Decision Review Request: Board Appeal (Notice of Disagreement)
You want a Veterans Law Judge to review your case, especially if HLR has been exhausted or you want a hearing.
Gather before you start
Attach with the form
Section I - Veteran/Claimant Identification
Blocks 1-7Name, SSN, VA File Number, address, phone, emailPII
Match exactly to your VA records as they appear on every prior letter or DD-214 - any mismatch causes intake delays.
(use legal name from DD-214)
- Mismatched name/SSN - Board appeal rejected at intake.
Section II - Decision Being Appealed
Block 8Date of decision being appealed
Starts the 1-year clock for effective-date protection.
MM/DD/YYYY
- Using the date you received the letter instead of the date on the letter.
Section III - Docket Selection
Block 9Choose ONE docket
DIRECT REVIEW = no new evidence, no hearing. Fastest (currently 1-2 years average). EVIDENCE = 90-day window after NOD to submit new evidence; no hearing. Slower (2-4 years). HEARING = video or in-person; you can submit new evidence at hearing or within 90 days; longest wait (4-7 years). Pick based on (a) whether you have new evidence, (b) whether you want to testify in person.
DIRECT / EVIDENCE / HEARING
- Picking Hearing without thinking about the multi-year wait - if speed matters, Direct Review is much faster.
- Picking Direct Review when you have critical new evidence - that evidence will not be considered. Pick Evidence or Hearing.
- Confusing Direct Review with HLR (20-0996) - Direct Review goes to a Veterans Law Judge; HLR goes to a senior VA rater. Different review levels.
Section IV - Hearing Type (only if Hearing docket)
Block 10Hearing type preference
Only if you chose HEARING docket. Three options: VIDEO HEARING (you appear from a regional VA facility; judge in DC); CENTRAL OFFICE (you travel to Washington DC); TRAVEL BOARD (judge travels to a regional facility). Video is fastest and most common today.
VIDEO / CENTRAL OFFICE / TRAVEL BOARD
- Picking Travel Board hearing - rare and slow; most veterans choose Video.
- Picking Central Office without realizing it requires travel to DC at your own expense.
Section V - Issues for Appeal
Block 11Specific issues you want the Board to decideRepeatable
List each issue with the condition name and decision (Denied / Under-rated at X%). Issues NOT listed are NOT appealed.
e.g., 1. Tinnitus - DENIED 03/15/2025 - request reversal of denial. 2. Lumbar DDD - rated 10%, request 20% under DC 5237. 3. PTSD - rated 30%, request 70%.
- Vague issue descriptions ("my back appeal") - name condition AND decision (denied vs under-rated at X%).
- Adding issues not in the original decision - the Board only has jurisdiction over decisions appealed; raise new issues via 21-526EZ.
- Forgetting to list an issue - it won't be appealed.
Section VI - Representative
Block 12Representative information
VSO, attorney, or agent. Strongly recommended for Board appeals - VSOs and accredited attorneys regularly represent veterans before VLJs.
e.g., Disabled American Veterans (DAV) or attorney name
- Self-representing at the Board on a complex case - get a VSO or attorney; they know the VLJs and case law.
Section VII - Signature
Blocks 13-14Veteran signature and datePII
Sign and date. By signing you certify the statements are true to the best of your knowledge under penalty of perjury.
(signature/date when filing)
- Forgetting to sign - VA returns.
- Missing the 1-year deadline - effective-date protection lost. Henderson v. Shinseki softened this somewhat but don't rely on it.