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Take the Readiness Quiz
P&T Evidence Checklist
Please fill this Evidence Checklist
Identity & Admin
Veteran full name, DOB, Last 4; contact info
Current 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 notes
Specialist notes per SC condition
Diagnostics: labs, imaging, sleep studies, echos, PFTs, EMG, etc.
Hospitalizations/surgeries with discharge summaries
Medication list with side-effects
DBQs (only if favorable/accurate)
Permanence Support
Clinician 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
Functional
Veteran statement (ADLs, frequency, severity, flares)
Spouse/observer statement (specific, time-anchored examples)
Employer/manager statement or 21-4192 (for IU)
Filing Packet
P&T Cover Letter referencing 38 CFR §§ 3.340, 4.15
Route: 21-526EZ (increase) or 21-8940 + request to make IU Permanent
Exhibits index + clearly named PDF binder
After Filing
Calendar 30/60/90-day check-ins
If a reduction proposal arrives (3.105(e)): gather counter-evidence and respond timely
Submit
