M21-1 Manual / Part II, Subpart ii, Chapter 2, Section B
Restricted Records Storage and Control
M21-1, Part II, Subpart ii, Chapter 2, Section B
Overview
In This Section | | This section contains the following topics:| Topic | Topic Name |
|---|
| 1 | Restricted Records Storage and Control | | 2 | Paper Claims Folders Requiring Restricted Access | | 3 | Records Pertaining to Human Immunodeficiency Virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS), Alcohol Abuse, Drug Abuse, or Sickle Cell Anemia | | 4 | Instructions for Handling Service Records | | 5 | Handling Requests for the Return of Service Treatment Records (STRs) in the Department of Veterans Affairs' (VA's) Possession |
|
1. Restricted Records Storage and Control
Introduction | | This topic contains information on restricted records storage and control, including- restricted record and sensitive access designations
- restricted access claims centers (RACC) locations, jurisdiction, and addresses
- handling paper claims folders containing restricted information
- redacting copies of documents containing personally identifiable information (PII) for multiple individuals prior to providing copies to the claimant or a third party, and
- redacting documents containing criminal investigation reports.
|
II.ii.2.B.1.a. Restricted Record and Sensitive Access Designations | | A Veteran’s record and claims may be assigned a sensitive access level that restricts access to the record in order to maintain privacy, safety, and to protect against fraud. Employees and representatives with equal or greater sensitive access level designations are the only individuals able to view a sensitive record. Access and/or attempts to access sensitive records are subject to oversight and audit to ensure every attempt is for legitimate business purposes. Important:- The sensitive access level does not impact the Veteran or the appointed representative from obtaining information about the Veteran's claim.
- The assignment, adjustment, and removal of sensitive access levels is subject to oversight and audit to ensure effective management of Veterans' claims.
- Claims designated at sensitive level 7 or above, must be worked by one of the restricted access claims centers (RACCs) listed in M21-1, Part II, Subpart ii, 2.B.1.b. If the claims folder exists in a paper format, it must also be stored in locked files at the RACC.
Notes:- The National Work Queue (NWQ) and the Veterans Benefits Management System (VBMS) will only allow users with appropriate sensitive access authorizations to receive claims or view folders with restricted access designations.
- NWQ will route claims to authorized personnel based on the appropriate restricted access claim attributes.
- When a Veterans service organization (VSO) has a question regarding a claim that a RACC is processing, the VSO may contact the RACC by e-mail, using the e-mail addresses shown in M21-1, Part II, Subpart ii, 2.B.1.b.
References: For more information on |
II.ii.2.B.1.b. RACC Locations, Jurisdiction, and Addresses | | The table below displays the- name and the Veterans Appeals Control and Locator System (VACOLS) station number of each RACC
- claims folders over which each RACC has jurisdiction, and
- the mailing and e-mail address of each RACC.
Name| Jurisdiction | Address | |
|---|
| St. Paul RACC (RO76) | - Employees and designated relatives of all regional offices except Milwaukee and St. Paul
- all Veterans Benefits Administration (VBA) facilities except Continental District Office and Detroit Human Resources Center
- all Veterans Service Officers (VSOs) except those assigned to St. Paul, and
- all other sensitive 8 and sensitive 9 records not specifically assigned to Milwaukee or San Diego.
| Mailing:St. Paul VA Regional Office Bishop Henry Whipple Federal Building Restricted Access Claims Center (RO 076) PO Box 11940 St. Paul, MN 55111 E-mail: VAVBASPL/RO/RACC | | St. Paul Pension Management Center (PMC) RACC (RO83) | All PMC-related restricted record claims except for those filed by St. Paul employees or their designated relatives. | Mailing:St. Paul VA Regional Office Bishop Henry Whipple Federal Building PMC Restricted Access Claims Center (RO 083) PO Box 11940 St. Paul, MN 55111 | | Milwaukee RACC (RO75) | - St. Paul employees and designated relatives of St. Paul employees, and
- VSOs assigned to St. Paul.
| Mailing:Milwaukee VA Regional Office Restricted Access Claims Center (RO 075) 5400 W National Avenue Milwaukee, WI 53214E-mail: VAVBAMIW/RO/RACC | | Milwaukee PMC RACC (RO82) | All PMC-related restricted record claims filed by St. Paul employees or their designated relatives. | Mailing:Milwaukee VA Regional Office PMC Restricted Access Claims Center (RO 082) 5400 W National Avenue Milwaukee, WI 53214 | | San Diego RACC | - Milwaukee employees and designated relatives of Milwaukee employees
- Continental District Office and Detroit Human Resources Center employees and designated relatives, and
- VSOs assigned to Milwaukee.
| Mailing:San Diego Regional Office8810 Rio San Diego DriveSan Diego, CA 92108E-mail: VAVBASDC/RO/RACC |
|
II.ii.2.B.1.c. Handling Paper Claims Folders Containing Restricted Information | | Additional measures must be taken upon identification of a paper claims folder containing information that is of such a confidential nature that- restricting access to the record is warranted, and
- filing the record in a paper claims folder would not adequately safeguard it from being accessed by those without a business need to view it.
Example: A confidential report from the Federal Bureau of Investigation.Follow the steps in the table below to properly safeguard the restricted information.| Step | Action |
|---|
| 1 | Place the record containing restricted information in an opaque and windowless envelope. | | 2 | Label the front of the envelope with the claim number and a brief description of the envelope’s contents. | | 3 | Important:- VA Form 3797 must remain on top of all other material in the paper claims folder at all times.
- If the paper claims folder is temporarily unavailable when VA Form 3797 is completed, retain the form in the same storage location vacated by the paper claims folder.
| | 4 | Secure the restricted paper claims folder in locked files. | Reference: For more information about locked files, see M21-1, Part II, Subpart ii, 2.B.2. |
II.ii.2.B.1.d. Redacting Copies of Documents Containing PII for Multiple Individuals Prior to Providing Copies to the Claimant or a Third Party | | For the purposes of this block, the term documents applies to both the paper and electronic claims folders (eFolders). The Department of Veterans Affairs (VA) may not provide information that includes“personnel and medical files and similar files the disclosure of which would constitute a clearly unwarranted invasion of personal privacy” in response to a request for records under the Privacy Act or Freedom of Information Act.Pursuant to 5 U.S.C. 552 (b)(6), documents containing personally identifiable information (PII) for multiple individuals must be reviewed for relevancy to a particular claimant’s record and copies must be appropriately redacted before providing to the claimant or a third party. Examples of documents requiring redaction include - copies of orders in which multiple Veterans’ PII is provided
- write-outs or spreadsheets covering multiple beneficiaries, and
- any information in which there is reason to believe the requestor seeks the information to commit a crime or cause harm.
At a minimum, redacted documents must- include only PII relevant to a particular Veteran’s records, and
- ensure all other PII is totally unreadable.
Important: - Any document related to a benefit sought under the umbrella of an individual Veteran’s eligibility, but including another individual’s PII, such as dependency documents containing PII of a spouse or child, personnel pages, etc., requires redaction.
- Employees should notify their supervisor when there is reason to believe the information requested by a third party will be used to commit a crime or cause harm. Do not release the document(s) and/or information until receiving approval from management.
|
II.ii.2.B.1.e. Redacting Documents Containing Criminal Investigation Reports | | Documents in the paper claims folder containing criminal investigation reports must be replaced with a redacted copy. Claims processors authorized to perform redactions must leave a note explaining all actions taken related to the redaction.Reference: For more information on redacting documents in the eFolder that contain criminal investigation reports, see M21-1, Part II, Subpart ii, 2.A. |
2. Paper Claims Folders Requiring Restricted Access
Introduction | | This topic contains information on locked files, including- locked files
- responsibility for managing locked files, and
- releasing paper claims folder records stored in locked files.
|
Change Date | | March 31, 2021 |
II.ii.2.B.2.a. Locked File | | The term locked files represents a locked room or locked cabinet(s) where RACCs must secure paper claims folders to which access is restricted. Notes: - This definition, and the requirement to lock this category of records in a room or cabinet, also applies to paper claims folders the RACC maintains at offsite facilities.
- Locked files must be located in, or in close proximity to, the office of the Veterans Service Center Manager (VSCM) or Pension Management Center Manager (PMCM).
Reference: For more information on - paper claims folder storage guidelines, see the attachment Historical_M21-1III_ii_4_SecA_9-27-19, and
- conversion to a deceased Veteran's claims folder or establishing an inactive folder, see the attachment Historical_M21-1III_ii_4_SecF_7-11-15.
|
II.ii.2.B.2.b. Responsibility for Managing Locked Files | | The VSCM/PMCM or designee is the sole custodian of all material stored in locked files and is responsible for the proper handling of it. Specific responsibilities include- filing, safeguarding, and releasing (upon proper request) paper claims folders stored in locked files, and
- maintaining a log showing the
- date of removal of a paper claims folder from locked files
- claims folder number associated with the paper claims folder
- name of the employee with temporary custody of the paper claims folder, and
- date of return of the paper claims folder to locked files.
Important:- Paper claims folders removed from locked files must be returned by the end of each business day.
- If a document is added to or removed from a paper claims folder in locked files, the log referenced in this block must be updated to show the folder was charged out and back in, even if the folder never left the locked files area.
|
II.ii.2.B.2.c. Releasing Paper Claims Folders Stored in Locked Files | | A paper claims folder stored in locked files may be released only to- RACC or PMC employees with a business need to access the record
- the chief (or properly designated alternate) of the division requiring use of the record, or
- the beneficiary’s or claimant’s recognized service organization or other power of attorney.
Important: - Control the movement of paper claims folders in and out of locked files by updating the log referenced in M21-1, Part II, Subpart ii, 2.B.2.b.
- The individual or entity to which the paper claims folder is released is responsible for
- safeguarding the paper claims folder while in its custody, and
- returning the paper claims folder to locked files by the end of each day.
|
3. Records Pertaining to HIV or AIDS, Alcohol Abuse, Drug Abuse, or Sickle Cell Anemia
Introduction | | This topic contains information about handling records pertaining to HIV or AIDS, alcohol abuse, drug abuse, or sickle cell anemia, including- confidentiality requirement under 38 U.S.C. 7332
- Veterans Health Administration (VHA) responsibilities for identifying and maintaining certain original VA records, and
- records that must be kept in the claims folder.
|
II.ii.2.B.3.a. Confidentiality Requirement Under 38 U.S.C. 7332 | | The statutory guidelines of 38 U.S.C. 7332 require the confidentiality of VA records pertaining to human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS), alcohol abuse, drug abuse, or sickle cell anemia.This statute also requires the confidentiality of information received, obtained, or maintained by an employee or contractor of VA for the purpose of performing HIV, AIDS, alcoholism, drug abuse, or sickle cell anemia program functions regarding an identifiable patient. For the purpose of this block, a program function includes- treatment
- rehabilitation
- education
- training
- evaluation, and
- research.
|
II.ii.2.B.3.b. VHA Responsibilities for Identifying and Maintaining Certain Original VA Records | | The Veterans Health Administration (VHA) is responsible for identifying and permanently maintaining any original VA records pertaining to HIV or AIDS, alcohol abuse, drug abuse, or sickle cell anemia.VHA specifically identifies these records as falling under the purview of 38 U.S.C. 7332. |
4. Instructions for Handling Service Records
Introduction | | This topic contains instructions for handling service records, including- protecting service records
- storage of original STRs
- storage of paper copies of service records
- proper handling of VA Form 21-4582, Service Department Records Envelope
- handling
- fire-damaged service records
- service records on microfiche, and
- STRs that contain a deoxyribonucleic acid (DNA) specimen
- responding to a Veteran’s inquiry about the DNA specimen
- sample documentation of the destruction of a DNA specimen, and
- sample letter for responding to an inquiry when STRs
- did contain a DNA specimen, and
- never contained a DNA specimen.
|
II.ii.2.B.4.a. Protecting Service Records | | Service records are critical in determining a claimant’s entitlement to VA benefits. When handling original, paper versions of these records, VA employees must make all reasonable efforts to protect their integrity, appearance, and readability. Employees may not- make marks on, date stamp, or punch holes in original service records
- remove service treatment records (STRs) from an STR jacket (unless necessary for photocopying), or
- rearrange the order in which STRs are filed down in an STR jacket.
Exceptions:- DD Forms 214, Certificate of Uniformed Service, may be
- stamped or annotated to reflect verification of service, and/or
- reverse-filed on the inside of the right-hand flap of the claims folder for ease of identification.
- Protective envelopes may be punched or date-stamped as long as the contents are not affected.
RACCs must follow the instructions in the table below if- the thickness of a Veteran’s service records exceeds one inch, or
- the thickness of a Veteran’s claims folder exceeds two and one-half inches when the service records are placed in it.
| Step | Action |
|---|
| 1 | Establish another volume of the Veteran’s claims folder. | | 2 | File the service records in the new volume. | | 3 | Annotate the outside of the right flap of the first volume of the claims folder with indelible marker, identifying the location of the STRs in the other volume(s) of the claims folder. | Important: When moving a claims folder with multiple volumes from place to place, ensure all volumes of the claims folder remain together. |
II.ii.2.B.4.b. Storage of Original STRs | | When a claims folder is established, do not return the Veteran’s STRs to a service department or the National Personnel Records Center (NPRC), unless a specific request is received.Note:If the original, paper version of a Veteran’s STRs are in a RACC’s possession, that RACC must- store the STRs in the same STR jacket in which they arrived from the Veteran’s service department, and
- file the STRs in the center section of the Veteran’s claims folder.
Exception: If the STR jacket in which STRs arrived has been destroyed, RACCs may store the STRs in VA Form 21-4582, Service Department Records Envelope.Reference: For more information on handling requests for the return of original STRs, see M21-1, Part II, Subpart ii, 2.B.5.a. |
II.ii.2.B.4.c. Storage of Paper Copies of Service Records | | In order to prevent loss of or damage to paper copies of service records, RACCs must- store them in VA Form 21-4582, and
- file them down in the center section of the appropriate claims folder.
|
II.ii.2.B.4.d. Proper Handling of VA Form 21-4582 | | In order to ensure the contents of VA Form 21-4582 remain protected, VA employees- are responsible for repairing or replacing the envelope if it gets damaged or becomes too worn to use, and
- should never slit the sides or bottoms of the envelope to remove records.
|
II.ii.2.B.4.e. Handling Fire-Damaged Service Records | | On July 12, 1973, a fire at NPRC destroyed a significant number of service records. When a RACC sends a request to NPRC for records that were damaged but not destroyed by the fire, the VA Records Management Center (RMC) Liaison Office (VALO), which shares office space with NPRC, responds to the request by providing photocopies of the damaged STRs. The original records normally remain at NPRC.If the VALO inadvertently sends original, fire-damaged STRs to a RACC, the RACC must- carefully make photocopies of the STRs for the claims folder, and
- return the original, fire-damaged STRs to the VALO.
Notes:- Until recently, original, fire-damaged records were routinely sent to and retained by RACCs. Upon receipt of these records, RACCs
- made photocopies of the original records
- placed the original records in a VA Form 21-4582 that was prominently marked BURNED ORIGINAL RECORDS. DO NOT REMOVE.
- placed the photocopies in a separate VA Form 21-4582 that was prominently marked COPIES OF DAMAGED RECORDS, and
- filed both forms in the corresponding claims folder.
- Upon discovery of a VA Form 21-4582 containing original, fire-damaged records, leave the records in the claims folder. Do not attempt to return them to the VALO or NPRC.
Reference: For more information on service records that might have been damaged by the fire at NPRC, see M21-1, Part III, Subpart ii, 2.F.1. |
II.ii.2.B.4.f. Handling Service Records on Microfiche | | If there is a paper claims folder, service records on microfiche should be stored in the envelope in which VA received them and then placed in VA Form 21-4582 to prevent loss or damage.Do not staple through the microfiche, since doing so could destroy images of relevant records.Notes: - If the frequent and/or immediate review of records on microfiche is necessary because, for example, a claim is pending, it might be advantageous to
- make a hard copy of the records
- place the hard copy in an envelope marked Copies of Microfiche, and
- file down the envelope in the center section of the claims folder.
- If the folder is electronic, microfiche must be sent to the scanning vendor.
Reference: For more information on sending electronic media to the scanning vendor, see M21-1, Part II, Subpart i, 1.B.2.d. |
II.ii.2.B.4.g. Handling STRs That Contain a DNA Specimen | | In June 1992, the Department of War (DoW) Health Affairs began collecting deoxyribonucleic acid (DNA) specimens to aid in the identification of the remains of deceased service members. This collection provides for two sets of DNA specimens. Each specimen is sealed in a small shipping pouch that is labeled with its contents. Then,- one pouch is sent to the DoW Specimen Repository in Dover, Delaware, and
- the other pouch is placed in the corresponding service member’s STRs.
VA has no need for DNA specimens and has removed most of them from the STRs in its possession. Nevertheless, the discovery of these specimens may occur during the routine review of STRs. When found, these specimens should be destroyed.Follow the procedures described in the table below upon discovering a DNA specimen in a Veteran’s STRs.| Step | Action |
|---|
| 1 | Extract the shipping pouch containing the DNA specimen from the STRs and destroy it by either shredding or incineration. (Disposing of the pouch in any other way, to include giving it to the Veteran, is prohibited.)Note: Although the specimen is not biohazardous, donot open the shipping pouch. | | 2 | Place documentation in the STRs that- indicates a DNA specimen was found and destroyed, and
- identifies the
- type of destruction (shredding or incineration), and
- date of destruction.
Reference: For a sample of the documentation referenced in this step, see M21-1, Part II, Subpart ii, 2.B.4.i. | Note: VA is not obligated to notify a Veteran when it destroys the DNA specimen. |
II.ii.2.B.4.h. Responding to a Veteran’s Inquiry About the DNA Specimen | | If a Veteran makes an inquiry about the DNA specimen, VA is only obligated to inform the Veteran whether a specimen was found in the STRs and, if so, whether the specimen was destroyed.The table below references sample letters for responding to a Veteran’s inquiry about the DNA specimen.If ...| Then refer to the sample letter shown in ... | |
|---|
| a DNA specimen is/was of record | M21-1, Part II, Subpart ii, 2.B.4.j. | | no DNA specimen is/was of record | M21-1, Part II, Subpart ii, 2.B.4.k. | Important: Never dispose of a DNA specimen by giving it to the Veteran. |
II.ii.2.B.4.i. Sample Documentation of the Destruction of a DNA Specimen | | The exhibit below represents a sample of the type of documentation that must be placed in a Veteran’s STRs when VA destroys the DNA specimen.Note: The use of a specific form to document this action is not required.| A DNA specimen was found in the STRs.The sample was destroyed by: [circle one]incinerationshreddingon____________ [date] by ____________________ [signature and job title]. |
|
II.ii.2.B.4.j. Sample Letter for Responding to an Inquiry When STRs Did Contain a DNA Specimen | | Prepare a letter, following the format of the letter below, and send it to the Veteran when- asked about the DNA specimen in the STRs, and
- a DNA specimen was of record but has been destroyed.
[File Number][Veteran’s Name]Dear [Veteran’s Name]:We have received your inquiry regarding your DNA Reference Specimen in your service treatment records, which are currently in VA custody.The same was destroyed by [burning/shredding] on [date], in accordance with VBA Circular 21-98-1, dated May 18, 1998, and M21-1, Part II, Subpart ii, 2.B.4.g.If you have any further questions about DNA specimens, you should contact:Armed Forces Medical Examiner System ATTN: AFRSSIR 115 Purple Heart Drive Dover Air Force Base, DE 19902 (302) 346-8800Sincerely,Regional Office Director |
|
II.ii.2.B.4.k. Sample Letter For Responding to an Inquiry When STRs Never Contained a DNA Specimen | | Prepare a letter, following the format of the letter below, and send it to the Veteran when- asked about the DNA specimen in the STRs, and
- the STRs never contained a DNA specimen.
[File Number][Veteran’s Name]Dear [Veteran’s Name]:We have received your inquiry regarding your DNA Reference Specimen in your service treatment records, which are currently in VA custody.Our records do not show a DNA specimen was included in the service treatment records in our custody.If you have any further questions about DNA specimens, you should contact:Armed Forces Medical Examiner System ATTN: AFRSSIR 115 Purple Heart Drive Dover Air Force Base, DE 19902 (302) 346-8800Sincerely,Regional Office Director |
|
5. Handling Requests for the Return of STRs in the VA's Possession
II.ii.2.B.5.a. Handling Requests for the Return of STRs in VA’s Possession | | Upon receipt of a request from a service department for the return of a Veteran’s original STRs, take the following actions if the RACC is still in possession of the paper claims folder and STRs:- photocopy the STRs
- certify the photocopy as true and correct
- place the photocopies in VA Form 21-4582 and file them in the center section of the Veteran’s claims folder
- place a copy of the request in the center section of the Veteran’s claims folder
- return the original STRs to the service department that requested them, and
- annotate the copy of the request to show
- where the original STRs were sent, and
- the date on which they were sent.
Note: Photocopies of STRs, in lieu of original STRs, are acceptable for the Air Force (SAF/MIBR) at Randolph Air Force Base if VA is holding the claims folder because it is eligible for Court of Appeals for Veterans Claims review.Reference: For more information on who is responsible for responding to the service department request for records see M21-1, Part III, Subpart ii, 2.G. |
Source: VA M21-1 Adjudication Procedures Manual, M21-1, Part II, Subpart ii, Chapter 2, Section B (U.S. government work, reproduced for reference). Browse all sections →