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Veterans Benefits AdministrationM21-1, Part III - page 31 / 71

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M21-1, Part III February 25, 2005

Change 131

O21SEPARATION DOCUMENTS.  FURNISHUse when a copy of the separation document              COPIES OF ANY SEPARATIONis required for the authorization of the VA

DOCUMENTS (DD214 OR EQUIVALENT).benefit.  Rarely needed for compensation or

pension benefits.

O22CONSCIENTIOUS OBJECTOR.  FURNISHUse when appropriate to determine

STATEMENT OF NATURE OF RELEASE ASeligibility for VA benefits.

CONSCIENTIOUS OBJECTOR, INDICATING

WHETHER BASED ON REFUSAL TO

PERFORM MILITARY SERVICE, REFUSAL

TO WEAR THE UNIFORM OR

NONCOMPLIANCE WITH LAWFUL ORDERS

OF COMPETENT MILITARY AUTHORITIES.

O23PHILIPPINE MILITARY SERVICE.  FURNISHUse when appropriate to determine

DETAILS OF MILITARY SERVICE IN THEeligibility for VA benefits.

PHILIPPINES.

O24PURPLE HEART.  FURNISH VERIFICATIONUse when necessary to verify receipt of

OF RECEIPT OF PURPLE HEART,purple heart.

INCLUDING THE DATE AND DISABILITY

FOR WHICH AWARDED.

O25POW.  FURNISH POW DATES AND CAMPSUse when needed for establishment of

OF CONFINEMENT.entitlement as a prisoner of war.

O26MUSTARD GAS/LEWISITE.  FURNISH ANYUse when needed for establishment of

RECORDS OF EXPOSURE TO MUSTARDexposure to mustard gas/lewisite.

GAS/LEWISITE.

O27RESERVEDBlank – reserved for later use.

O28HIV.  FURNISH RESULTS OF PRE-Use when needed to assess existence of HIV

INDUCTION BLOOD SCREENING FOR HIV.at time of enlistment.

O29JAPAN.  FURNISH ANY DOCUMENTSUse when needed to determine veteran’s

SHOWING ASSIGNMENT IN JAPANparticipation in occupation of Japan for

BETWEEN 8-6-45 AND 7-1-1946.radiation exposure claim.  (See Addendum L

VETERAN WAS ASSIGNED TOfor complete organizational descriptions.)

<COMPLETE ORGANIZATIONAL

ASSIGNMENT>.

O30SOUTHWEST ASIA.  FURNISH ACTIVEUse to verify service in southwest Asia

DUTY DATES IN SOUTHWEST ASIA ON ORduring Gulf War.

AFTER 8-2-90.

O31MEXICO.  FURNISH PLACE OF SERVICE INUse when verifying service in Mexico

MEXICO FROM 5-9-1916 TO 4-5-1917.preceding the onset of World War I.

O32RUSSIA.  FURNISH PLACE OF SERVICE INUse when verifying service in Russia

RUSSIA FROM 4-6-1917 TO 4-1-1920.following the end of World War I.

4-K-6

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