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Evidence checklist

Toxic Exposure Syndrome Residuals (PACT Act)

DC 635438 CFR § 3.320Infectious Diseases

Evidence strength

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

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
Primary care records documenting chronic symptoms from toxic exposureCritical

Records from your doctor listing all your chronic symptoms and noting they may be related to toxic exposures during military service (burn pits, Agent Orange, contaminated water, radiation).

Private provider · independent opinion
Nexus opinion linking symptoms to military toxic exposureCritical

A medical opinion connecting your symptoms to specific toxic exposures during service. Under the PACT Act, many conditions are now presumptive for toxic-exposed veterans.

Private provider · independent opinion
Specialist evaluations for each affected body system

Records from specialists evaluating each symptom: pulmonology (breathing), oncology (cancer), neurology (neurological symptoms), or other relevant specialists.

Private provider · independent opinion
02

Diagnostic tests and lab results

0 of 1 collected
Diagnostic testing results supporting claimed conditions

Lab work, imaging, PFTs, or other test results that document the specific conditions or organ damage caused by toxic exposure.

Imaging or lab facility · records 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
DBQ — relevant to each claimed condition

Disability Benefits Questionnaires for each affected body system documenting your symptoms, severity, and functional limitations.

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

Service records

0 of 3 collected
Documentation of toxic exposure during serviceCritical

Records showing you were exposed to burn pits, Agent Orange, contaminated water (Camp Lejeune), depleted uranium, radiation, or other toxins. This can include deployment records, unit histories, or the Airborne Hazards and Open Burn Pit Registry.

NPRC / milConnect · SF-180
Burn Pit Registry or toxic exposure registry enrollment

Proof of enrollment in the VA Airborne Hazards and Open Burn Pit Registry, Agent Orange Registry, or other relevant exposure registries.

NPRC / milConnect · SF-180
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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