NVLSP Blue Water Vietnam Veteran Intake Form
On January 29, 2019, the U.S. Court of Appeals for the Federal Circuit issued the groundbreaking decision Procopio v. Wilkie, No. 2017-1821 (Fed. Cir. Jan. 29, 2019) The Court held that Veterans who served in the 12 nautical mile territorial seas of the Republic of Vietnam during the Vietnam era are entitled to the presumption that they were exposed to Agent Orange. This decision overruled the Court’s previous decision in Haas v. Peake, 525 F.3d 1168 (Fed. Cir. 2008), which held that the Department of Veterans Affairs (VA) could exclude from the presumption of Agent Orange exposure those Veterans who did not set foot on land or serve on the inland waterways of Vietnam. The Federal Circuit’s decision in Procopio opens the door for tens of thousands of Blue Water Vietnam Veterans or their survivors to obtain service-connected VA disability or death benefits for diseases caused by Agent Orange exposure. Diseases that the VA presumes are caused by Agent Orange exposure include ischemic heart disease, type 2 diabetes, Parkinson’s disease, and numerous cancers. A full list of the diseases that the VA presumes are caused by Agent Orange can be found at
Claimants may also be able to obtain service-connected VA disability or death benefits for other diseases with medical evidence linking the disease to Agent Orange exposure.
For more information, you can contact the National Veterans Legal Services Program by email:
or through our toll-free hotline: 855-333-0677
This form is only for veterans or survivors of the Agent Orange conditions/diseases recognized by the Dept. of Veterans Affairs listed below.
According to the Dept. of Veterans Affairs, if you have an illness you think is caused by contact with Agent Orange—and you don’t see it listed here—you can still file a claim for disability compensation. You’ll ultimately need to provide the VA with medical evidence linking that disease to Agent Orange exposure.
Cancers believed to be caused by contact with Agent Orange
By 2013, here’s the list of diseases that the VA has officially recognized as linked to Agent Orange:
Soft Tissue Sarcomas
Type 2 Diabetes
Chronic Lymphocytic Leukemia
Ischemic Heart Disease
Chronic B-Cell Leukemia
Early-onset Peripheral Neuropathy
Porphyria Cutanea Tarda
Page 1 of 2
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service