed Claims (FDC) Program and electronic claims submission, also known as eClaims, through the VA/DoD eBenefits web portal. What Are Some VA Lay Statement Examples? 1. This is a multi-purpose form that has been used by the VA for many years, on which veterans are able to write any information that they would like the VA to know. Click the Sign tool and create a digital signature. Claim Withdrawn Letter template. The following is an example of how to write to the VA: Dear (name–should be your VSO or representative you’re working with), I am writing to you regarding the VA’s decision on my recent disability request. the letter VA sends to claimants as notification that VA has acted on his/her request for withdrawal of a claim, see M21-1, Part III, Subpart ii, 2. Veterans Nexus Letter: Sample, Example & Template To win an award of a disability benefit, you must meet 3 criteria: 1. Example Buddy Statement for PTSD from Wife I, Jane Doe, hereby declare under penalty of perjury that the following is true and correct to the best of my knowledge: I married my husband, John Doe, on June 17, 2001. The following is an example of how to write to the VA: Dear (name–should be your VSO or representative you’re working with), I am writing to you regarding the VA’s decision on my recent disability. MSgt46270 243 73 10 Year Member Mar 28, 2018 #2. VA Buddy Letter Example Part 1: How do you know the veteran? In part 1, you need to explain how you know the veteran. 1 Your Doctors’ Opinions on Your Physical and Mental Abilities Can Help You Prove That You are Disabled if Your Testimony and Medical Records Support Those Opinions 2 Can a Doctor Write a Letter for Disability or Give a Medical Opinion on My Ability to Work?. Navy from April 1992 to April 1996. Upload your MFR to your claim. My claim was approved first time submitting. VA Permanent Disability Letter Example VA-Permanent-Disability-Letter-Template-Example Download My name is John B. One of the forms an author can use to provide a statement is VA Form 21-4138, Statement in Support of a Claim. One of the forms an author can use to provide a statement is VA Form 21-4138, Statement in Support of a Claim. If there are certain things that a veteran can no longer do as a result of their disability, mention those as well. MLR 88 Sep 24, 2010 #1 This is from my roomate. " Identify yourself, including your credentials and your experience. Buddy letters can potentially help a veteran with a claim related to non-combat post-traumatic stress disorder (PTSD). Select the Get Form button to begin filling out. Get VA Form 21-526EZ to. I've written my stressor letter and given it to my Disabled American Vets representative. Here is a copy of an actual claim letter for the following claims: 1) sinusitis disability, allergic rhinitis disability and sleep apnea disability. Learn how to access your VA records, benefit letters, and documents online. This form allows a place for the witness to leave their contact information and specify their relationship with the Veteran. They acknowledge that you have submitted a claim and may ask you for additional evidence if you have any to add. Most of the time, the evaluating doctor will complete the NEXUS letter, however, sometimes the veteran must do it. VA will only accept a disability nexus letter if it meets certain requirements. End your letter with this declaration: I certify under penalty of perjury that the foregoing statement is true and correct to the best of my knowledge and belief. Follow this simple 5-step process to download. Be sure the details you fill in Sample Va. The statement can serve as a valuable piece of evidence in a veteran's disability claim. You can start by asking your veteran friends which doctors they recommend. Combat Craig. I am retired, so I see her every day. Download VA benefit letters Download VA Letters and Documents Please wait while we load the application for you. You must not be able to work because of mental and physical. Your VA Disability Rating Decision Letter includes the VA’s final rating decision and analysis as well as WHY and HOW the VA Rater and C&P examiner arrived at their opinions and conclusions for your VA claim. The NEXUS letter is a way of linking your injury to your VA or medical claim. Include your name and the date, and the statement "I certify that the statements on this form are true and correct to the best of my knowledge and belief. Doctor’s Letter Head Date: Subject: Medical history of Mr. I have been asked to write a statement in support of the aforementioned veteran's claim. If you seek VA disability benefits, you must have a medical nexus letter. House: I have a claim for veteran’s disability benefits, and I am writing this letter to request a medical nexus opinion regarding my back condition. Call 1-800-827-1000 and ask a VA representative to send your letter via U. Call the VA at 1-800-827-1000. Top 5 VA Nexus Letter Tips. gov profile for disability compensation, claims and appeals, VA health care, and other benefits. This sample VA Statement in Support of Claim is just one example of what a person may write in support of their claim for disability benefits. VA Personal Statement Examples For your reference, find examples of Statement in Support of Claim below: TDIU Lay Statement PTSD Lay Statement Please note that these are merely examples and should not be submitted in support of any claim for VA disability benefits. c and d, and processing a retraction of a request to withdraw a claim, see M21-1, Part III, Subpart ii, 2. While each VA buddy statement will be slightly different, here is a VA buddy letter example to consider. I read his information, submitted medical documents, received a Letter of Nexus or comments from a VA contractor doctor. A great VA nexus letter IS medical evidence and can influence the C&P examiner’s medical opinion, as well as the VA Rating Official’s final disability decision, due to the medical nexus evidence provided in the letter. Check out our sample letter for full details on the contents, but briefly, it should contain the doctor's name and credentials, the diagnosis and history of the condition, details on how the condition is connected to your military service, and a clear statement that the condition is 'more likely than not' the result of _________. What Are Some VA Lay Statement Examples? 1. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Nancy currently lives with me and my husband in our house. January 1, 2021 Reference: John Doe VA File #: 1234567 Veteran’s SSN: 123-45-6789 To Whom It May Concern, I am Dr.