Presumptive Conditions

Presumptive conditions are established by law or regulation, which provides a link to the Veteran’s military service, reducing the evidentiary burden on the Veteran. These conditions are considered to have been incurred in or aggravated by military service if manifested to a certain severity level within a specific timeframe, if applicable—even if there is no evidence of such disease during military service. Veterans who served in recognized locations during timeframes in which toxic exposure occurred do not need to prove actual exposure or a link between the claimed condition and exposure.

PRESUMPTIVE CONDITIONS

LOCATIONS AND TIME PERIODS

Acute and subacute peripheral neuropathy*

AL amyloidosis

Bladder cancer

Chloracne or other acne-form disease consistent with chloracne*

Chondrosarcoma

Chronic lymphocytic leukemia (CLL)

Early-onset peripheral neuropathy

Hodgkin’s disease

Hypertension

Hypothyroidism

Ischemic heart disease (IHD)

Kaposi’s sarcoma

Larynx (respiratory cancer)

Lung (respiratory cancer)

Mesothelioma

Monoclonal gammopathy of undetermined significance (MGUS)

Multiple myeloma

Non-Hodgkin’s lymphoma (NHL)

Osteosarcoma

Parkinson’s disease

Parkinsonism

Porphyria cutanea tarda (PCT)*

Prostate cancer

Soft-tissue sarcoma (other than exceptions listed)

Trachea (respiratory cancer)

Type 2 diabetes mellitus (Type II or adult-onset diabetes)

Cambodia at Mimot or Krek, Kampong Cham

Province, from April 16, 1969, to April 30, 1969

Guam or American Samoa, or in the territorial waters thereof from January 9, 1962, to July 31, 1980

Korean DMZ from September 1, 1967, to August 31, 1971

Laos from December 1, 1965, to September 30, 1969

Republic of Vietnam (to include territorial waters within 12 nautical miles of shore) from January 9, 1962, to May 7, 1975

Served on Johnston Atoll or on a ship that called at Johnston Atoll from January 1, 1972, to September 30, 1977

Service in the Air Force or Air Force Reserve when the individual concerned regularly and repeatedly operated, maintained, or served onboard C–123 aircraft known to have been used to spray an herbicide agent during the Vietnam era

Thailand at any United States or Royal Thai base, without regard to where on the base the Veteran was located or what military occupational specialty the Veteran performed, from January 9, 1962, to June 30, 1976

PRESUMPTIVE Infectious disease

LOCATIONS AND TIME PERIODS

Manifest within one year of separation:

Brucellosis

Campylobacter jejuni

Coxiella burnetii (Q fever)

Malaria (or when accepted treatises indicate the incubation period began during a qualifying period of service)

Nontyphoid Salmonella

Shigella

West Nile virus

Manifest at any time after separation:

Mycobacterium tuberculosis

Visceral leishmaniasis

Service in the following locations (Southwest Asia theater of operations) and the airspace above during the Persian Gulf War on or after August 2, 1990:

Arabian Sea
Bahrain
Gulf of Aden
Gulf of Oman
Iraq
Kuwait
Oman
Persian Gulf
Qatar
Red Sea
Saudi Arabia
The neutral zone between Iraq and Saudi Arabia
The United Arab Emirates
Service in Afghanistan on or after September 19, 2001

UNDIAGNOSED ILLNESS AND MEDICALLY UNEXPLAINED CHRONIC MULTI-SYMPTOM ILLNESSES

LOCATIONS AND TIME PERIODS

A medically unexplained chronic multi-symptom illness (MUCMI) that exists for six months or more, such as:

Chronic fatigue syndrome
Fibromyalgia
Functional gastrointestinal disorders, including irritable bowel syndrome (structural gastrointestinal diseases, such as gastroesophageal reflux disease (GERD), are not included)

Note: Signs or symptoms that may be manifestations of undiagnosed illness or medically unexplained chronic multisymptom illness include, but are not limited to:

Abnormal weight loss
Cardiovascular symptoms
Fatigue
Gastrointestinal symptoms
Headaches
Joint pain
Menstrual disorders
Muscle pain
Neurological or neuropsychological symptoms
Skin symptoms
Sleep disturbances
Symptoms involving the upper or lower respiratory system

Service in the following locations (Southwest Asia theater of operations) and the airspace above (unless otherwise noted) during the Persian Gulf War on or after August 2, 1990:

Afghanistan*
Arabian Sea
Bahrain
Egypt*
Gulf of Aden
Gulf of Oman
Iraq
Israel*
Jordan*
Kuwait
Oman
Persian Gulf
Qatar
Red Sea
Saudi Arabia
Syria*
The neutral zone between Iraq and Saudi Arabia
The United Arab Emirates
Turkey*

Note: *airspace not included.

CONDITIONS BASED ON PRESUMED EXPOSURE TO BURN PITS/FINE PARTICULATE MATTER

LOCATIONS AND TIME PERIODS

Acute leukemias
Asthma
Brain cancer
Chronic bronchitis
Chronic leukemias
Chronic obstructive pulmonary disease (COPD)
Chronic rhinitis
Chronic sinusitis (to include rhinosinusitis)
Constrictive bronchiolitis or obliterative bronchiolitis
Emphysema
Gastrointestinal cancer of any type
Glioblastoma
Granulomatous disease
Head cancer of any type
Interstitial lung disease
Kidney cancer
Lymphoma of any type
Melanoma
Multiple myelomas, including monoclonal gammopathy of undetermined significance
Myelodysplastic Syndromes
Myelofibrosis
Neck cancer of any type
Pancreatic cancer
Pleuritis
Pulmonary fibrosis
Reproductive cancer of any type
Respiratory cancer of any type
Sarcoidosis
Urinary bladder cancer, including over-lapping sites of the bladder
Ureter cancer, including the ureteric orifice, and urachus

Service in the following locations (Southwest Asia theater of operations) and the airspace above during the Persian Gulf War beginning August 2, 1990:

Arabian Sea
Bahrain
Gulf of Aden
Gulf of Oman
Iraq
Kuwait
Oman
Persian Gulf
Qatar
Red Sea
Saudi Arabia
Somalia
The neutral zone between Iraq and Saudi Arabia
The United Arab Emirates

Service in the following locations, including airspace above, beginning September 11, 2001:

Afghanistan
Djibouti
Egypt
Jordan
Lebanon
Syria
Uzbekistan
Yemen

PRESUMPTIVE conditions

EXPOSURE TO VESICANT AGENT

Chronic conjunctivitis
Corneal opacities
Keratitis
Laryngeal cancer
Lung cancer (except mesothelioma)
Nasopharyngeal cancer
Scar formation at the exposure site
Squamous cell carcinoma of the skin

Asthma
Chronic bronchitis
Chronic laryngitis
Chronic obstructive pulmonary disease
Emphysema

Acute nonlymphocytic leukemia

Full-body exposure to nitrogen or sulfur mustard

Full-body exposure to nitrogen, sulfur mustard, or Lewisite

Full-body exposure to nitrogen mustard

PRESUMPTIVE conditions

Service Requirements

All forms of leukemia, except chronic lymphocytic leukemia
Bile duct cancer
Bone cancer
Brain cancer
Breast cancer
Bronchioloalveolar carcinoma
Colon cancer
Esophageal cancer
Gall bladder cancer
Liver cancer (except if cirrhosis or hepatitis B is indicated)
Liver cancer
Lung cancer
Lymphomas (except Hodgkin’s disease)
Multiple myeloma
Ovarian cancer
Pancreatic cancer
Pharynx cancer
Salivary gland cancer
Small intestine cancer
Stomach cancer
Thyroid cancer
Urinary tract cancer (kidneys, renal pelves, ureters, urinary bladder, and urethra)

Amchitka Island, Alaska — Service before January 1, 1974

Cleanup of Enewetak Atoll from January 1, 1977, through December 31, 1980

Cleanup of the Air Force B-52 bomber carrying nuclear weapons off the coast of Palomares, Spain from January 17, 1966, through March 31, 1967

Fire onboard an Air Force B-52 bomber — Response at Thule Air Force Base in Greenland from January 21, 1968, through September 25, 1985

Hiroshima or Nagasaki — Service from August 6, 1945, through July 1, 1946

Inclusion as a member of the Special Exposure Cohort — Service in a qualifying capacity

Nuclear device atmospheric detonation — Onsite participation in a test

Paducah, Kentucky; Portsmouth, Ohio; or Oak Ridge, Tennessee — Service before February 1, 1992, at a diffusion plant

Service before January 1, 1974, at Amchitka Island, Alaska (already listed above—let me know if you want duplicates removed)

PRESUMPTIVE conditions

Atherosclerotic heart disease or hypertensive vascular disease (including hypertensive heart disease) and their complications (including myocardial infarction, congestive heart failure, arrhythmia)
Avitaminosis*
Beriberi (including beriberi heart disease)*
Cirrhosis of the liver*
Chronic dysentery*
Dysthymic disorder (or depressive neurosis)
Helminthiasis*
Irritable bowel syndrome*
Malnutrition (including optic atrophy associated with malnutrition)*
Any of the anxiety states
Any other nutritional deficiency*

Organic residuals of frostbite, if it is determined that the Veteran was interned in climatic conditions consistent with the occurrence of frostbite
Osteoporosis* (if the Veteran has a diagnosis of PTSD then the requirement of at least 30 days of internment or detainment does not apply)
Peptic ulcer disease*
Pellagra*
Peripheral neuropathy, except where directly related to infectious causes*
Post-traumatic osteoarthritis
Psychosis
Stroke and its complications

Note: Conditions marked with an asterisk (*) require at least 30 days of internment or detainment.

PRESUMPTIVE CONDITIONS

Service Requirements

Amebiasis
Blackwater fever
Cholera
Dracontiasis
Dysentery
Filariasis
Leishmaniasis, including kala-azar
Loiasis
Malaria
Onchocerciasis
Oroya fever
Pinta
Plague
Resultant disorders or diseases originating because of therapy administered in connection with such diseases or as a preventative thereof
Schistosomiasis
Yaws
Yellow fever

6 months or more of active, continuous service before January 1, 1947

90 days or more of active, continuous service on or after January 1, 1947, or during any period of war

covid -19

Coronavirus disease (COVID-19) is also subject to presumptive service connection within fourteen days following the date of separation from a qualifying period of service:

Active duty from March 1, 2020, until January 5, 2024
Active duty for training (ADT) under Title 10 or full-time National Guard duty (as defined in Section 101 of Title 10) under orders issued on or after March 13, 2020, until January 5, 2024
Certain periods of inactive duty for training (IADT) during which COVID-19 is presumed to have been incurred occurring between March 13, 2020, and January 5, 2024

Veterans Outreach Ministries

Presumptive Conditions

PRESUMPTIVE CONDITIONS

LOCATIONS AND TIME PERIODS

PRESUMPTIVE Infectious disease

LOCATIONS AND TIME PERIODS

LOCATIONS AND TIME PERIODS

LOCATIONS AND TIME PERIODS

Service in the following locations (Southwest Asia theater of operations) and the airspace above during the Persian Gulf War beginning August 2, 1990:

Service in the following locations, including airspace above, beginning September 11, 2001:

PRESUMPTIVE conditions

EXPOSURE TO VESICANT AGENT

PRESUMPTIVE conditions

Location & Time Period

PRESUMPTIVE conditions

Service Requirements

PRESUMPTIVE conditions

Atherosclerotic heart disease or hypertensive vascular disease (including hypertensive heart disease) and their complications (including myocardial infarction, congestive heart failure, arrhythmia)

Avitaminosis*

Beriberi (including beriberi heart disease)*

Cirrhosis of the liver*

Chronic dysentery*

Dysthymic disorder (or depressive neurosis)

Helminthiasis*

Irritable bowel syndrome*

Malnutrition (including optic atrophy associated with malnutrition)*

Any of the anxiety states

Any other nutritional deficiency*

PRESUMPTIVE CONDITIONS

Service Requirements

covid -19

Coronavirus disease (COVID-19) is also subject to presumptive service connection within fourteen days following the date of separation from a qualifying period of service:

Active duty from March 1, 2020, until January 5, 2024

Active duty for training (ADT) under Title 10 or full-time National Guard duty (as defined in Section 101 of Title 10) under orders issued on or after March 13, 2020, until January 5, 2024

Certain periods of inactive duty for training (IADT) during which COVID-19 is presumed to have been incurred occurring between March 13, 2020, and January 5, 2024