Citation Nr: 0400838 Decision Date: 01/09/04 Archive Date: 01/22/04 DOCKET NO. 96-46 953 ) DATE ) ) On appeal from the Department of Veterans Affairs (VA) Regional Office (RO) in Winston-Salem, North Carolina THE ISSUE Entitlement to an increased apportionment of the veteran's VA disability compensation benefits. REPRESENTATION Appellant represented by: The American Legion Appellee represented by Not represented WITNESS AT HEARING ON APPEAL The veteran ATTORNEY FOR THE BOARD M. E. Larkin, Counsel INTRODUCTION The veteran, the appellant, served on active duty from August 1954 to January 1969. This matter is before the Board of Veterans' Appeals (Board) on appeal from a September 1998 decision of the RO which increased granted the appellee's claim for an increased apportionment in the amount of $200 per month. A notice of disagreement was received in September 1998 and the RO issued a statement of the case (SOC) was issued in February 2000. The SOC was reissued to both parties in November 2001. A substantive appeal was received from the veteran later that same month. This is a contested claim since allowance of the appeal would result in a loss of benefits to the veteran's dependent child. See 38 C.F.R. § 19.100 (2003). The record in this case shows the RO has fully complied with the notice procedures applicable in such cases. In February 2003, the appellee submitted an claim for increased apportionment. The RO denied that claim in April 2003 and provided notice to both parties that same month. Neither party appealed that decision and thus, the issue before the Board is limited to that noted on the title page. FINDINGS OF FACT 1. The veteran is currently entitled to monthly compensation in the amount of $2408, of which $200 is withheld. 2. Both the appellee and veteran's reported monthly expenses exceed their income. 3. Failure to increase the apportioned amount to the appellee on behalf of the veteran's dependent child alone would not cause the appellant financial hardship. CONCLUSION OF LAW Entitlement to an increase in the apportionment of the veteran's VA compensation benefits for the veteran's dependent child is not established. 38 U.S.C.A. §§ 5103, 5103A, 5107, 5307(a)(2) (West 2002); 38 C.F.R. §§ 3.450(a)(1)(ii), 3.451, 3.458 (2003). REASONS AND BASES FOR FINDINGS AND CONCLUSION At the outset, the Board notes the enactment of the Veterans Claims Assistance Act of 2000 (VCAA), Pub. L. No. 106-475, 114 Stat. 2096 (2000), in November 2000. See 38 U.S.C.A. §§ 5100, 5102, 5103, 5103A, and 5107 (West 2002). To implement the provisions of the law, VA promulgated regulations published at 66 Fed. Reg. 45,620 (Aug. 29, 2001) (codified at 38 C.F.R. §§ 3.102, 3.156(a), 3.159, 3.326(a) (2003)). The VCAA and its implementing regulations include, upon the submission of a substantially complete application for benefits, an enhanced duty on the part of VA to notify a claimant of the information and evidence needed to substantiate a claim, as well as the duty to notify the claimant what evidence will be obtained by whom. 38 U.S.C.A. § 5103(a); 38 C.F.R. § 3.159(b). In addition, they define the obligation of VA with respect to its duty to assist a claimant in obtaining evidence. 38 U.S.C.A. § 5103A; 38 C.F.R. § 3.159(c). Although the record does not show that both parties were fully notified of the VCAA provisions, the Board finds that, in the circumstances of this case, a remand would serve no useful purpose. See Soyini v. Derwinski, 1 Vet. App. 540, 546 (1991); Sabonis v. Brown, 6 Vet. App. 426 (1994). The determinative factors in this case involve facts which have not been placed in dispute. Consequently, advising the parties what information they would be responsible for submitting to change those facts would be a costly and time- consuming exercise. Both parties have had ample notice of the applicable law and regulations, including in the February 2000 statement of the case (which was reissued to both parties in November 2001). The appellee was notified of the proceedings, as mandated by contested case procedures. Furthermore, the law and regulations, themselves, spell out the parties' responsibilities in evidence development. For example, an affirmative showing of hardship presumably could only be presented by the party alleging the hardship. Under these circumstances, and with expediency as a consideration, but not the determinative factor, the Board finds that further notice would add to the record only the fact that the parties were advised of the citations to the VCAA, not any changes in the substance of the information provided to the parties. As a final preliminary matter, the Board notes that additional financial information was submitted by the veteran in April 2003; however, the RO did not issue a supplemental statement of the case. Given that the disposition herein is favorable to the veteran, the Board finds that the veteran is not prejudiced by the Board's consideration of this information, in the first instance. See Bernard v. Brown, 4 Vet. App. 384, 394 (1995). I. Background In December 1996, the RO increased the rating for the veteran's service-connected left knee disability to 30 percent and he was notified that beginning December 1, 1996, he would received $274 per month as compensation. In March 1997, the appellee submitted a claim for apportionment of the veteran's compensation benefits on behalf of the veteran's child. In April 1997, the RO notified the veteran of that claim and requested that he submit certain information regarding his income and expenses. The RO requested the same information from the appellee. In May 1997, the veteran was notified that his wife had been added as a dependent and effective December 1, 1996, his monthly compensation would be $331. In a May 1997 reply to the RO's request, the veteran noted his monthly income was VA compensation; however, he did not indicate the amount. He indicated that questions regarding the value of any property, a spouse's monthly income and what hardship, if any, would exist if his benefits were apportioned were "not applicable." He reported monthly expenses as follows: rent, $465; food, $350; utilities (gas), $100; electric, $100; water, $100; telephone, $40; and credit card debt, $40. The veteran also indicated that he has paid support for the child when he is able, has helped to buy clothes and has had the child on weekends and part of the summer. In June 1997, the RO awarded the appellee an apportioned share, in the amount of $23 per month, of the veteran's benefits. Both the appellant and appellee were notified of that action and their appellate rights by letter dated in June 1997. In July 1997, the veteran was awarded a temporary total rating and he was notified that, effective June 1, 1997, he was entitled to $2115, of which $59 would be withheld. Effective July 1, 1998, he was entitled to $331, of which $23 was withheld. In June 1998, the RO determined that the veteran's service- connected left knee disability had increased in severity and he was assigned a 60 percent rating. The veteran was notified that, effective July 1, 1998, he was entitled to a monthly payment of $834, of which $23 was withheld as apportionment for his son. The veteran was notified that he was receiving additional benefits for his spouse. In June 1998, the appellee submitted a claim for an increased apportionment. She reported an annual income of $11,000 (including wages from her part-time job and monthly payments received on behalf of her two children). Monthly expenses of $35.68 for water, $355 rent, $70 electric, $74 gas, $60 phone, and $300 food. She also noted that she pays for clothes and transportation to work. The appellee indicated that she does not receive child support from the veteran, but he indicated at a child support hearing that he had requested VA to apportion $200 per month to the child. In letters dated in June 1998, the RO contacted both the appellant and appellee and requested that they submit income and expense information The appellant was further notified that $200 per month would be withheld, effective September 1, 1998, pending a decision on the apportionment. He was instructed to submit the information within 60 days of the date of the letter or a decision would be made based on the evidence of record. In a September 1999 Special Apportionment Decision, the RO noted that the veteran did not reply to the June 1998 request for information and the RO had no knowledge of his monthly expenses or of his monthly income, other than his VA compensation. It was noted that the appellee had not responded to the request for information; however, she had included pertinent information in her claim for increase. The RO concluded that, based on the evidence of record, it would not create a hardship for the veteran to increase the apportioned amount. In letters dated in September 1998, the RO notified the veteran and appellee of the increased apportionment and their appellate rights. In September 1998, the veteran submitted a statement requesting that the apportionment "be stopped" because his disability had worsened. The veteran reported that his monthly expenses totaled $1300. He submitted a Financial Status Report noting monthly income of $811 and monthly expenses of $1300. In a November 1998 letter to the veteran, the RO asked that he submit information regarding the amount he was contributing, on a monthly basis, to his child's support. In a November 1998 letter to the appellee, the RO notified her that it was reconsidering the apportioned amount and proposed to reduce that amount to $50 per month, based on additional information received from the veteran. In January 1999, the RO informed the appellee that the veteran had not responded to its requests for additional information and the apportioned amount would not be reduced. When the Board initially reviewed the veteran's appeal on other issues in October 1999, it noted that the veteran had submitted an NOD as to the increased apportionment and, on remand, the RO was instructed to issue an SOC. The RO issued an SOC to the veteran in February 2000 and he submitted a substantive appeal later that same month. There is no copy of an SOC sent to the appellee in February 2000. In November 2001, the RO noted that the veteran reported that he had never received an SOC and, thus, issued SOCs to both parties. In November 1999, the RO granted a temporary total rating, effective from October 1, 1999 to February 1, 2000. In March 2000, the RO granted another temporary total rating, effective from November 1, 1999 to December 1, 2000. The veteran was notified that the current award would pay him at the 100 percent rate for a veteran, spouse and one child (on whose behalf the apportionment claim was made). The RO noted that the correct amount of monthly compensation due the veteran was as follows: $844, of which $200 is withheld, effective from October 1, 1999; $2186, of which $200 is withheld, effective November 1, 1999; $2237, of which $2000 is withheld, effective December 1, 1999; $863, of which $200 is withheld, effective December 1, 2000. By subsequent ratings actions, the RO granted service connection for additional disabilities. In August 2002, the veteran was notified that, effective May 1, 2001, his monthly entitlement was $1453, of which $200 was withheld. As of December 1, 2001, the veteran was entitled to $1490, of which $200 was withheld. In November 2002, the veteran submitted a copy of his son's birth certificate, showing the veteran as the father, and argued that the paternity statement is not valid. In a February 2003 claim for an increased apportionment, the appellee reported that she pays a bimonthly medical insurance premium of $178.02. In February 2003, the RO contacted the both the appellee and veteran and requested that they submit financial information necessary to decide the most recent claim. The appellee submitted updated financial information in March 2003. She reported a monthly gross income of $1806.20 and a "total net pay" per month of $1704. The appellee reported the following monthly expenses: rent, $575; food, $350; utilities, $565; clothing and school expenses $825 (because of special uniforms); medical, $178.02, plus co-pays of $50 per doctor visit; car payment, $315; insurance, $153; child care $500. The appellee calculated her month expenses to be $2061.02. The veteran did not respond to the RO's request for information. In an April 2003 Special Apportionment Decision, the RO determined that, although the appellee's monthly expenses exceed her income, the apportioned amount of $200 exceeds the additional amount payable for a child (noted to be $90 at the 100 percent disability compensation rate). Thus, the claim for an increased apportionment was denied. As noted in the Introduction, neither party expressed a timely disagreement with that decision. In a statement received at the RO in March 2003, but associated with the claims file after the April 2003 determination, the veteran asserted that the appellee's claim was based on fraud. The veteran submitted the following information regarding monthly expenses: housing, $800; car payment, $600; life insurance, $43; auto insurance, $220, bi- monthly; electric, $125; food, $300; cable, $75; personal bills, $500; auto gas, $35 per week; miscellaneous, $150. He reported debt of $2938. The veteran reported income as follows: VA compensation, $1310; veteran's Social Security, $427; spouse's Social Security, $550. The veteran submitted a copy of a credit report in April 2003-which the RO also noted had been associated with the claims file after the Special Apportionment Decision. In June 2003, the RO granted special monthly compensation. The veteran was notified that, effective January 1, 2001, he was entitled to a monthly payment of $2567, of which $200 was withheld. Effective May 1, 2001, he was entitled to $2315, of which $200 was withheld. That amount was reduced to $2376 on December 1, 2001 and $2408, as of December 1, 2002, of which $200 was withheld each month. The RO informed the veteran that he was being paid as a veteran with two dependents, his wife and the child who was receiving the apportioned amount. II. Analysis A claim for an apportionment is a "contested claim" and is subject to special procedural regulations as set forth in 38 C.F.R. §§ 19.100, 19.101, and 19.102. Contested claims procedures have been followed in this case. In particular, as noted hereinabove, each party has been provided notices and determinations related to the contested claim, and both parties have been advised of the applicable laws and regulations. The law provides that all or any part of a veteran's compensation may be apportioned if the veteran's children are not residing with him and the veteran is not reasonably discharging his responsibility for the children's support. 38 U.S.C.A. § 5307; 38 C.F.R. §§ 3.450, 3.452. Without regard to any other provision regarding apportionment, where hardship is shown to exist, a veteran's compensation may be specially apportioned between the veteran and his dependents as long as such apportionment would not cause undue hardship to other persons in interest, including the veteran. 38 C.F.R. §§ 3.451, 3.453. Furthermore, in determining the rate of apportionment, consideration will be given to such factors as the amount of VA benefits payable, other resources and income of the veteran and the dependents on whose behalf apportionment is claimed; and special needs of the veteran, his dependents, and the apportionment claimants. Ordinarily, apportionment of more than 50 percent of the veteran's benefits would constitute undue hardship on him or her, while apportionment of less than 20 percent of the veteran's benefits would not provide a reasonable amount for any apportionee. 38 C.F.R. § 3.451. The Board has considered the evidence of record and the contentions of both the veteran and appellee, but finds that the evidence of record does not support an increase in the amount of apportionment to the appellee. The Board notes that the veteran is receiving additional benefits for his dependent child, and the amount of the apportionment appears to be contributing to the support of that child. He is currently entitled to receive $2408 per month, of which he is receiving $2208. The currently apportioned amount of $200 represents less than 20 percent of his compensation benefits, but the Board notes that it is more than the additional amount payable for a dependent child. The Board finds that, although the appellee's expenses exceed her income, she is receiving a reasonable amount of benefits from the veteran. Failure to increase the apportioned amount did not cause her financial hardship. It is not demonstrated by the most current information that financial hardship exists solely on the basis of her custody of the veteran's dependent child. A review of the financial information shows that the appellee had expenses that were not directly attributable to the support and maintenance of that child. Thus, the Board finds that entitlement to an increased apportionment is not warranted. ORDER An increased apportionment of the veteran's VA disability compensation is denied. ____________________________________________ JACQUELINE E. MONROE Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs YOUR RIGHTS TO APPEAL OUR DECISION The attached decision by the Board of Veterans' Appeals (BVA or Board) is the final decision for all issues addressed in the "Order" section of the decision. The Board may also choose to remand an issue or issues to the local VA office for additional development. If the Board did this in your case, then a "Remand" section follows the "Order." However, you cannot appeal an issue remanded to the local VA office because a remand is not a final decision. The advice below on how to appeal a claim applies only to issues that were allowed, denied, or dismissed in the "Order." If you are satisfied with the outcome of your appeal, you do not need to do anything. We will return your file to your local VA office to implement the BVA's decision. However, if you are not satisfied with the Board's decision on any or all of the issues allowed, denied, or dismissed, you have the following options, which are listed in no particular order of importance: ? Appeal to the United States Court of Appeals for Veterans Claims (Court) ? File with the Board a motion for reconsideration of this decision ? File with the Board a motion to vacate this decision ? File with the Board a motion for revision of this decision based on clear and unmistakable error. Although it would not affect this BVA decision, you may choose to also: ? Reopen your claim at the local VA office by submitting new and material evidence. There is no time limit for filing a motion for reconsideration, a motion to vacate, or a motion for revision based on clear and unmistakable error with the Board, or a claim to reopen at the local VA office. None of these things is mutually exclusive - you can do all five things at the same time if you wish. However, if you file a Notice of Appeal with the Court and a motion with the Board at the same time, this may delay your case because of jurisdictional conflicts. If you file a Notice of Appeal with the Court before you file a motion with the BVA, the BVA will not be able to consider your motion without the Court's permission. How long do I have to start my appeal to the Court? You have 120 days from the date this decision was mailed to you (as shown on the first page of this decision) to file a Notice of Appeal with the United States Court of Appeals for Veterans Claims. If you also want to file a motion for reconsideration or a motion to vacate, you will still have time to appeal to the Court. As long as you file your motion(s) with the Board within 120 days of the date this decision was mailed to you, you will then have another 120 days from the date the BVA decides the motion for reconsideration or the motion to vacate to appeal to the Court. You should know that even if you have a representative, as discussed below, it is your responsibility to make sure that your appeal to Court is filed on time. How do I appeal to the United States Court of Appeals for Veterans Claims? Send your Notice of Appeal to the Court at: Clerk, U.S. Court of Appeals for Veterans Claims 625 Indiana Avenue, NW, Suite 900 Washington, DC 20004-2950 You can get information about the Notice of Appeal, the procedure for filing a Notice of Appeal, the filing fee (or a motion to waive the filing fee if payment would cause financial hardship), and other matters covered by the Court's rules directly from the Court. You can also get this information from the Court's web site on the Internet at www.vetapp.uscourts.gov, and you can download forms directly from that website. The Court's facsimile number is (202) 501-5848. To ensure full protection of your right of appeal to the Court, you must file your Notice of Appeal with the Court, not with the Board, or any other VA office. How do I file a motion for reconsideration? You can file a motion asking the BVA to reconsider any part of this decision by writing a letter to the BVA stating why you believe that the BVA committed an obvious error of fact or law in this decision, or stating that new and material military service records have been discovered that apply to your appeal. If the BVA has decided more than one issue, be sure to tell us which issue(s) you want reconsidered. Send your letter to: Director, Management and Administration (014) Board of Veterans' Appeals 810 Vermont Avenue, NW Washington, DC 20420 VA FORM JUN 2003 (RS) 4597 Page 1 CONTINUED Remember, the Board places no time limit on filing a motion for reconsideration, and you can do this at any time. However, if you also plan to appeal this decision to the Court, you must file your motion within 120 days from the date of this decision. How do I file a motion to vacate? You can file a motion asking the BVA to vacate any part of this decision by writing a letter to the BVA stating why you believe you were denied due process of law during your appeal. For example, you were denied your right to representation through action or inaction by VA personnel, you were not provided a Statement of the Case or Supplemental Statement of the Case, or you did not get a personal hearing that you requested. You can also file a motion to vacate any part of this decision on the basis that the Board allowed benefits based on false or fraudulent evidence. Send this motion to the address above for the Director, Management and Administration, at the Board. Remember, the Board places no time limit on filing a motion to vacate, and you can do this at any time. However, if you also plan to appeal this decision to the Court, you must file your motion within 120 days from the date of this decision. How do I file a motion to revise the Board's decision on the basis of clear and unmistakable error? You can file a motion asking that the Board revise this decision if you believe that the decision is based on "clear and unmistakable error" (CUE). Send this motion to the address above for the Director, Management and Administration, at the Board. You should be careful when preparing such a motion because it must meet specific requirements, and the Board will not review a final decision on this basis more than once. You should carefully review the Board's Rules of Practice on CUE, 38 C.F.R. 20.1400 -- 20.1411, and seek help from a qualified representative before filing such a motion. See discussion on representation below. Remember, the Board places no time limit on filing a CUE review motion, and you can do this at any time. How do I reopen my claim? You can ask your local VA office to reopen your claim by simply sending them a statement indicating that you want to reopen your claim. However, to be successful in reopening your claim, you must submit new and material evidence to that office. See 38 C.F.R. 3.156(a). Can someone represent me in my appeal? Yes. You can always represent yourself in any claim before VA, including the BVA, but you can also appoint someone to represent you. An accredited representative of a recognized service organization may represent you free of charge. VA approves these organizations to help veterans, service members, and dependents prepare their claims and present them to VA. An accredited representative works for the service organization and knows how to prepare and present claims. You can find a listing of these organizations on the Internet at: www.va.gov/vso. You can also choose to be represented by a private attorney or by an "agent." (An agent is a person who is not a lawyer, but is specially accredited by VA.) If you want someone to represent you before the Court, rather than before VA, then you can get information on how to do so by writing directly to the Court. Upon request, the Court will provide you with a state-by-state listing of persons admitted to practice before the Court who have indicated their availability to represent appellants. This information is also provided on the Court's website at www.vetapp.uscourts.gov. Do I have to pay an attorney or agent to represent me? Except for a claim involving a home or small business VA loan under Chapter 37 of title 38, United States Code, attorneys or agents cannot charge you a fee or accept payment for services they provide before the date BVA makes a final decision on your appeal. If you hire an attorney or accredited agent within 1 year of a final BVA decision, then the attorney or agent is allowed to charge you a fee for representing you before VA in most situations. An attorney can also charge you for representing you before the Court. VA cannot pay fees of attorneys or agents. Fee for VA home and small business loan cases: An attorney or agent may charge you a reasonable fee for services involving a VA home loan or small business loan. For more information, read section 5904, title 38, United States Code. In all cases, a copy of any fee agreement between you and an attorney or accredited agent must be sent to: Office of the Senior Deputy Vice Chairman (012) Board of Veterans' Appeals 810 Vermont Avenue, NW Washington, DC 20420 The Board may decide, on its own, to review a fee agreement for reasonableness, or you or your attorney or agent can file a motion asking the Board to do so. Send such a motion to the address above for the Office of the Senior Deputy Vice Chairman at the Board. VA FORM JUN 2003 (RS) 4597 Page 2