P&T Evidence Checklist – Boots 2 Benefits

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Please fill this Evidence Checklist

Identity & AdminVeteran full name, DOB, Last 4; contact infoCurrent rating code sheet (SC conditions, %, effective dates)Latest decision letters (mark static / no future exams / protections)

Medical Evidence (24–36 months; include older if critical)PCP progress notesSpecialist notes per SC conditionDiagnostics: labs, imaging, sleep studies, echos, PFTs, EMG, etc.Hospitalizations/surgeries with discharge summariesMedication list with side-effectsDBQs (only if favorable/accurate)

Permanence SupportClinician letter: chronic; at/near MMI; material improvement not expected; no routine future exams;Prognosis notes supporting static/long-term course(If IU) Vocational/clinician statement on SGE limits

FunctionalVeteran statement (ADLs, frequency, severity, flares)Spouse/observer statement (specific, time-anchored examples)Employer/manager statement or 21-4192 (for IU)

Filing PacketP&T Cover Letter referencing 38 CFR §§ 3.340, 4.15Route: 21-526EZ (increase) or 21-8940 + request to make IU PermanentExhibits index + clearly named PDF binder

After FilingCalendar 30/60/90-day check-insIf a reduction proposal arrives (3.105(e)): gather counter-evidence and respond timely

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