GN 01746.235 Facts About the Japanese Liaison Form J/USA 3
A. Procedure - When to Use Form J/USA3
Japanese agencies use form J/USA 3 to:
Transmit material to OIO or VARO
Send information to OIO or VARO, and
Request information from OIO.
B. Exhibit - Form J/USA 3 - Transmittal/Request/Certification Form
View PDF Version
Printer Friendly Version
C. Description of Form J/USA 3
1. Part 1
Part 1 contains information about the claim and claimant.
2. Part 2
Part 2 contains certification of data. If verified, the appropriate block will be checked.
3. Part 3
Part 3 contains information provided by the Japanese agency, including medical evidence in disability claims.
4. Part 4
Part 4 contains a list of the type of information that the Japanese agency might request from OIO/VARO along with the remark that the information is needed to process a claim under the agreement or that a consent statement is attached.
5. Part 5
Part 5 contains any necessary remarks.