If the WVC is unable to contact the Veteran by telephone on the first attempt, a second attempt is not necessary.  Continue to develop for the evidence by letter using the restricted report paragraphs (See Letter Development section, below).                                                 Note:  If the Veteran states that a DD Form 2910, or similar form, was not completed, follow normal procedures for developing claims based on personal trauma found at M21-1 Manual Rewrite (MR) Part IV, Subpart ii, Chapter 1, Section D.17 (or M21-1MR IV.ii.1.D.17).                          Following telephone contact, send the claimant a VCAA letter, to include normal personal trauma development, such as development for VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, and the additional paragraphs below.

As DD Form 2911 contains the same information as VA Form 21-0781a, DD Form 2911 may be used in lieu of the form.                                                    For restricted reports, include the following paragraphs:                                                     If you have completed DD Form 2910, Victim Report Preference Statement, or similar form, following the personal assault, please provide us with a copy.  If you don’t have the form, you may obtain a copy of the form by contacting the Sexual Assault Prevention and Response Office (SAPRO) at the military base where you filed your report.

If you would like us to obtain the form on your behalf, please complete and return the enclosed VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs (VA).  Be sure to reference DD Form 2910, or similar form, on VA Form 21-4142.                                                          Additionally, if you had a sexual assault forensic examination (SAFE) performed following the personal assault, please send us any copies of the examination that you have.  If you would like us to obtain them for you, please indicate this on the VA Form 21-4142.  If you are submitting copies of the SAFE, you do not need to complete VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault.

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