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Veterans Benefits AdministrationM21-1, Part III - page 29 / 71

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M21-1, Part IIIFebruary 25, 2005

Change 131

O03SEVERANCE PAY.  FURNISHUse this code to request severance pay

VERIFICATION OF SEVERANCE PAY VS.information from the Finance Center when

DISABILITY SEVERANCE PAY.the veteran alleges receipt of a severance pay but the type and amounts are not verified.  The Finance Center will provide the type, gross and net amounts.  The appropriate address code for the Finance Center from appendix A must be inserted by the user.

O04NET SEPARATION PAY.  FURNISH TYPEUse this code to request separation pay

AND AMOUNT OF SEPARATION PAY.information from the Finance Center when the veteran alleges receipt of a separation pay but the type and amount are not verified.  The Finance Center will provide the type, gross and net amounts.  The appropriate code for the Finance Center from appendix A must be inserted by the user.

O05DATE OF BIRTH.  FURNISH DATE OF BIRTHUse this code when necessary to secure the

OR AGE AT TIME OF ENTRANCE ON date of birth or age of the veteran for the

ACTIVE DUTY.decision on voided enlistments or for                           pension cases where date of birth is not  

verified for 38 CFR 3.208 purposes.

O06HOME ADDRESS.  FURNISH LATEST HOMEUse when address  information is necessaryADDRESS.to process the claim.

O07TRAVEL TIME.  FURNISH NUMBER OFUse this code when the veteran’s length of

DAYS OF TRAVEL TIME.service is insufficient to meet minimum duty time under 38 U.S.C. 106(c).  Do not use if active duty is less than 80 days.  Also request travel time if veteran dies within 11 days of discharge.  M21-1, Part III, Paragraph 2.08c.

O08REASON FOR SEPARATION.  FURNISHRequest reason for separation whenREASON FOR SEPARATION.  IF veteran’s length of service does not meet

SEPARATED FOR DISABILITY SHOW LODminimum duty requirements under

AND DISEASE OR INJURY.38 U.S.C. 106(c) for pension entitlement.

O09PREVIOUS VA FORMS 3101.  FURNISHUse when trying to rebuild a file when the

COPIES OF ANY PREVIOUSLY VERIFIEDoriginal file is missing and copies of prior

VA FORMS 3101 (REBUILT FOLDERS)3101s could be helpful.

O10FACTS AND CIRCUMSTANCES.  FURNISHUse when character of separation was other

FACTS AND CIRCUMSTANCESthan under honorable conditions and

SURROUNDING DISCHARGE (ALLeligibility to VA benefits or services is

RECORDS).claimed.

4-K-4

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