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Glossary

Every term we use, in plain words. If you see a word on this site you do not know, it should be here.

Aid and Attendance (A&A)
Extra pay (SMC) when you need another person's regular help to dress, eat, bathe, use the bathroom, or stay safe. Also an add-on if your spouse needs that help.
AMA (Appeals Modernization Act)
The 2019 system of review options: Higher-Level Review, Supplemental Claim, and Board Appeal. Replaced the old "Notice of Disagreement" appeals process.
Bilateral factor
A 10% bonus VA adds when you have rated conditions on both arms or both legs, before combining them with everything else (38 CFR 4.26).
Board of Veterans' Appeals (BVA)
Judges in Washington who decide appeals. Slowest path, but a Veterans Law Judge reads your whole file.
Buddy letter (lay statement)
A written statement from someone who saw what happened in service or sees how your condition affects you now. VA Form 21-10210.
C-file (claims file)
Everything VA has on you: your claims, decisions, exams, and records. Request it with VA Form 20-10206. You need it to see what VA saw.
C&P exam
Compensation and Pension exam. A one-time exam VA orders to measure how bad a condition is. Not treatment. The examiner fills out a DBQ.
Combined rating
Your overall percentage. VA does not add ratings; it combines them on the remaining "whole person" (38 CFR 4.25), then rounds to the nearest 10. Use the calculator.
Continuous pursuit
Filing each review within one year of the last decision so your effective date stays protected back to the original claim.
CRDP / CRSC
Programs that let military retirees keep retired pay and VA compensation together. CRDP: 20-year retirees at 50%+. CRSC: combat-related conditions, tax-free, through your service branch.
DBQ (Disability Benefits Questionnaire)
A VA form, one per condition type, that records the facts a rater needs. C&P examiners use them; your own doctor can complete one too.
DEA / Chapter 35
Dependents' Educational Assistance: monthly school money for the spouse and children of a P&T veteran.
DIC (Dependency and Indemnity Compensation)
Monthly payment to survivors of a veteran who died of a service-connected condition (or after 10 years at P&T, in some cases).
Direct service connection
The condition started or was caused in service. Needs the three legs: diagnosis, in-service event, nexus.
Effective date
The date your benefits start counting from. Usually your Intent to File date or claim date. Back pay runs from here. The most valuable date in your file.
Extra-schedular
A rating granted outside the normal percentage rules, for example TDIU when you do not meet the 60/40/70 numbers. Rare.
Fully Developed Claim
A claim you certify has all the evidence attached. No longer faster than a standard claim, but harmless to check if true.
Higher-Level Review (HLR)
A senior reviewer re-reads the same evidence for errors. No new evidence allowed. VA Form 20-0996, within one year.
IMO (Independent Medical Opinion)
A detailed written medical opinion, usually from a specialist who reviewed your records, often used to counter a C&P exam.
Intent to File
A notice that you plan to file a claim. Holds your effective date for one year. VA Form 21-0966, or start a 21-526EZ online.
Lane
Our shorthand for the six claim paths: A first claim, B Higher-Level Review, C Supplemental Claim, D increase, E secondary, F TDIU.
Nexus
The medical link between your condition and your service (or another service-connected condition). A doctor has to say it in writing. Your own statement is not a nexus.
P&T (Permanent and Total)
A 100% (or TDIU) rating that VA has marked as not expected to improve. Unlocks CHAMPVA, Chapter 35, and most state 100% benefits. Explainer.
Presumptive condition
A condition VA presumes is service-connected if you served in a listed place and time (Vietnam, Gulf War, burn pits under the PACT Act, Camp Lejeune, radiation sites). Skips the nexus leg.
Pyramiding
Rating the same symptoms twice under two names. Not allowed (38 CFR 4.14). Separate body systems and separate symptoms can be rated separately.
Rating decision / code sheet
The letter explaining VA's decision, plus the code sheet listing each condition, its diagnostic code, percentage, and effective date.
Secondary service connection
A new condition caused or made worse by a condition that is already service-connected (38 CFR 3.310). Sleep apnea secondary to PTSD, for example.
SMC (Special Monthly Compensation)
Extra pay above the regular schedule for specific losses: loss of use of a limb, housebound status, need for aid and attendance.
Supplemental Claim
A review based on new and relevant evidence VA has never seen. VA Form 20-0995. Within one year keeps your effective date; later is allowed but the date usually moves.
TDIU (Total Disability based on Individual Unemployability)
Paid at the 100% rate when service-connected conditions keep you from steady, substantially gainful work. Usual threshold: one 60%, or 70% combined with one 40%.
VHIC (Veteran Health Identification Card)
The photo ID you get when enrolled in VA health care. Marked "SERVICE CONNECTED," it is your pass to commissaries and exchanges.
VSO (Veterans Service Organization / Officer)
Accredited organizations (DAV, VFW, American Legion, state and county offices) and the trained officers who help with claims for free.
5103 notice
VA's letter telling you what evidence it needs. You have one year to respond. The "5103 waiver" box on a Supplemental Claim form tells VA to skip the wait.