Last Update: 9/28/2005 (Transmittal I-2-67)
HA 01210.096 Exhibit – Military
Service Casualty Disability Case Flag
Renumbered from HALLEX section I-2-1-96
MILITARY SERVICE
CASUALTY
DISABILITY CLAIMS
CASE FLAG
TERI
PROCEDURES APPLY
NAME ________________________________________
SSN___________________________________________
CLAIM TYPE: Title II_______ Title
XVI_______ Concurrent______
DATE CLAIM FILED_______ DATE CLAIM
SENT TO DDS_______
DATE CLAIM SENT TO HO________
REMARKS______________________________________________
Unit Code:
XRQ (listing code 108) = Individuals who allege disability
during military service.
XRQ________
DO NOT REMOVE THIS FLAG UNTIL ALL
ADJUDICATIVE ACTIONS HAVE BEEN COMPLETED AND THE APPEALS PROCESS
HAS BEEN EXHAUSTED.