Skip to main content

Evidence checklist

Leukemia

DC 770338 CFR § 4.117Hematologic/Lymphatic

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Bone marrow biopsy and pathology confirming leukemia typeCritical

The biopsy report confirming your specific leukemia diagnosis and subtype. This is the foundation of the claim.

Private provider · independent opinion
Nexus opinion linking leukemia to service (radiation, chemical, or toxic exposure)Critical

A medical opinion connecting your leukemia to benzene exposure, ionizing radiation, Agent Orange, or other toxic exposures during military service.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Oncology treatment records (chemotherapy, radiation, transplant)Critical

Records of all cancer treatments with exact start and end dates. Active leukemia or treatment is rated at 100%.

VA or private records · written request
Serial CBC and blood chemistry resultsCritical

Blood tests showing white blood cell counts, hemoglobin, and platelet levels over time. These track disease severity and treatment response.

VA or private records · written request
Documentation of treatment residuals (fatigue, infections, cytopenias)

After treatment, document ongoing problems like persistent fatigue, frequent infections, or low blood counts. These residuals determine your post-treatment rating.

VA or private records · written request
03

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Hematologic and Lymphatic ConditionsCritical

A standardized VA form capturing diagnosis, treatment status, blood counts, and residual symptoms.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.