--- title: "Part X, Subpart i, Chapter 6, Section B Benefits Delivery at Discharge (BDD) and Initial Processing" document: "M-21-1" section: "Part X, Subpart i, Chapter 6, Section B" canonical: "https://veteranai.co/va-regulations/m21-1/x.i.6.b-benefits-delivery-at-discharge-bdd-and-initial-processing" source: "https://www.knowva.ebenefits.va.gov/system/templates/selfservice/va_ssnew/help/customer/locale/en-US/portal/554400000001018/content/554400000177950/M21-1-Part-X-Subpart-i-Chapter-6-Section-B-Benefits-Delivery-at-Discharge-BDD-and-Initial-Processing" updated: "2026-09-06T14:37:28.233482Z" --- April 22, 2026 ### X.i.6.B.1.a. Qualifying for Claim Processing Under the BDD Program For a pre-discharge claim to qualify for processing under the Benefits Delivery at Discharge (BDD) program, all the following requirements must be met: * the service member must * have a known date of discharge * be 180 days to 90 days from discharge at the time of filing * be available to report for examinations for 45 days from the date the claim was received (**Example:** For a claim received on January 3, 2022, the service member must be available for examination from January 3, 2022, through February 17, 2022.) * within 180 to 90 days prior to discharge, provide a * substantially complete copy of the service treatment records (STRs) from the current qualifying period of service, and * completed Separation Health Assessment - Part A, Self Assessment (SHA, Part A), and * submit the claim on a prescribed form as provided in [M21-1, Part X, Subpart i, 6.A.1.c](), and * the claim must _**not**_ be excluded from Veterans Benefits Management System (VBMS) processing. _**Important**_ : Accept an unsigned SHA, Part A as complete. Examiners will evaluate the service member and review the SHA, Part A without a signature. **Exceptions:** * Do _**not**_ exclude the claim from the BDD program if a completed SHA, Part A is not of record. Instead, follow the instructions in M21-1, Part X, Subpart i, 6.B.3.k to contact the service member to inform them that Department of Veterans Affairs (VA) examinations will not be requested until a completed SHA, Part A is received. * Additional contentions received with less than 90 days remaining on active duty will be processed as a BDD-excluded claim as indicated in M21-1, Part X, Subpart i, 6.B.1.b and M21-1, Part X, Subpart i, 6.B.2.i. * Service members who file a BDD claim might not be able to complete certain types of examinations, such as sleep studies, before discharge. VA does **_not_** penalize these service members (by removal from the BDD program) under these rare circumstances. * If the service member is unable to attend required examinations within the prescribed 45-day time period due to a delay on the VA’s part, then * do not remove the claim from the BDD program, and * do everything possible to attempt to have the examination performed **_prior_** to the service member’s discharge, including requesting the appropriate examination at their current location **_prior_** to performing the actions in [M21-1, Part X, Subpart i, 6.C.1.d](). **References:** For more information on * claim types or attributes that are excluded from processing under the BDD program, see M21-1, Part X, Subpart i, 6.B.1.b * service members referred to the Integrated Disability Evaluation System (IDES) that have a pending BDD claim, see [M21-1, Part X, Subpart i, 6.G.1.d]() * STRs considered substantially complete for records development purposes, see [M21-1, Part III, Subpart ii, 2.A.1.f](), and * types of records included in STRs, see [M21-1, Part III, Subpart ii, 2.A.1.e](). ### X.i.6.B.1.b. Claim Types or Attributes That Are Excluded From the BDD Program Claims of the types, or with the attributes, listed below are excluded from the BDD program, even if service members submit them 180 to 90 days prior to discharge. * Claims received from service members with less than 90 days remaining on active duty * additional contentions that were added by the service member with less than 90 days remaining on active duty * claims where the service member did not provide a copy of STRs for the current period of service with less than 90 days remaining on active duty * claims where the service member did not provide an SHA, Part A within 180 to 90 days prior to discharge, as specified in M21-1, Part X, Subpart i, 6.B.1.a * claims from service members who are unable to report for examinations as provided in M21-1, Part X, Subpart i, 6.B.1.a, subject to the exceptions in that block * claims requiring case management for a service member who is * very seriously injured/ill (VSI) * seriously injured/ill (SI) * a “special category person” (SPC), who has suffered loss of a body part, or * claims where the service member is actively enrolled into the IDES program * claims involving a terminally ill service member * claims involving a service member who is awaiting discharge, while hospitalized in a VA or military treatment facility (MTF), or * claims requiring a character-of-discharge (COD) determination. Claims requiring a VA examination that must be completed in a foreign country are generally excluded. However, BDD claims will not be excluded when the examination is requested by VA offices in Landstuhl, Germany or U.S. Army Garrison Humphreys, Korea (Camp Humphreys) as those examinations can be completed in multiple foreign countries. **Note:** Claims requiring case management must utilize the _Seriously Injured/Very Seriously Injured_ corporate flash and should have an associated [_VA Form 21-0773, Global War on Terrorism Seriously Injured/Ill Servicemember/Veteran Worksheet_]() of record. **References:** For more information on * the definition of serious illness or injury, see [M21-1 Part X, Subpart i, 1.4.a]() * service members categorized as VSI, SI, or SPC, see the Veterans Benefits Administration (VBA) Letters * [20-05-14](), and * [20-07-04]() * use of the _Seriously Injured/Very Seriously Injured_ corporate flash, see [M21-4, Appendix E, 1]() * examinations of pregnant claimants, see * [M21-1, Part IV, Subpart i, 2.E.4](), and * [M21-1, Part X, Subpart i, 6.D.5](), and * processing of claims excluded from the BDD program, see M21-1, Part X, Subpart i, 6.B.1.c. ### X.i.6.B.1.c. Processing of Claims Excluded From the BDD Program When a claim is excluded from the BDD program, the station of origination (SOO) is responsible for processing it, taking actions corresponding with Steps 1 to 6 (as applicable) in the table in [M21-1, Part X, Subpart i, 6.C.1.b](). The claims processor must * check the claim form * create a system record if needed * establish the claim in VBMS as provided in M21-1, Part X, Subpart i, 6.B.2 * either * ensure that electronic evidence is uploaded to VBMS, or * send paper documents for scanning (following up as needed) or scan locally, and * return any original paper documents to the service member. The BDD-excluded claim will be processed under the Fully Developed Claim (FDC) Program, the standard VA claims process, or any other available program unless otherwise noted.**Important:** If the service member is available to report to examinations for 45 days from the date the claim was received (as shown in M21-1, Part X, Subpart i, 6.B.1.a) and STRs from the current period of service are available for the examiner to review, then, within 5 calendar days of the date the documents (to include STRs) are uploaded to VBMS * request a general medical examination, along with any necessary specialist examinations,_or_ * follow the procedures in [M21-1, Part VIII, Subpart ii, 1.B.2.o](), if the claim involves an undiagnosed illness or medically unexplained chronic multi-symptom illness (MUCMI) incurred during Gulf War era service. If examinations are not requested, enter the applicable _Exam Review_ tracked item noted in [M21-1, Part IV, Subpart i, 1.A.1.e](). Input a suspense date of the * future date the service member will be available to report for examinations for a 45-day timeframe, _or_ * day following the future discharge date, if the service member will not be available for examinations until after discharge. **References:** For more information on * end products (EPs) for BDD and BDD-excluded claims, see M21-1, Part X, Subpart i, 6.B.2 * the FDC Program, see [M21-1, Part X, Subpart i, 2.A]() and [B](), and * presumptive service connection (SC) for Persian Gulf Veterans, see [M21-1, Part VIII, Subpart ii, 1.A](). 2. EPs and DOCs for BDD and BDD-Excluded Claims This topic contains information about EPs and DOCs for claims, including * placing BDD and BDD-excluded claims under diary EP control * DOCs for pre-discharge claims, and * EP and claim label * for initial establishment of BDD claims * adjustment following completion of BDD intake site development action * for BDD claims received electronically with 180 to 90 days remaining on active duty * for BDD-excluded claims received electronically with less than 90 days remaining on active duty * received electronically when a claim is already pending * options for initial establishment of claims excluded from the BDD program, and * options for additional contentions by BDD claimants. April 22, 2026 ### X.i.6.B.2.a. Placing BDD and BDD-Excluded Claims Under Diary EP Control Upon receipt of a BDD or BDD-excluded claim, intake sites **_must_** place the claim under control by establishing the appropriate diary EP in VBMS. As illustrated in the image below, this procedure includes * selecting _Pre-Discharge_ as the CLAIM TYPE * selecting the proper PRE-DISCHARGE TYPE * _BDD_ , or * _BDD-Excluded_ * entering the day following the anticipated date of separation from active duty as the SUSPENSE DATE * checking the ALLOW POA ACCESS TO DOCUMENTS box, if applicable * selecting the appropriate INTAKE SITE * an entry in the SEGMENTED LANE field is no longer required; until this field is removed from VBMS or is no longer required in order to establish a claim, enter either CORE (NATIONAL) or BDD (NATIONAL), and * utilizing the EP and claim label provided in * M21-1, Part X, Subpart i, 6.B.2.c for BDD claims, or * M21-1, Part X, Subpart i, 6.B.2.h for BDD-excluded claims. **Example:** BDD Claim![Image of a BDD claim under control in VBMS.](/img/cpkm/X.i.6.B.2.a_CEST1.png) **Example:** BDD-Excluded Claim** _![Image of a BDD-excluded claim under control in VBMS.](/img/cpkm/X.i.6.B.2.a_CEST2.png)_**Important:** * For BDD claims * using the pre-discharge type _BDD_ for all BDD claims is vital for Notification of Interest and Examination Management System (EMS) examination routing, and * the SUSPENSE DATE field is always the date following the anticipated discharge date and represents the date of claim (DOC), _not_ the suspense date associated with tracked items. * For foreign claims in which the service member is remaining overseas, utilize the _Foreign Claim_ corporate flash. This is essential for proper National Work Queue (NWQ) routing of foreign claims. **Exceptions:** * Claims excluded from establishment in VBMS must be established in Share. * BDD claims by a service member with 180 days to 90 days remaining on active duty, that are filed electronically through a VA claims submission service website are automatically established as provided in M21-1, Part X, Subpart i, 6.B.2.e. **References:** For more information on * the DOC to use for pre-discharge claims, see M21-1, Part X, Subpart i, 6.B.2.b * applications from VA claims submission service websites, see [M21-1, Part II, Subpart iii, 4.A]() and [B]() * establishing claims in Share, see * [M21-1, Part II, Subpart iii, 3.A.1.e](), and * the _Share Online Help_ * establishing claims in VBMS, see * [M21-1, Part II, Subpart iii, 3.A.1.d](), and * the _VBMS Core User Guide_ * types of claims excluded from establishment in VBMS, see [M21-1, Part II, Subpart iii, 3.A.1.a]() * processing of claims excluded from the BDD program, see M21-1, Part X, Subpart i, 6.B.1.c, and * use of the _Foreign Claim_ corporate flash, see * [M21-4, Appendix E, 1]() * [M21-1, Part X, Subpart i, 3.A.4.a]() * [M21-1, Part III, Subpart i, 2.F.1.b](), and * the [_NWQ Playbook_](). ### X.i.6.B.2.b. DOCs for Pre-Discharge Claims The DOC for a pre-discharge claim is the first day following the anticipated date of release from active duty (RAD), regardless of the date VA received the claim. ### X.i.6.B.2.c. EP and Claim Label for Initial Establishment of BDD Claims When initially establishing BDD claims, intake sites must use diary _EP 336 – BDD_ (the EP and claim label), to manually place BDD claims under control. **Exception:** Restricted access claims center BDD claims must be initially established as BDD rating EPs as listed in the table in M21-1, Part X, Subpart i, 6.B.2.d. **References:** For more information on * placing BDD and BDD-excluded claims under diary EP control, see M21-1, see M21-1, Part X, Subpart i, 6.B.2.a * automatic establishment of an EP and claim label for BDD claims filed electronically with 180 to 90 days remaining on active duty, see M21-1, Part X, Subpart i, 6.B.2.e * pre-discharge claims that are excluded from the BDD program, see M21-1, Part X, Subpart i, 6.B.1.b and c * EPs and claim label options for initial establishment of claims excluded from the BDD program, see M21-1, Part X, Subpart i, 6.B.2.h * screening and handling restricted access mail, see [M21-1, Part II, Subpart i, 2.D.5]() * the general description of a pre-discharge claim, see [M21-1, Part X, Subpart i, 6.A.1.a](), and * controlling and processing pre-discharge * claims received without STRs, see M21-1, Part X, Subpart i, 6.B.3.k * claims for resumption of compensation following RAD, see [M21-1, Part X, Subpart i, 6.D.3](), or * eligibility determinations for Veteran readiness and employment and/or loan guaranty, see [M21-1, Part X, Subpart i, 6.D.1 and 2](), respectively. ### X.i.6.B.2.d. EP and Claim Label Adjustment Following Completion of BDD Intake Site Development Action The intake site must change the diary EP 336 to the proper EP and claim label for the claim type **_after_** all development actions have been taken.| **Claim Type**| **BDD-EP- Claim Label** original| * 110 – _BDD-Initial_ * 010 – _BDD-Initial 8+ Issues_ * new SC * increased evaluation | 020 – _BDD-Non-Original_ If the diary EP 336 has matured to a pending EP (i.e., the suspense date of the day following discharge from active duty has been reached), the pending EP must also be changed to the proper EP and claim label. _**Important**_ : Supplemental claims from a claimant on active duty that are processed under the BDD program remain contentions under the BDD EP. Do not establish EP 040 until the claimant is discharged from active duty. **References:** For more information on * EP use in BDD cases, see [M21-4, Appendix B]() * when supplemental claims can be considered under the BDD program, see [M21-1, Part X, Subpart i, 6.A.2.b]() * EP control of supplemental claim issues processed within BDD, see [M21-1, Part X, Subpart i, 6.A.2.c](), and * claim label use in BDD cases, see [M21-4, Appendix C, 1.b](). ### X.i.6.B.2.e. EP and Claim Label for BDD Claims Received Electronically With 180 to 90 Days Remaining on Active Duty BDD claims filed electronically will be automatically established by VA electronic claims processing systems using the EP and claim label _336 – BDD_ for service members with 180 to 90 days remaining on active duty. ### X.i.6.B.2.f. EP and Claim Label for BDD-Excluded Claims Received Electronically With Less Than 90 Days Remaining on Active Duty BDD-excluded claims filed electronically will be automatically established by VA electronic claims processing systems using a rating EP of 010, 110, or 020 and associated claim label __ for service members with less than 90 days remaining on active duty. **References:** For more information on * processing of claims excluded from the BDD program, see M21-1, Part X, Subpart i, 6,B.1.c, and * determining the appropriate rating EP, see [M21-4, Appendix B](). ### X.i.6.B.2.g. EP and Claim Label for Pre-Discharge Claims Received Electronically When a Claim Is Already Pending EP 400 pre-discharge claim label combinations are automatically established by VA electronic claims processing systems when a service member’s claim is filed electronically and another claim is already pending.**Reference:** For more information on current claim labels and associated codes, see [M21-4, Appendix C, 1.b](). ### X.i.6.B.2.h. EP and Claim Label Options for Initial Establishment of Claims Excluded From the BDD Program When initially establishing a pre-discharge claim that is excluded from the BDD program, the SOO must use EPs 010, 110, or 020 as appropriate to the claim type and attach an appropriate non-BDD claim label._**Example**_ : An original claim for SC containing more than eight issues is received prior to discharge. A COD is required. The claim is excluded from the BDD program. The SOO would establish EP 010 and use the claim label _Initial Compensation 8+ Issues_. **Important:** * Excluded BDD claims must also be established as a diary EP as noted in M21-1, Part X, Subpart i, 6.B.2.a. * For all BDD-excluded claims, claims processors must add _BDD-Excluded_ special issue indicator under one contention requiring an examination. This is important to ensure the examination request is routed correctly in EMS. * Enter _BDD-Excluded_ in the PRE-DISCHARGE TYPE field (as illustrated in the image below) for a BDD-excluded claim to accurately route the EMS request. If after receipt and establishment, the claim is excluded from BDD processing, the claims processor must update the PRE-DISCHARGE TYPE from _BDD_ to _BDD-Excluded_ and add the _BDD-Excluded_ special issue as noted above. _**Example**_ : ![This is am image of a claim label.](/img/cpkm/X.i.6.B.2.h_BDDclaimlabel.png) **References:** For more information on: * EPs 010, 110 and 020, see [M21-4, Appendix B](), and * claim labels in establishment of claims, see * [M21-1, Part II, Subpart iii, 3.A](), and * [M21-4, Appendix C, 1](). ### X.i.6.B.2.i. EP and Claim Label Options for Additional Contentions by BDD Claimants When additional contentions are received, review the date the contentions were received and the pending EP. If on the date the additional contentions were received, the service member has 180 to 90 days remaining on active duty, associate the additional contentions with the pending BDD diary EP 336 or proper rating EP (110, 010, or 020).As noted in M21-1, Part X, Subpart i, 6.B.1.b, if on the date the additional contentions are received, the service member has _fewer than 90 days remaining on active duty_ , those contentions are excluded from the BDD program. These claims will be established with a rating EP as indicated by the table below. | **If the pending BDD EP is a(n) ...**| **Then ...** 336| * review the evidence to determine if the BDD rating EP will be an EP 010, 110, or 020, and * follow the guidance below. * 110 – _BDD-Initial_ , or * 010 – _BDD Initial 8+ issues_ | an EP 020 with the appropriate claim label. 020 – _BDD-Non-Original_| an EP 021 with the appropriate claim label. **Notes:** * _**_All_**_ additional contentions that are received for BDD claimants with less than 90 days remaining on active duty will be included and processed under the BDD-excluded EP 020 or 021 as noted above. * If a new contention is submitted on or after discharge, and the original BDD EP (010, 110, or 020) is still pending, work the additional claim under a separate EP 020 or 021 as noted above, since the service member does not have at least 90 days remaining on active duty at the time the new contention is submitted. * An EP 336 with a _BDD_ claim label and an EP 010 or EP 110 should not be pending together at the same time. **References:** For more information on * EP and claim label options for initial establishment of BDD-excluded claims, see M21-1, Part X, Subpart i, 6.B.2.h * processing additional contentions received from BDD claimants with less than 90 days remaining on active duty, see [M21-1, Part X, Subpart i, 6.C.2.c](), and * when to combine BDD and BDD-excluded claims, see [M21-1, Part X, Subpart i, 6.C.2.d](). ## 3. BDD Intake and Initial Development This topic contains information about the responsibilities of intake sites and regional offices (ROs) in handling pre-discharge claims, including * definition of intake site * responsibilities of BDD coordinators * paper document handling procedures specific to pre-discharge claims * initial actions upon receipt of a BDD claim * initial development actions in pre-discharge claims * circumstances requiring additional/alternative intake site action(s) * posttraumatic stress disorder (PTSD), including personal trauma and military sexual trauma (MST) development requirements * actions to take for claims filed * more than 180 days prior to discharge, and * with no known date of discharge * intake site responsibilities to update VBMS * actions to take for BDD claims without substantially complete STRs * initial actions upon receipt of an electronic pre-discharge claim, and * handling late-flowing claim documents. April 22, 2026 ### X.i.6.B.3.a. Definition: Intake Site An **_intake site_** is any location where VA accepts claims. This includes * all regional offices (ROs) * demobilization sites with a VA presence * military installations with a VA presence, and * VA health care facilities. A BDD intake site is responsible for conducting outreach efforts, accepting claims, initiating development as appropriate, identifying points of contact for VA examinations, and serving as a general liaison. **Note:** Not all intake sites have the staffing or capability to perform the actions described in this topic. Under such circumstances, the parent RO of these sites bears the responsibility for taking these actions. ### X.i.6.B.3.b. Responsibilities of BDD Coordinators Each RO must assign a BDD coordinator to monitor the BDD claims it receives, including BDD claims routed to it from the NWQ, and ensure that tasks, including the following, are performed in a timely and proactive manner: * soliciting and accepting claims from service members prior to their RAD * conducting development actions, including requesting all required examinations (including specialist examinations) at the same time * following up on development actions * scanning claims locally or transferring claims to designated scanning sites * determining whether BDD claims with completed examinations are ready for a decision * completing BDD ratings prior to discharge, and * authorizing awards as soon as possible after discharge. **Reference:** For more information on selecting the appropriate examination for pre-discharge claims, see [M21-1, Part IV, Subpart i, 2.E.3.c](). ### X.i.6.B.3.c. Paper Document Handling Procedures Specific to Pre-Discharge Claims Intake sites must follow the paper document handling procedures in this block. _Incoming documents_ * Screen and place all incoming mail under VBMS control within five calendar days of receipt. * Date stamp the **_front page_** of all non-medical documents, and the first _and_ last pages of all medical documents, received in connection with a BDD claim within 24 hours of receipt. * When an out-based employee accepts a paper pre-discharge _claim_ it must be marked using a special stamp. The stamp must * be in red ink * contain the RO name, number, and date received (mm/dd/yyyy), and * identify the out-based office where the mail was received. **Exception:** If a date stamp meeting the above requirements is not available, annotate the application with the * employee’s initials and title * date of receipt, and * location where the claim was received. **Important:** Annotation of paper claims received at an out-based facility is intended to be used only as a temporary, emergency measure until the RO requests and receives a stamp meeting the requirements specified above. _Storage and outgoing documents_ * All paper documents received in out-based environments must be secured in an approved, lockable container for transporting, then hand-delivered or mailed by secure carrier to the service center with a copy of the register within 72 hours. * Each piece of physical, paper mail that leaves the intake site should bear an annotation that shows * the pending EP, and * a description of any action the employee took, including * the date of the action * initials of the employee that took the action, and * routing instructions. **Reference:** For more information on mail handling and related procedures, see * _[VBA Letter 20-08-63, Enclosure 3]()_ * _[VBA Letter 20-09-10]()_ , and * [M21-1, Part II, Subpart i, 2.C](). ### X.i.6.B.3.d. Initial Actions Upon Receipt of a BDD Claim Upon receipt of a BDD claim, intake sites are responsible for taking the initial actions described in the table below. | **Step**| **Action** 1| Date-stamp the application with the date of receipt. 2| Review the application to ensure it is substantially complete per [M21-1, Part I, Subpart i, 1.A.4.f](). 3| Confirm the service member’s * mobile phone number * e-mail address * forwarding address (refer to the [_VA Form 21-526EZ,__Application for Disability Compensation and Related Compensation Benefits_](), application), and * anticipated discharge date. **Notes:** * Check the [Veterans Information Solution]() for military service information, including anticipated discharge dates. * Claims processors can also go to the [Service Members Civil Relief Act website]() for active-duty status of service members, reservists and National Guard members. **Important:** BDD claimants must be available for examination as provided in M21-1, Part X, Subpart i, 6.B.1.a. 4| Ensure a [_VA Form 21-686c, Application Request to Add and/or Remove Dependents_](), is of record if dependents are indicated on the application. 5| Obtain the service member’s STRs and SHA, Part A for the current period of service. The following are acceptable formats for the STRs: * photocopies * compact disc – read only memory (CD-ROM) * digital video disc * flash or thumb drives * microfiche, and * digital media files transferred by a secure method. If the service member hand delivers original STRs, the best practice to minimize the risk of loss of original documents is to copy and return the records to the service member during the office visit.If the intake site does not have the capacity to copy all the STRs due to workload, make the photocopier available to the service member. If the intake site does not have a photocopier, instruct the service member to make a copy of their STRs and submit those copies with their claim. **Exception:** If original STRs cannot be returned during the service member’s office visit, return them to the MTF, or one of the addresses below.| **Branch of Service**| **Address to Return STRs** Navy| Bureau of Medicine and Surgery7700 Arlington Blvd, Suite 5126Falls Church, VA 22042-5126 Army| AMEDD Record Processing Center3370 Nacogdoches Road, Suite 116San Antonio, TX 78217 * Air Force, or * Space Force | Air Force Record Processing Center3370 Nacogdoches Road, Suite 116San Antonio, TX 78217 Coast Guard| Commanding OfficerHSWL Service CenterATTN: Central Cell300 E Main St, Suite 1000Norfolk, VA 23510-9109 **References:** For more information on * types of records included in STRs, see [M21-1, Part III, Subpart ii, 2.A.1.e]() * STRs considered substantially complete for records development purposes, see [M21-1, Part III, Subpart ii, 2.A.1.f]() * development for STRs, see [M21-1, Part III, Subpart ii, 2](), and * processing STRs that do not include a certification of completeness, see [M21-1, Part III, Subpart ii, 2.A.3.d](). ### X.i.6.B.3.e. Initial Development Actions in Pre-Discharge Claims After ensuring a complete pre-discharge claim has been received, use the table below to determine the initial development actions to complete.| **If the claim ...**| **Then follow the guidance in ...** meets the requirements for processing through the BDD program| [M21-1, Part X, Subpart i, 6.C.1.b](). **_does not_ **meet the requirements for processing through the BDD program| [M21-1, Part X, Subpart i, 6.C.2.a](). **Reference:** For more information on the requirements for participating in the BDD program, see M21-1, Part X, Subpart i, 6.B.1.a. ### X.i.6.B.3.f. Circumstances Requiring Additional/ Alternative Intake Site Action(s) Under certain circumstances, intake sites must take additional and/or alternative action(s) upon receipt of a pre-discharge claim. Use the table below to determine these circumstances and the corresponding action(s) to take.| **If a(n) ...**| **Then the ...** service member claims entitlement to pension| intake site must ensure the claim was submitted on a [_VA Form 21P-527EZ_ _,_ _Application for Veterans Pension_](). service member files a claim more than 180 days prior to discharge| intake site must follow the instructions in M21-1, Part X, Subpart i, 6.B.3.h. service member files a claim with no known date of discharge| intake site must follow the instructions in M21-1, Part X, Subpart i, 6.B.3.i. service member submitting a pre-discharge claim will be unable to attend examinations within 45 days of filing the claim| intake site must * process the claim as a BDD-excluded claim, and * follow the instructions in [M21-1, Part X, Subpart i, 6.C.2.e](). intake site receives a BDD claim without a complete copy of STRs for the current period of service| intake site must follow the instructions in M21-1, Part X, Subpart i, 6.B.3.k. intake site receives a claim that is excluded from the BDD program under M21-1, Part X, Subpart i, 6.B.1| intake site must * enter a note in VBMS that explains why the claim cannot be processed as a BDD claim * change the EP and claim label to the proper non-BDD rating EP (110, 010, 020, etc.), and * complete all actions per [M21-1, Part X, Subpart i, 6.C.2.a and b](). service member’s initial examinations for the pre-discharge claim are being requested **_after_** discharge| _General Medical--Compensation Disability Benefits Questionnaire_ (DBQ) must be requested._**Exception**_ : The guidance in [M21-1, Part VIII, Subpart ii, 1.B.2.o](), _must_ be followed if the claim involves an undiagnosed illness or MUCMI incurred during Gulf War era service. **References:** For general information on * selecting the appropriate examination for pre-discharge claims, see [M21-1, Part IV, Subpart i, 2.E.3.c](), and * presumptive SC for Persian Gulf Veterans, see [M21-1, Part VIII, Subpart ii, 1.A](). service member is pregnant| intake site must follow the instructions in [M21-1, Part X, Subpart i, 6.D.5](). ### X.i.6.B.3.g. PTSD, Including Personal Trauma and MST, Development Requirements For claims for posttraumatic stress disorder (PTSD) (including claims involving military sexual trauma (MST)) request completion of the _Initial Post Traumatic Stress Disorder (PTSD) Disability Benefits Questionnaire_ if SC has not been established. Otherwise, request the _Review Post Traumatic Stress Disorder (PTSD) Disability Benefits Questionnaire_. As a general principle, completion of _[VA Form 21-0781, Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s)]()_ , is not necessary for BDD and BDD-excluded claims. In most BDD and BDD-excluded cases, credible supporting evidence is not required because * the PTSD diagnosis is made in service and the claimant’s lay testimony is sufficient to establish the in-service stressor * an examination shortly after discharge establishes that PTSD existed in service and the claimant’s lay testimony is sufficient to establish the in-service stressor, or * PTSD is not diagnosed. **Important:** * If the examination on a claim for SC for PTSD is not completed until after service, the rating activity will review the evidence and, if necessary to establish SC, order a medical opinion on whether PTSD existed, or had its onset during service. * The rating activity may require completion of the _[VA Form 21-0781]()_ , in a BDD or BDD-excluded claim for PTSD if * credible supporting evidence of a claimed in-service stressor is required * the evidence of record is not sufficient to corroborate the claimed in-service stressor upon which a diagnosis of PTSD was based, and * the evidence of record is not sufficiently detailed to permit additional stressor research. **References:** For more information on * in-service diagnosis of PTSD, see [M21-1, Part VIII, Subpart iv, 1]() * general information on personal trauma, see [M21-1, Part VIII, Subpart iv, 1.B.1.a]() * the active duty pre-discharge exception to the _Personal Trauma Checklist and Worksheet_ requirement, see [M21-1, Part VIII, Subpart iv, 1.B.1.d]() * when requesting credible supporting evidence to establish an in-service stressor is inappropriate, see [M21-1, Part VIII, Subpart iv, 1.A.2.g](), and * BDD requirements, see M21-1, Part X, Subpart i, 6.B.1.a. ### X.i.6.B.3.h. Actions to Take for Claims Filed More Than 180 Days Prior to Discharge If a service member files a claim more than 180 days before discharge, the intake site is responsible for * establishing a **_non_** -BDD EP 400 and processing the claim outside of the BDD program * denying the service member’s claim using the _On Active Duty_ drop-down selection on the BASIC ELIGIBILITY tab in VBMS-Awards * notifying the service member of the reason for the denial by sending the _Non-BDD Claim – Request Resubmission_ letter (using the BDD exclusion reason “More than 180 days of remaining service”), and * clearing the EP. **Exception:** Do **_not_** deny the claim if, by the time it is discovered that a claim was filed more than 180 days before discharge, the service member now has 180 or fewer days remaining on active duty. Continue processing the claim.**References:** For more information on * establishing claims, see [M21-1, Part II, Subpart iii, 3.A](), and * claim labels and other claim attributes, see [M21-4, Appendices B]()-[D](). ### X.i.6.B.3.i. Actions to Take for Claims Filed With No Known Date of Discharge If a service member files a claim with no known date of discharge, the intake site must * disregard the instructions in M21-1, Part X, Subpart i, 6.B.3.d and e * explain to the service member that the claim is incomplete, and that VA cannot accept a claim from a service member who has no more than 180 days remaining on active duty without a known discharge date, and * encourage the service member to re-file the claim within 180 days of discharge. **Exception:** If the service member is _not_ present when the intake site discovers the service member has no known discharge date, the intake site must * date stamp the application with the date of receipt, and * follow the instructions provided above through contact with the service member by * telephone * e-mail, or (if unsuccessful using these two means) * letter. **Notes:** * If the intake site contacts the service member by letter, it may clear an EP 400. * By failing to provide a date of discharge, the service member did not submit a “substantially complete application” under [38 CFR 3.159(a)(3)](). For this reason, the intake site would _not_ * establish EP control, or * provide appeal rights with any letter sent to the service member. ### X.i.6.B.3.j. Intake Site Responsibilities to Update VBMS Upon receipt of a BDD claim and throughout the time an intake site has custody of it, the intake site is responsible for updating VBMS to show * all claimed contentions * all claimed dependents, and * any development actions taken, to include the * location(s) where the service member will be examined, and * date the intake site requested the examinations(s). **Note:** Tracked items must be created for all development actions. VBMS notes are important and necessary, but they are not sufficient to track development.**Reference:** For more information on record maintenance during the development process, including utilizing contentions and tracked items, see [M21-1, Part III, Subpart i, 2.F](). ### X.i.6.B.3.k. Actions to Take for BDD Claims Without Substantially Complete STRs Upon receipt of a BDD claim **_without_** substantially complete STRs (to include a completed SHA, Part A) for the current period of service the claims processor must * establish an EP 336 with the _BDD_ claim label * enter a note in VBMS indicating that the claim was received without STRs and/or a completed SHA, Part A, and * scan any other evidence locally if a scanner with a designated resolution is available or forward for Veterans Claims Intake Program (VCIP) scanning. _**Note**_ : Mail automation will establish _EP 336 – BDD_ and add the following VBMS note to claims received without STRs and/or a completed SHA, Part A: _BDD claim established, field review required for complete Service Treatment Records (STRs), Military Treatment Facility records (MTRs), and Separation Health Assessment (SHA) Part A._ After completing these actions, refer to the table below for additional actions to take.| **Step**| **Action** 1| Attempt to contact the service member by telephone and/or e-mail to * request the STRs and/or completed SHA, Part A (as applicable), and * inform the service member that VA examinations cannot be requested until the STRs and/or completed SHA, Part A are received. If a completed SHA, Part A is not of record, also instruct the service member to download the SHA, Part A from the _[Public DBQs VA.gov website]()_ and to submit the completed form. Encourage the service member to upload evidence to VA.gov (as applicable). **Note:** Leave a message informing the service member of the information above and follow procedures outlined in [M21-1, Part III, Subpart i, 2.D.1.e]() to document unsuccessful telephone attempts. 2| Were attempts to contact the service member by telephone and/or e-mail successful? * If _yes_ , go to Step 6. * If _no_ , go to the next step. 3| * Send a subsequent development letter requesting the STRs and/or a completed SHA, Part A * enter the applicable tracked item(s) * _Request Service Treatment Records from Veteran_ , and/or * _Request SHA Part A from Service Member_ with a suspense of * 15 days, _or_ * day 89 prior to the date of discharge, if there are fewer than 104 days remaining before the anticipated discharge date, _and_ * go to the next step at the expiration of the tracked item suspense. **Important:** If the SHA, Part A is not of record insert the following free text in the _What We Need_ section of the letter: _A completed Separation Health Assessment (SHA) – Part A Self-Assessment form is required for all BDD claims.**Please note, VA cannot request any examinations for your claim until a completed Part A is received**._ _Please complete the SHA, Part A and upload it to your claim on VA.gov at_[ _www.va.gov/disability/upload-supporting-evidence/_]()_or please see the VA contact information below. The SHA, Part A can be accessed at_[ _www.benefits.va.gov/compensation/docs/SHA_DBQ_Part_A_Self-Assessment.pdf_]() _._ 4| Have STRs and/or a completed SHA, Part A been received? * If _yes_ , go to Step 6. * If _no_ , and * fewer than 90 days remain prior to discharge, go to Step 6, _or_ * 90 or more days remain prior to discharge, go to the next step. 5| Have two attempts to obtain the records (Steps 1-3) been completed? * If _yes_ , go to the next step. * If _no_ , complete the actions in Steps 1-4, as applicable. 6| Refer to the table below for actions to take based on the results of follow-up efforts.| **If ...**| **Then the intake site/RO must ...** * the intake site/RO later obtains STRs and/or the SHA, Part A through follow-up with the service member * at least 90 days remain before the date of discharge, and * the service member is able to attend examinations | continue processing the claim as a BDD claim. the intake site/RO later obtains STRs and/or SHA, Part A through follow-up with the service member, but * less than 90 days remain before the discharge date, or * the service member no longer meets the BDD program requirements * change the EP and claim label initially established to the appropriate non-BDD diary rating EP/claim label, and * process the claim under the FDC Program or any other qualifying program, if applicable. the intake site/RO does not receive the service member’s STRs and/or completed SHA, Part A on day 89 prior to the anticipated discharge| * change the EP to a non-BDD rating EP/claim label, and * process the claim under the FDC Program or any other qualifying program, if applicable. **Notes:** * Development for **_current_** period of service STRs for service members who have not yet been discharged requires: * completing the actions described in the table above, and * assisting the service member in obtaining copies of STRs from the MTF whenever possible. * A contact list of Military Services Coordinators who can assist in obtaining records from the local MTF can be found on the [pre-discharge website](). * Do not develop for STRs from the service member if the STRs for the current period of service are obtained through the MTF. * If the entrance examination is not included in the STRs do **_not_** prepare a final notification letter nor delay requesting VA examinations. Instead, develop for the entrance examination by * completing Step 1 of the table above * submitting a request through Defense Personnel Records Information Retrieval System (DPRIS), and * inputting a permanent VBMS note documenting the actions taken. **References:** For more information on * selecting the appropriate examination for pre-discharge claims, see [M21-1, Part IV, Subpart i, 2.E.3.c]() * developing for STRs for **_prior_** periods of service, see [M21-1, Part X, Subpart i, 6.C.3.f]() * acceptable formats for STR documents, see M21-1, Part X, Subpart i, 6.B.3.d (Step 5) * substantially complete STRs, see [M21-1, Part III, Subpart ii, 2.A.1.f]() * EPs and claim labels for initial establishment of BDD and BDD-excluded claims, see M21-1, Part X, Subpart i, 6.B.2.c * the FDC Program, see [M21-1, Part X, Subpart i, 2.A]() and [B]() * final notification to claimants that VA is unable to obtain relevant Federal records, see [M21-1, Part III, Subpart ii, 1.A.1.g](), and * requesting service personnel records through DPRIS, see [M21-1, Part III, Subpart ii, 2.D.4.a](). ### X.i.6.B.3.l. Initial Actions Upon Receipt of an Electronic Pre-Discharge Claim Upon receipt of an electronic claim, pre-discharge claims processors will follow the instructions in the table below.| **Step**| **Action** 1| Did the service member submit STRs for the current period of service? * If _yes_ , go to the next step. * If _no_ , develop for STRs as noted in M21-1, Part X, Subpart i, 6.B.3.k. 2| Does the service member meet the other requirements of the BDD program? * If _yes_ , go to the next step. * If _no_ , * change the EP 336 to the appropriate non-BDD rating EP, and * go to Step 4. 3| Develop the claim as required by [M21-1, Part X, Subpart i, 6.C.1.b](). 4| Process the claim under the FDC Program (or the standard VA claims process if the service member does not qualify for the FDC Program, or any other qualifying program). **Notes:** * For claim types excluded from the BDD program * disregard the processing steps in this table, and * follow the guidance in M21-1, Part X, Subpart i, 6.B.1.c. * For guidance on how to consolidate incremental 400 EPs that are established by the Veterans Online Application Direct Connect following initial receipt of the claim, see [M21-1, Part II, Subpart iii, 4.A](). **References:** For more information on * claim types excluded from the BDD program, see M21-1, Part X, Subpart i, 6.B.1.b * BDD and BDD-excluded (to include claims received electronically) EP and claim labels, see M21-1, Part X, Subpart i, 6.B.2, and * the FDC Program, see [M21-1, Part X, Subpart i, 2.A]() and [B](). ### X.i.6.B.3.m. Handling Late-Flowing Claim Documents If an intake site receives additional documents after shipping documents to the scanning vendor, the intake site must * update VBMS notes with * a description of the documents * the date of shipment for scanning, and * any other information of importance to the RO * enter any newly identified contentions into VBMS * annotate _pre-discharge_ on the outside of the box as appropriate, and * follow VCIP shipping procedures and local vendor protocols. **References:** For more information on * VCIP shipping procedures, see [M21-1, Part II, Subpart i, 1.B]() * establishing claims for additional contentions received from BDD claimants with less than 90 days remaining on active duty, see M21-1, Part X, Subpart i, 6.B.2.i, and * processing additional contentions received from BDD claimants with less than 90 days remaining on active duty, see [M21-1, Part X, Subpart i, 6.C.2.c and d]().