Section 1119 Covered Veteran
This sample memorandum should be contained in the Claims Folder of any Veteran with deployments to countries covered under 38 U.S.C. § 1119.
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Department of MEMORANDUM
Veteran Affairs
DATE: 2022
FROM: Office of Automated Benefits Delivery
TO: VBMS eFolder
SUBJECT: Toxic Exposure – Sec. 1119 Covered Veteran
The Department of Defense (DoD) has provided VA with authoritative data that verifies the
Veteran named below had military service that constitutes presumptive toxic exposure per
38 U.S.C. §1119.
Note: The information below was provided by DoD via the VA/DoD Identity Repository
(VADIR). Information received from VADIR should be considered the equivalent of information
from the Veteran’s official military personnel file and is acceptable for verification of service
information for VA purposes.
The information below is not intended to represent an exhaustive listing of the Veteran’s §1119
qualifying service. The information is provided solely to establish the fact that the Veteran has at
least one qualifying deployment that satisfies the criteria for presumptive toxic exposure per 38
U.S.C §1119.
Veteran Name:
File Number:
§1119 Qualifying Deployment Information:
DoD deployment records show that the Veteran named above served in:
Afghanistan from
Kuwait from
Afghanistan from
DoD military pay records show that the Veteran received fire pay, imminent danger pay,
and/or or hazardous duty pay for service in:
Kuwait from