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Veterans Benefits AdministrationM21-1, Part III - page 58 / 71

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M21-1, Part IIIFebruary 25, 2005

Change 131

Appendix B

Exhibit B-3

Gulf War Undiagnosed Illness Standard Development Letter

[Following Publication in the Federal Register of the Regulation Extending the Presumptive Period]

Dear    :

We’ve received your claim for disability benefits based on Gulf War service.  We may be able to pay benefits if an undiagnosed illness or a medically unexplained chronic multi-symptom illness (such as chronic fatigue syndrome, fibromyalgia, and irritable bowel syndrome)

began EITHER during active service in the Southwest Asia theater of operations OR at any time through September 30, 2011, and

has lasted for six months or longer.

WHAT WE NEED

We need more information before we can continue work on your claim.  We can use both medical and nonmedical evidence.

MEDICAL EVIDENCE

1.  Any medical evidence you have from the time you began active duty in the Gulf War area.  These are

Things like your complete service medical records or anything else you have showing medical treatment while in the Gulf area.

2.  Any medical evidence you have from the time you left the Gulf.  This includes reports or statements from

doctors, hospitals, laboratories, medical facilities, or mental health clinics, X-rays, physical therapy records, and so on.

3.  Medical statements should show dates of examination, findings, and diagnoses.  Doctors’ statements

should also state when the doctor first noticed your disabilities, how they appeared, and how long they lasted.

4.  If you have participated in a Gulf Health Registry Examination, please let us know when the examination

took place and which VA Medical Center conducted the examination.

NONMEDICAL EVIDENCE

1.  Any evidence which is written or can be verified.  Things which can help us with your claim include records or reports of:

a.  time lost from work;

b.  changes in your physical appearance;

c.  changes in your physical abilities;

d.  changes in your mental or emotional attitude.

2.  We can also use statements from persons who knew you during the Gulf War or after your military service.

5-B-4

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