Citation Nr: 0120695 Decision Date: 08/13/01 Archive Date: 08/16/01 DOCKET NO. 93-18 245 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Manila, the Republic of the Philippines THE ISSUE Whether the forfeiture of the veteran's rights to Department of Veterans Affairs (VA) benefits under 38 U.S.C.A. § 6103(a) (West 1991) was proper. REPRESENTATION Veteran represented by: Disabled American Veterans ATTORNEY FOR THE BOARD C. L. Mason, Counsel INTRODUCTION The veteran's creditable service extended from November 1941 to April 1942 and from June 1945 to June 1946. This matter comes before the Board of Veterans' Appeals (Board) on appeal from administrative actions of the Manila, Philippines, Regional Office (RO) of the Department of Veterans Affairs (VA), and the Director, Compensation and Pension Service of VA that declared a forfeiture against the veteran pursuant to 38 U.S.C.A. § 6103(a). This case was previously before the Board on appeal from an April 1993 rating decision by the RO in Manila, Philippines denying service connection for several disabilities. The Board remanded the case in April 1995. In a September 1996 statement, the veteran indicated that he was withdrawing the claim on appeal in order to focus on reopening his claim. FINDINGS OF FACT 1. From 1990 to 1998, the veteran submitted, under his signature, medical statements from several physicians certifying that they had examined the veteran, that his disabilities were severe, and that these disabilities began in service. 2. A field investigator interviewed the veteran and other persons in August 1998 and unequivocally established that the medical certifications submitted by the veteran to support his claim were knowingly and intentionally falsified. 3. Credible evidence to suggest that the deposition signed by the veteran in August 1998 was coerced has not been presented. 4. The veteran knowingly and intentionally submitted false and fraudulent statements in support of his claims for service connection compensation benefits. CONCLUSION OF LAW The veteran knowingly made and presented false statements and evidence pursuant to his claim for VA benefits, and the veteran has forfeited all rights, claims, and benefits under all laws administered by VA (except those pertaining to insurance benefits). 38 U.S.C.A. § 6103(a) (West 1991). REASONS AND BASES FOR FINDINGS AND CONCLUSION At the outset, it is noted that the Veterans Claims Assistance Act of 2000, Pub. L. No. 106-475, 114 Stat. 2096 (2000) became law during the pendency of this appeal. The RO has met its duty to assist the veteran in the development of this claim under the Veterans Claims Assistance Act of 2000, Pub. L. No. 106-475, 114 Stat. 2096 (2000). By the Statement of the Case issued during the pendency of the appeal, the veteran and his representative were given notice of the information or lay evidence necessary to support his claim. The RO made reasonable efforts to obtain relevant records adequately identified by the veteran, including several medical records. In view of the statements made at the August 1998 deposition, it appears that all evidence has been obtained and associated with the claims folder. Factual Background The veteran filed several claims for service connection for multiple disabilities, to include malnutrition, avitaminosis, pellagra, peptic ulcer disease, senility, beriberi heart disease, pulmonary tuberculosis, and posttraumatic stress disorder (PTSD), from October 1990 to January 1997. In support of these claims, the veteran submitted the following medical certifications: ? A July 1990 statement from Jose J. Gatilao, M.D., certifying that the veteran had pellagra, beriberi heart disease, minimal pulmonary tuberculosis, senility secondary to debility, urinary tract infection, residual of old ulcer, rheumatoid arthritis, malnutrition with avitaminosis, and asthma, and that such were the result of his service during WWII. ? An October 1990 statement from Manuel L. Flores, M.D., certifying that the veteran had been examined and found to have beriberi heart disease, residual of old ulcer, malnutrition, hookworm with ascariasis, "asthmatizm", and minimal pulmonary tuberculosis. ? A September 1992 statement from Francisco G. Flores, M.D., certifying that the veteran was examined and found to have malnutrition, pellagra, old ulcer, pneumonia, leukoplakia, intestinal parasitism, peptic ulcer with bulb deformity, muscular dystrophy, and pneumoconiosis, which started during service and continued from that time. ? A February 1993 statement from Gervacio K. Guillermo, M.D., certifying that the veteran had been examined and treatment provided for malnutrition with avitaminosis, pellagra, duodenal bulb deformity, senility secondary to "delibility", lumbar spine, and old ulcer and that such result from his period as a prisoner of war. ? A statement submitted in November 1993 from Antonio O. Reyes, M.D., certifying that the veteran received treatment for chronic heart disease, pellagra, avitaminosis/undernutrition, digestive system, and duodenal bulb stenosis, which resulted from active service in WWII while a Prisoner of War. ? A February 1994 statement from Gualberto G. Ganzon, Jr., M.D., certifying that the veteran had been treated in December 1993 and had symptoms of PTSD and pulmonary tuberculosis as well as heart disease which began in the line of duty. ? A June 1995 statement from Jose R. Alvior, M.D., certifying that the veteran was examined and treated in May to June 1995 and received treatment for gastric ulcer, stomatitis, peripheral neuropathy, malnutrition, pellagra, and heart disease, and that such findings resulted from his service. ? An August 1995 statement from Lamberto G. Carion, M.D., certifying that the veteran had been treated from July to August 1995 and had symptoms of PTSD and pulmonary tuberculosis as well as heart disease which began in the line of duty. ? A September 1995 statement from Alfredo B. Balgus, M.D., certifying that the veteran had been treated from August to September 1995 and had symptoms of PTSD and pulmonary tuberculosis as well as heart disease which began in the line of duty. ? A July 1996 statement from Demetrio G. Garscon, M.D., certifying that the veteran had been treated from June to July 1996 for malnutrition, avitaminosis, dermatitis secondary to the lumbar spine, epigastric ulcer, depression, heart disease, and pulmonary tuberculosis which resulted form his service in WWII. ? A statement from Jose G. Revelo, M.D., certifying that the veteran was treated from September to October 1996 for malnutrition, psychoses, sarcoidosis, nephritis, multiple sclerosis, and duodenal bulb deformity. ? A January 1997 statement from Raymundo T. Guerrero, Sr., M.D., certifying that the veteran was treated from December 1996 to January 1997 for dermatitis, gastric ulcer, ischemic heart disease, PTSD, duodenal bulb deformity, malnutrition, avitaminosis, and lumbar spine and abdominal pains. With each of the above statements, the RO received a letter with the veteran's signature requesting consideration of such evidence in support of his claims. Most of these medical statements contained the veteran's signature, as well as that of the purported physician. The RO searched the Professional Regulations Commission database and compiled lists of physician names with their license numbers. In several instances, neither the physician nor the license number was located. In other instances, the license number was located, but was not assigned to the physician named in the medical certificate. In one instance the same license number was attributed to two different physicians; neither actually had the number. The field examination report includes an August 1998 deposition of the veteran by an investigator. In this deposition, the veteran stated that he could read, write, and understand English and that he could read, write, and understand Tagalog language. He identified the person who assisted him in preparing his claims. He indicated that Dr. Raymundo Guerrero never treated him in 1997. He further stated that the person who had assisted him in his claim had personally and actually prepared all the medical certifications without the knowledge of the doctors concerned and that he simply falsified the signatures of the doctors. The veteran also stated that the signatures on the medical certifications or in letters accompanying such were not his signatures. However, the veteran stated that he was aware that the documents were falsified. When asked if he had any objections of the manner of the investigation, the veteran answered negatively. The veteran signed the transcript of the deposition as well as providing his thumbmark on the deposition. Two witnesses also signed the deposition, swearing that the transcript had been read to the veteran in Tagalog and that he acknowledged the same to be true and affixed his signature and thumbprint in their presence. The September 1998 field examination report noted that other persons were interviewed in this case. An employee of the information section of the Corazon Locsin Montelibano Memorial Regional Hospital reported that he did not know the doctors who issued the attached medical certifications. Dr. Raymundo Lazaro Guerrero, Jr., stated that the purported medical certificate issued by his father Raymundo Guerrero, Sr. was falsified. Dr. Raymundo Guerrrero, Sr. stated that he did not know the veteran, that the veteran was not his patient, that the medical certificate did not contain his signature, that Dr. Manuel Flores retired in 1992 and no longer lived in the area, and that he did not know Dr. Francisco Flores. Dr. G.R. Gentugaya and F.B. Tubillara at Corazon Locsin Montelibano Memorial Regional Hospital stated that the chief of radiology was Jose V. Revelo (not the same as Jose G. Revelo), and that the signature on the medical certificate was not that of Dr. Jose V. Revelo. Shortly thereafter, the veteran was advised that the RO was considering forfeiture of his benefits under 38 U.S.C.A. § 6103 for knowingly making and presenting false and fraudulent statements and declarations in an attempt to obtain VA benefits. In November 1998 written statements, the veteran contended that the investigator did not ask him any questions and that the veteran wanted to ask another person for assistance because he spoke the Visayan language, but the investigator would not allow it. The veteran also advised that as he was ignorant of the law, he sought help in filing his claim. The veteran stated that he could not afford to go to any doctors and was only seen by Dr. Raymundo Guerrero, and that the person who prepared his claim obtained the information from the doctors. In an October 1998 proposed administrative decision and an April 1999 final administrative decision, the RO determined that the veteran had knowingly and intentionally furnished false and fraudulent documents in support of his claim for service connected disability benefits and the evidence was sufficient to warrant submission of the case to the Director of Compensation and Pension Service for forfeiture for fraud. The Director of the Compensation and Pension Service, in a June 1999 forfeiture decision, considered the evidence set forth, determined that the evidence indicated that the veteran knowingly and intentionally furnished fraudulent documents in support of his claim for service connection compensation benefits, and thus, determined that the veteran forfeited his right to any benefits from the VA. The veteran, in several statements following notification of forfeiture, contended that he did not understand the questions of the investigator as they were not in Visayan language, that the investigator did not allow the questions to be translated into Visayan language, and that his answers and signature at the deposition had been coerced by the investigator. Analysis Pursuant to 38 U.S.C.A. § 6103(a), whoever knowingly makes or causes to be made or conspires, combines, aids, assists in, agrees to, arranges for, or in any way procures the making or presentation of false or fraudulent affidavit, declaration, certificate, statement, voucher, or paper concerning any claim for VA benefits shall forfeit all rights, claims, and benefits under all laws administered by VA (except laws pertaining to insurance benefits). In the present case, the Board concludes that the veteran did repeatedly authorize the submission of false and fraudulent medical statements that he knew had been falsely prepared by the person aiding him in his claim. In the August 1998 field investigation deposition, the veteran admitted that he knew that the person aiding him in his claim prepared and submitted false medical certifications. Further, additional investigation reports revealed that several of the doctors listed on these medical certifications could not be located and were unknown by medical personal working the local hospital. Additionally, one doctor, Dr. Raymundo Guerrero, who purported provided medical certification, stated that he did not know the veteran, had never treated the veteran, and that his signature on the medical certificate in question had been falsified. In a subsequent statement received in December 1998, the veteran reported that he had only seen one of the physicians listed, Dr. Raymundo Guerrero; that this visit had taken place several years before 1997; and that the person aiding him in his claim had obtained the medical certifications. Thus, the evidence of record establishes beyond any reasonable doubt, that the veteran knowingly, intentionally, and deliberately presented false statements and information in order to obtain VA service-connected compensation benefits. The evidence does not establish any wrongdoing by the VA field investigator. At the August 1998 deposition, the investigator asked the veteran if he could read, write, and understand both English and Tagalog language and the veteran answered yes to both questions. Additionally, at the end of the deposition, the investigator asked the veteran if he had any objections or questions as to the conduct of the deposition and the veteran answered no. Finally, the veteran signed and thumbmarked all pages of the deposition and two witnesses affirmed that the deposition was read/translated to the veteran in Tagalog and that the veteran understood such before signing the deposition. There was no mention of any difficulty in understanding the document at that time. Accordingly, the Board finds that the veteran knowingly, deliberately, and intentionally presented materially false and fraudulent statements to the VA in support of his claims for service connection compensation benefits, and due to such actions, he has forfeited his rights to VA benefits (aside from insurance benefits) under 38 U.S.C.A. § 6103(a). If the positive and negative evidence was in approximate equipoise, the law requires that the benefit sought be granted, as the veteran is entitled to the benefit of the doubt. 38 U.S.C.A. § 5107(b); 38 C.F.R. § 3.102 (2000). In this case, however, the positive and negative evidence is not in equipoise. Accordingly, the benefit of the doubt does not apply. ORDER Forfeiture was properly declared against the veteran pursuant to the provisions of 38 U.S.C.A. § 6103. The appeal is denied. MARY GALLAGHER Member, Board of Veterans' Appeals