Citation Nr: 0734940 Decision Date: 11/06/07 Archive Date: 11/19/07 DOCKET NO. 05-04 099 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Boise, Idaho THE ISSUE Whether an appeal of a July 2003 rating decision as to the denial of service connection for right knee bursitis with degenerative joint disease was timely filed. REPRESENTATION Veteran represented by: Veterans of Foreign Wars of the United States ATTORNEY FOR THE BOARD David T. Cherry, Counsel INTRODUCTION The veteran served on active duty from March 1969 to June 1973 and from May 1974 to October 1990. This case has come before the Board of Veterans' Appeals (Board) on appeal from a determination issued in September 2004 by the Department of Veterans Affairs (VA) Regional Office in Boise, Idaho (the RO) that the veteran's appeal as to an RO denial of his claim for service connection for right knee bursitis with degenerative joint disease was untimely filed. Procedural history In a July 2003 rating decision, service connection was denied for right knee bursitis with degenerative joint disease. The RO sent the veteran notice of the rating decision and of his appellate rights in a letter dated July 15, 2003. In September 2003 veteran filed a timely notice of disagreement (NOD) as to the that denial of service connection. On May 7, 2004, the RO mailed a statement of the case (SOC) to the veteran. On September 29, 2004, the RO determined that an appeal as to the denial of service connection for right knee bursitis with degenerative joint disease had not been timely filed. The veteran perfected an appeal as to that determination. Issues not on appeal In the July 2003 rating decision, increased ratings, 10 and 20 percent, for service-connected residuals of a left acromioclavicular (AC) joint separation and left knee strain with degenerative joint disease, respectively, were granted effective February 26, 2003. To the Board's knowledge, the veteran has not disagreed with those decisions. Those issues are therefore not in appellate status. See Archbold v. Brown, 9 Vet. App. 124, 130 (1996) [pursuant to 38 U.S.C.A. § 7105(a), the filing of a notice of disagreement initiates appellate review in the VA administrative adjudication process, and the request for appellate review is completed by the claimant's filing of a substantive appeal after a statement of the case is issued by VA]. FINDING OF FACT The veteran did not submit a substantive appeal of the July 2003 rating decision as to the denial of service connection for right knee bursitis with degenerative joint disease within 60 days after the issuance of the SOC on May 7, 2004 or within a year after notice of the July 2003 rating decision was given. CONCLUSIONS OF LAW 1. The veteran failed to submit a timely appeal as to the issue of service connection for right knee bursitis with degenerative joint disease decided in the July 2003 rating decision. 38 U.S.C.A. §§ 5107, 7108 (West 2002); 38 C.F.R. § 20.302 (2007). 2. Because the veteran failed to submit a timely substantive appeal of the July 2003 rating decision, the Board has no jurisdiction over the issue of service connection for right knee bursitis with degenerative joint disease and the appeal must be dismissed. 38 U.S.C.A. § 7104 (West 2002). REASONS AND BASES FOR FINDING AND CONCLUSIONS The veteran is disputing the RO's finding that he did not file a timely appeal as to the denial of service connection for right knee bursitis with degenerative joint disease. In essence, he contends that he did not have to file a substantive appeal with the regard to the July 2003 rating decision as to the service connection for right knee bursitis with degenerative joint disease within a year after notice of the July 2003 rating decision or within 60 days after the issuance of the SOC because the SOC was defective. In the interest of clarity, the Board will initially review various laws generally pertaining to the issue on appeal. The Board will then move on to an analysis of the issue. The Veterans Claims Assistance Act of 2000 (VCAA) The Board has given consideration to the Veterans Claims Assistance Act of 2000. The VCAA includes an enhanced duty on the part of VA to notify a claimant as to the information and evidence necessary to substantiate a claim for VA benefits. The VCAA also redefines the obligations of VA with respect to its statutory duty to assist claimants in the development of their claims. The VCAA is generally applicable to all claims filed on or after the date of enactment, November 9, 2000, or filed before the date of enactment but not yet final as of that date. However, for reasons expressed immediately below, the Board finds that resolution of the issue on appeal is based on the operation of law and that the VCAA is not applicable. See Holliday v. Principi, 14 Vet. App. 280, 282-83 (2001) [the Board must make a determination as to the applicability of the various provisions of the VCAA to a particular claim]. The facts in this case are not in dispute. In Manning v. Principi, 16 Vet. App. 534 (2002), citing Livesay v. Principi, 15 Vet. App. 165 (2001), the United States Court of Appeals for Veterans Claims held that the VCAA has no effect on an appeal where the law, and not the underlying facts or development of the facts, is dispositive of the matter. The Board finds that such is the case as to the issue here on appeal. Application of pertinent provisions of the law and regulations will determine the outcome; no amount of additional development would add to the record. The Board adds that general due process concerns have been satisfied in connection with this appeal. See 38 C.F.R. § 3.103 (2007). The record shows that appeal of the timeliness issue was fully developed for appellate review after the veteran's filing of a timely notice of disagreement in response to the September 2004 adverse determination on the timeliness of appeal issue. He was furnished with a statement of the case addressing the timeliness issue in January 2005. See 38 C.F.R. § 19.34 (2007) [the matter of the timeliness of filing of a substantive appeal is itself an appealable issue, and if a claimant or representative protests an adverse determination by the agency of original jurisdiction, the claimant should be furnished with a SOC]; see also Bernard v. Brown, 4 Vet. App. 384 (1993). The veteran has been accorded ample opportunity to present evidence and argument in support of his appeal. His representative has presented argument on his behalf. He has not requested a Board hearing on this matter. Accordingly, the Board will proceed to a decision. Pertinent law and regulations Appellate review of an RO decision is initiated by a notice of disagreement and completed by a substantive appeal after a statement of the case is furnished. 38 U.S.C.A. § 7105(a) (West 2002); 38 C.F.R. § 20.200 (2007). The regulations clearly indicate that a SOC "must be complete enough to allow the [veteran] to present written and/or oral arguments before the Board." See 38 C.F.R. § 19.29 (2007). To that end, the SOC must contain: (a) A summary of the evidence in the case relating to the issue or issues with which the [veteran] or representative has expressed disagreement; (b) A summary of the applicable laws and regulations, with appropriate citations, and a discussion of how such laws and regulations affect the determination; and (c) The determination of the agency of original jurisdiction on each issue and the reasons for each such determination with respect to which disagreement has been expressed. See 38 C.F.R. § 19.29(c) (2007). After the statement of the case is provided to the claimant, a formal appeal must be filed either by the claimant personally or his or her authorized representative within 60 days from the date the statement of the case is mailed, or within the remainder of the one-year period from the date the notification of the RO decision was mailed, whichever period ends later. See 38 U.S.C.A. § 7105(d)(3) (West 2002); 38 C.F.R. §§ 20.301(a), 20.302(b) (2007); see also Rowell v. Principi, 4 Vet. App. 9, 17 (1993) [where a claimant did not perfect an appeal by timely filing a substantive appeal, the RO rating decision became final]. By regulation the substantive appeal must consist of either "a properly completed VA Form 1-9. . . or correspondence containing the necessary information." Cuevas v. Principi, 3 Vet. App. 542, 546 (1992); 38 C.F.R. § 20.202 (2007). Perfecting an appeal to the Board is part of a clear and unambiguous statutory and regulatory scheme which requires the filing of both a notice of disagreement and a formal appeal. See 38 U.S.C.A. § 7105; see also Roy v. Brown, 5 Vet. App. 554 (1993). The formal appeal permits the appellant to consider the reasons for an adverse RO decision, as explained in the statement of the case, and to formulate and present specific arguments relating to errors of fact or law made by the RO. 38 U.S.C.A. § 7105(d)(3); Roy, 5 Vet. App. at 555. Upon request, the time period for filing a substantive appeal may be extended for good cause shown. 38 C.F.R. § 3.109(b) (2007); but see Corry v. Derwinski, 3 Vet. App. 231 (1992) [there is no legal entitlement to an extension of time, rather, section 3.109(b) commits the decision to the sole discretion of the Secretary]. A request for such an extension should be in writing and must be made prior to the expiration of the time limit for filing the substantive appeal. 38 C.F.R. § 20.303 (2007). If there is a failure to comply with the above-cited law and regulations governing the filing of appeals, it is incumbent on the Board to reject the application for review on appeal. See 38 U.S.C.A. §§ 7105(d)(5), 7108 (West 2002); see also Marsh v. West, 11 Vet. App. 468, 470-72 (1998) [Board has the jurisdiction - indeed, the obligation - to assess its jurisdiction]. As noted by the United States Court of Appeals for the Federal Circuit, "it is well-established judicial doctrine that any statutory tribunal must ensure that it has jurisdiction over each case before adjudicating the merits, that a potential jurisdictional defect may be raised by the court or tribunal, sua sponte or by any party, at any stage in the proceedings, and, once apparent, must be adjudicated." Barnett v. Brown, 83 F.3d 1380, 1383 (Fed. Cir. 1996) (citations omitted). Procedural history The veteran has two service-connected orthopedic disabilities - residuals of a left AC joint separation hereinafter "left shoulder disability", and left knee strain with degenerative joint disease hereinafter "left knee disability". In February 2003, the veteran claimed service connection for a right knee disability secondary to his service-connected left knee disability. In the July 2003 rating decision, service connection was denied for right knee bursitis with degenerative joint disease, secondary to the service- connected left knee disability The RO sent the veteran notice of the rating decision and of his appellate rights in a letter dated July 15, 2003. The veteran filed a timely notice of disagreement (NOD) as to that denial of service connection in September 2003. On May 7, 2004, the RO mailed a statement of the case (SOC) to the veteran. That SOC listed the issue as "service connection for right knee bursitis as secondary to the service-connected disability of residuals, left acromioclavicular (AC) joint separation." The veteran was provided with his appeal rights. In particular, he was informed as follows: You must file your appeal with this office within 60 days from the date of this letter or within the remainder, if any, of the one-year time period from the date of the letter notifying you of the action that you have appealed. If we do not hear from you within this period, we will close your case. If you need more time to file your appeal, you should request more time before the time limit for filing your appeal expires. See the May 7, 2004 letter from the RO to the veteran , with a copy to his representative [emphasis as in the original]. No substantive appeal was filed. On September 10, 2004, the veteran's representative requested another SOC, claiming that the May 2004 SOC was "incorrect". As has been described in the Introduction, on September 29, 2004 the RO determined that an appeal as to the July 2003denial of service connection for right knee bursitis with degenerative joint disease had not been timely filed. The veteran perfected an appeal as to that determination. Analysis The RO found that the veteran did not file a timely appeal as to its July 2003 rating decision which denied service connection for a right knee disability. The veteran and his representative do not contend that a substantive appeal was in fact filed. Rather, they argue that because the RO misstated the issue in the May 2004 SOC as "service connection for right knee bursitis as secondary to the service-connected disability of residuals, left acromioclavicular (AC) joint separation", i.e., secondary to the service-connected right shoulder disability, rather than as secondary to the service-connected left knee disability, the SOC is a legal nullity. They further argue that because of this alleged mistake the veteran did not have to submit a substantive appeal of the July 2003 rating decision in July 2004. The veteran and his representative further assert that, instead, the RO should have issued another SOC correctly stating the issue on appeal before the veteran had to file a substantive appeal. In essence, although not citing to the regulation the veteran and his representative are asserting that the SOC was not "complete to allow [the veteran] to present written and/or oral argument before the Board" and that the SOC did not contain the "determination of the agency of original jurisdiction on [the issue of service connection for right knee bursitis with degenerative joint disease as secondary to the service-connected left knee disability] and the reasons for each such determination with respect to which disagreement has been expressed." See 38 C.F.R. § 19.29. The Board rejects this argument and finds that the May 2004 SOC is adequate pursuant to 38 C.F.R. § 19.26. It is undisputed that the May 2004 SOC denied the veteran's secondary service connection claim. It is further undisputed that the secondary service connection claim was the only issue in appellate status at that time (i.e. an issue as to which a NOD had been filed. The sole contention advanced by the veteran is that the issue was misstated in the SOC as being secondary to the left shoulder disability rather than as to the left knee disability as had been claimed by the veteran. It is further undisputed that the RO did in fact mischaracterize the issue on page 1 of the SOC. However, although the May 2004 SOC misstated the issue on page 1 and even though paragraph one of the Reasons and Bases section of the SOC discusses service connection as secondary to the service-connected left shoulder disability, the second and third paragraphs in the Reasons and Bases section clearly address the issue of service connection for the right knee disability as secondary to the service-connected left knee disability, the veteran's claimed theory of entitlement. Moreover, the decision in the SOC - "service connection for right knee bursitis is denied" - clearly and unequivocally addressed the veteran's claim and informed him in no uncertain terms that the claim had been denied. Given that the second and third paragraphs of the SOC's Reasons and Bases section address the theory of service connection secondary to the service-connected the left knee disability which was propounded by the veteran, he was clearly on notice that the SOC was denying his claim of entitlement to service connection for the right knee disability secondary to the service-connected left knee disability. In other words, the SOC was sufficiently "complete to allow [the veteran] to present written and/or oral argument before the Board" and contained the "determination of the agency of original jurisdiction on [the issue of service connection for right knee bursitis with degenerative joint disease as secondary to the service- connected left knee disability] and the reasons for each such determination with respect to which disagreement has been expressed." See 38 C.F.R. § 19.29. Therefore, the SOC meets the requirements of 38 C.F.R. § 19.29. Moreover, the notice letter accompanying the SOC informed that the veteran if he needed more time to file his appeal, he should request more time before the time limit for filing his appeal expired. See 38 C.F.R. § 3.109 (2006). If the SOC caused as much confusion to the veteran and his representative as they claimed in September 2004 and afterwards, either the veteran or his representative should have requested an extension to file his appeal or otherwise sought clarification of the matter. Neither the veteran nor his representative made such a request. The veteran and representative could also have filed a substantive appeal to preserve his rights [a VA Form 9 had been provided by the RO as an attachment to the May 7 2004 SOC notice letter] and argued the fine points of the SOC at their leisure. It strikes the Board as somewhat disingenuous for the veteran to contest the adequacy of the SOC only after the appeal period had expired. It is abundantly clear that his claim for service connection for the right knee disability secondary to the service-connected left knee disability was being denied in that SOC. That was in fact the only issue on appeal. It was therefore incumbent upon the veteran to take action, and not ignore the SOC. Since the May 2004 SOC is adequate pursuant to 38 C.F.R. § 19.29 as to the denial of service connection for a right knee disability as secondary to the service-connected left knee disability, the veteran was required to submit a substantive appeal within 60 days after the issuance of the SOC on May 7, 2004, or within a year after notice of the July 2003 rating decision was given, in order to perfect his appeal of that denial. The veteran did not file such a document within that time period, and he does not contend that he did so. In short, for reasons and bases discussed above, the Board finds that a timely substantive appeal was not received with respect to the July 2003 rating decision as to the denial of service connection for right knee bursitis with degenerative joint disease. If there is a failure to comply with the law or regulations, it is incumbent upon the Board to reject the application for review on appeal. 38 U.S.C.A. §§ 7105, 7108; Roy, supra.; Rowell v. Principi, 4 Vet. App. 9 (1993). Because the veteran did not timely file substantive appeal regarding the July 2003 rating decision as to the denial of service connection for right knee bursitis with degenerative joint disease, the Board lacks jurisdiction to adjudicate the issue on the merits. His appeal must be dismissed. See 38 U.S.C.A. §§ 7104, 7105; 38 C.F.R. §§ 19.4, 20.200, 20.201, 20.202, 20.302. See Roy, supra.; see also Fenderson v. West, 12 Vet. App. 119, 128-31 (1999) [discussing the necessity to filing a substantive appeal which comports with governing regulations]. The appeal is accordingly dismissed. ORDER The appeal of the July 2003 rating decision as to the denial of service connection for right knee bursitis with degenerative joint disease is dismissed. ____________________________________________ Barry F. Bohan Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs