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The VA DisabilityADVOCATE

What The VA Won’t Put In Writing

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Description

We decode the evidence rules, exam traps, and rating tricks the VA won’t spell out, then fight to win what you earned.

Notes

Information here is free. Optional accredited representation, no fees unless you win.

VA-ACCREDITED CLAIMS AGENT #45147DENIALS REOPENEDLOW RATINGS CHALLENGEDC&P EXAMS AUDITEDEFFECTIVE-DATE & CUE HUNTSTDIU · SMC · PACT ACTNO WIN, NO FEE ON 20% OR 30% REPRESENTATION · $750 FLAT MISSION 5 BRIEFGOVERNED BY 38 CFR §14.636SECONDARY CONDITIONS LINKEDTERA & TOXIC-EXPOSURE CLAIMSBOARD & HIGHER-LEVEL APPEALSFREE CASE REVIEW, ASK A QUESTIONVA-ACCREDITED CLAIMS AGENT #45147DENIALS REOPENEDLOW RATINGS CHALLENGEDC&P EXAMS AUDITEDEFFECTIVE-DATE & CUE HUNTSTDIU · SMC · PACT ACTNO WIN, NO FEE ON 20% OR 30% REPRESENTATION · $750 FLAT MISSION 5 BRIEFGOVERNED BY 38 CFR §14.636SECONDARY CONDITIONS LINKEDTERA & TOXIC-EXPOSURE CLAIMSBOARD & HIGHER-LEVEL APPEALSFREE CASE REVIEW, ASK A QUESTION
Camp Lejeune Water Contamination Claims
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VA-Accredited Agent #45147
Camp Lejeune · 38 CFR §3.309(f)

Camp Lejeune Water Contamination Claims

VA presumptive conditions under 38 CFR §3.309(f) and the Camp Lejeune Justice Act (Public Law 117-168), two separate legal paths, both available to you

If you served at least 30 days at Camp Lejeune or MCAS New River between August 1953 and December 1987, the VA presumes your exposure to contaminated water. A VA disability claim and a civil claim under the Camp Lejeune Justice Act are different processes with different rules. Your part is to pull your service records showing the base and the dates, then decide which paths fit your diagnosis.

The Law That Governs This
38 CFR §3.309(f)Public Law 117-168PACT Act1953–1987 Exposure
The Contamination

What Happened at Camp Lejeune

From 1953 to 1987, the drinking water at Marine Corps Base Camp Lejeune in Jacksonville, North Carolina was contaminated with industrial solvents, fuel byproducts, and dry-cleaning chemicals at concentrations up to 280 times the levels the EPA considers safe. If you were stationed there, your dates on base matter.

An estimated one million service members, civilian workers, and their families were exposed through the Hadnot Point, Tarawa Terrace, and Holcomb Boulevard water treatment plants. The contamination was not publicly disclosed until years after it was discovered.

The Agency for Toxic Substances and Disease Registry (ATSDR) has conducted ongoing health studies since 2003, linking the contaminated water to elevated rates of cancer, neurological disease, and reproductive harm.

The Contaminants

Primary toxic chemicals found in Camp Lejeune drinking water

Trichloroethylene (TCE)

Source: Industrial degreasing operations at the base

Up to 1,400 ppb (EPA limit: 5 ppb, 280× the safe level)

Linked to: Kidney cancer, liver cancer, non-Hodgkin's lymphoma, Parkinson's disease

Tetrachloroethylene (PCE)

Source: ABC One-Hour Cleaners (off-base dry cleaner)

Up to 215 ppb (EPA limit: 5 ppb, 43× the safe level)

Linked to: Bladder cancer, non-Hodgkin's lymphoma, liver cancer

Benzene

Source: Underground fuel storage tanks

Up to 380 ppb (EPA limit: 5 ppb, 76× the safe level)

Linked to: Leukemia, multiple myeloma, aplastic anemia

Vinyl chloride

Source: Degradation of TCE and PCE in the soil

Up to 67 ppb (EPA limit: 2 ppb, 33× the safe level)

Linked to: Liver cancer (hepatic angiosarcoma), non-Hodgkin's lymphoma

Timeline

Key Dates in the Camp Lejeune Story

These dates explain why so many Camp Lejeune veterans went decades without answers, and why the rules that apply to your claim look the way they do today. Read them against your own service record, note when you arrived and when you left, and keep that list with your claim papers.

1953

Camp Lejeune water supply wells begin drawing contaminated groundwater.

1982

Volatile organic compounds first detected in base drinking water during routine testing.

1985

The most contaminated wells, Hadnot Point and Tarawa Terrace, are shut down.

1987

All remaining contaminated wells are closed. The end of the presumptive exposure window.

1991

Camp Lejeune added to the EPA Superfund National Priorities List for cleanup.

2012

The Janey Ensminger Act (Pub. L. 112-154) provides VA health care (not disability compensation) to Camp Lejeune veterans.

2017

VA establishes 8 presumptive conditions for Camp Lejeune veterans under 38 CFR §3.309(f).

2022

The PACT Act (Pub. L. 117-168) includes the Camp Lejeune Justice Act (CLJA), creating a federal civil claim pathway for the first time.

Camp Lejeune base housing served by the contaminated drinking-water system from 1953 to 1987
Two Separate Legal Paths

VA Disability Claim vs. CLJA Civil Claim

Camp Lejeune veterans have two completely independent legal avenues. You can, and in most cases should, pursue both simultaneously. They do not offset each other. The VA claim runs through the VA under 38 CFR §3.309(f) and pays monthly compensation. The CLJA claim is a separate civil process with its own filing rules and its own deadlines. Your part is to keep both tracks moving and to keep copies of everything you send to either one.

Path 1: VA Disability Claim

38 CFR §3.309(f) · Presumptive Service Connection

Monthly tax-free compensation for life
8 presumptive conditions, no nexus letter needed
VA health care, dental, and dependent benefits
No filing deadline
Rating assigned per diagnostic code (cancer = 100% during treatment)

Eligibility: 30+ cumulative days at Camp Lejeune between August 1, 1953 and December 31, 1987, plus a diagnosis of one of the 8 presumptive conditions.

Path 2: CLJA Civil Claim

Public Law 117-168 · Camp Lejeune Justice Act of 2022

Lump-sum settlement or jury verdict (potentially substantial)
Broader range of covered conditions, not limited to 8
Available to veterans, civilians, AND family members
Filed in U.S. District Court, Eastern District of North Carolina
Does NOT reduce your VA disability compensation

Eligibility: 30+ cumulative days at Camp Lejeune between August 1, 1953 and December 31, 1987, plus a condition linked to the contaminated water (broader than the VA 8-condition list).

38 CFR §3.309(f)

The 8 VA Presumptive Conditions

If you have one of these conditions and served at Camp Lejeune for 30+ days in the qualifying period, the VA presumes it was caused by your service. No nexus letter. No burden of proof on you. The VA must grant service connection unless it can rebut the presumption with clear and convincing evidence, a nearly impossible standard.

Adult leukemia

Adult leukemia

Various (ICD-10 C91–C95)

Any form of leukemia diagnosed in adulthood. Includes acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia (CLL), acute myeloid leukemia (AML), chronic myeloid leukemia (CML), and hairy cell leukemia. The VA presumes service connection for any veteran who served at Camp Lejeune for 30+ days between August 1, 1953 and December 31, 1987.

Aplastic anemia and other myelodysplastic syndromes

Aplastic anemia and other myelodysplastic syndromes

ICD-10 D46, D61

Bone marrow failure conditions where the marrow stops producing enough blood cells. Myelodysplastic syndromes (MDS) are a group of cancers in which immature blood cells do not mature properly. Both are linked to TCE and benzene exposure in the Camp Lejeune water supply.

Bladder cancer

Bladder cancer

ICD-10 C67

Malignant neoplasm of the bladder. Trichloroethylene (TCE) and tetrachloroethylene (PCE), two of the primary contaminants in the Camp Lejeune water, are established bladder carcinogens. The ATSDR found TCE levels at Camp Lejeune up to 1,400 parts per billion, 280 times the EPA maximum.

Kidney cancer

Kidney cancer

ICD-10 C64

Renal cell carcinoma and other kidney malignancies. The National Academy of Sciences found "sufficient evidence" linking TCE to kidney cancer. TCE was present in the Hadnot Point and Tarawa Terrace water systems at Camp Lejeune for decades before detection.

Liver cancer

Liver cancer

ICD-10 C22

Hepatocellular carcinoma and other liver malignancies. Vinyl chloride, a contaminant found in the Camp Lejeune water from an off-base dry-cleaning operation, is a known hepatocarcinogen. The International Agency for Research on Cancer (IARC) classifies vinyl chloride as a Group 1 carcinogen.

Multiple myeloma

Multiple myeloma

ICD-10 C90.0

A cancer of plasma cells in the bone marrow. Benzene, another Camp Lejeune contaminant, is an established risk factor for multiple myeloma. This is the same contaminant pathway that also supports the presumptive for leukemia.

Non-Hodgkin's lymphoma

Non-Hodgkin's lymphoma

ICD-10 C82–C86

A group of blood cancers that includes any lymphoma except Hodgkin's. Multiple Camp Lejeune contaminants, TCE, PCE, benzene, and vinyl chloride, are linked to NHL. The ATSDR health study found elevated NHL incidence among Camp Lejeune veterans.

Parkinson's disease

Parkinson's disease

ICD-10 G20

A progressive neurological disorder affecting movement. TCE has been identified as a neurotoxicant linked to Parkinson's disease in multiple epidemiological studies. A 2012 study in the Annals of Neurology found a 500% increased risk of Parkinson's in individuals exposed to TCE.

Camp Lejeune Justice Act

CLJA Civil Claim, Broader Conditions

The CLJA civil claim is not limited to the VA's 8 presumptive conditions. Any illness or condition that can be linked to TCE, PCE, benzene, or vinyl chloride exposure at Camp Lejeune may qualify. That link has to be shown with medical evidence, so the diagnosis in your records matters as much as the dates on your orders. Your part is to gather your treatment records and proof you were on base. This includes:

Any cancer
Kidney disease or renal toxicity
Liver disease or hepatic steatosis
Parkinson's disease
Female infertility or miscarriage
Scleroderma
Neurobehavioral effects
Cardiac birth defects (children born to exposed parents)
Esophageal cancer
Lung cancer
Breast cancer
Rectal cancer
Brain cancer
Any other condition linked to TCE, PCE, benzene, or vinyl chloride exposure

Evidence for VA Presumptive Claims

Because these are presumptive claims, the burden is lighter than most VA claims. You need:

Proof of service at Camp Lejeune (DD-214, service records, unit assignment orders)
Duration of service, 30 cumulative days minimum in the Aug 1953–Dec 1987 window
Current medical diagnosis of one of the 8 presumptive conditions
A completed VA Form 21-526EZ (disability claim) citing Camp Lejeune water contamination

You do NOT need a nexus letter. The presumption does the work. If the VA denies a properly documented presumptive claim, that denial is challengeable on appeal.

Evidence for Non-Presumptive VA Claims

If your condition is not on the 8-condition list but you believe it was caused by Camp Lejeune water, you file a direct service connection claim. You need everything above PLUS:

A medical nexus opinion from a qualified physician linking your specific condition to TCE/PCE/benzene/vinyl chloride exposure
Supporting medical literature establishing the toxicological pathway
Documentation of the specific water system(s) you used on base (Hadnot Point, Tarawa Terrace, Holcomb Boulevard)
Lay statements from fellow service members who can corroborate your time and location on base

The ATSDR health studies are your strongest resource. They provide peer-reviewed data linking specific contaminants to specific conditions at Camp Lejeune, exactly what a nexus opinion needs to cite.

What We Do for Camp Lejeune Veterans

A Camp Lejeune claim looks simple on paper: 30 days on base between 1953 and 1987 and a listed condition. In practice, the VA denies these claims over service dates, missing diagnoses, and conditions that fall outside the presumptive list. Here is how I work the file from start to finish. Your part is to bring me your DD-214, any orders showing time at Lejeune or New River, and the medical records that name your diagnosis.

Service Record Verification

Service Record Verification

We confirm your Camp Lejeune service dates, identify the water systems your unit used, and document the 30-day eligibility threshold.

Presumptive Claim Filing

Presumptive Claim Filing

For the 8 listed conditions, we build the claim package that uses the presumption, no nexus letter, no unnecessary medical opinions, no wasted time.

Direct Connection Claims

Direct Connection Claims

For conditions outside the 8 presumptives, we source nexus opinions grounded in ATSDR data and peer-reviewed toxicology linking your condition to the specific Camp Lejeune contaminants.

CLJA Civil Claim Coordination

CLJA Civil Claim Coordination

We can coordinate with Camp Lejeune tort attorneys so your VA claim and civil claim move in parallel without conflicting evidence strategies.

Secondary Condition Analysis

Secondary Condition Analysis

Camp Lejeune conditions often cause secondaries, peripheral neuropathy from Parkinson's, depression from cancer treatment, fatigue from chemotherapy. We identify and claim every one.

Effective Date Maximization

Effective Date Maximization

If you filed a Camp Lejeune claim before the 2017 presumptive rule, we analyze whether an earlier effective date applies, potentially recovering years of back pay.

Evidence assembled for both a VA presumptive claim and a Camp Lejeune Justice Act civil claim

Camp Lejeune Claims, Frequently Asked Questions

These are the questions I hear most from veterans and families who were at Camp Lejeune. There are two separate paths, a VA disability claim and a civil claim under the Camp Lejeune Justice Act, and they follow different rules. Your part is to confirm your dates on base and keep the VA claim and the civil claim straight in your own records.

Questions & Answers

Frequently Asked Questions

Who is eligible for Camp Lejeune VA disability benefits?
Any veteran (or reservist/guardsman on active duty orders) who served at Camp Lejeune for at least 30 cumulative days between August 1, 1953 and December 31, 1987 AND has one of the 8 presumptive conditions. Civilian employees and family members who lived on base are eligible for VA health care under the Janey Ensminger Act but not VA disability compensation, they would pursue the CLJA civil claim instead.
What is the difference between a VA disability claim and a CLJA civil claim?
They are completely separate legal paths. A VA disability claim is filed with the VA for monthly compensation and health care, it uses the 8 presumptive conditions under 38 CFR §3.309(f). A CLJA civil claim is a federal tort lawsuit filed in the U.S. District Court for the Eastern District of North Carolina, it covers a broader range of conditions and can result in a lump-sum settlement or verdict. You can pursue both simultaneously.
Do I need a nexus letter for a Camp Lejeune presumptive claim?
No. The entire point of the presumptive is that the VA presumes the connection between your condition and Camp Lejeune water exposure. You need to prove: (1) you served at Camp Lejeune for 30+ days in the qualifying period, and (2) you have one of the 8 listed conditions. The VA cannot require a nexus letter to deny a properly documented presumptive claim.
What if my condition is not on the 8-condition presumptive list?
You can still file a direct service connection claim linking your condition to Camp Lejeune water contamination, you will need a medical nexus opinion. Alternatively, the CLJA civil claim covers a much broader range of conditions including 'any illness or condition' linked to the contaminants. Many Camp Lejeune veterans pursue the direct VA claim for conditions outside the 8 presumptives (like lung cancer, breast cancer, or prostate cancer) with supporting medical evidence.
Is there a deadline for filing a Camp Lejeune claim?
VA disability claims have no deadline, you can file at any time. The CLJA civil claims had an initial filing deadline of August 10, 2024 (two years from the PACT Act signing), but extensions and administrative tolling may apply. Consult a Camp Lejeune attorney for the CLJA deadline. For VA claims, there is no time pressure, but earlier filing means an earlier effective date for back pay.
Can family members file Camp Lejeune claims?
Family members who lived at Camp Lejeune during the contamination period (1953–1987) are eligible for VA health care under the Janey Ensminger Act, but NOT VA disability compensation (that is only for veterans). Family members CAN file CLJA civil claims for conditions linked to the water contamination, including cardiac birth defects in children born to exposed parents.
How does Camp Lejeune interact with other toxic exposure claims?
Veterans who served at Camp Lejeune may also qualify for other PACT Act presumptives if they had additional exposures (burn pits, Agent Orange, radiation). Each exposure pathway is evaluated independently. A Camp Lejeune veteran who also served in Iraq/Afghanistan during the burn pit era may have presumptive claims under multiple provisions, each adding to the combined rating.
What rating will I receive for a Camp Lejeune condition?
Each condition is rated under its own diagnostic code. Cancer is typically rated at 100% during active treatment, then re-evaluated. Parkinson's disease is rated under DC 8004 at a minimum of 30% with potential for much higher depending on functional impairment. Leukemia and multiple myeloma follow their respective cancer rating protocols. Secondary conditions caused by a Camp Lejeune presumptive (like peripheral neuropathy from Parkinson's) can be claimed separately.
The Veterans We Fight For

Real Veterans. Real Claims. Real Outcomes.

Every case on this desk belongs to someone who served. These are the veterans this practice represents, across every era, branch, and condition: the Vietnam vet who was told it was too late, the Gulf War vet the system called a mystery, the young veteran who walked out of a five minute exam with a zero. Different stories, same fight. The record decides the claim, so we build the record.

A post-9/11 veteran reviewing his VA claim paperwork at his kitchen table
Veteran Representation
A young veteran waiting for his VA clinic appointment
Veteran Representation
An older veteran standing with an American flag behind him
Veteran Representation
Official VA Video Library · Government Produced

Toxic Exposure Benefits, Straight From the VA

These official VA videos cover the toxic-exposure and PACT Act benefits that govern Camp Lejeune claims. Watch them, write down your dates on base and every diagnosis you carry, then let an accredited agent measure your file against the law.

VA Benefits: Toxic Exposure Update

VA Benefits: Toxic Exposure Update

Your PACT Act Toxic-Exposure Benefits

Your PACT Act Toxic-Exposure Benefits

A veteran marking his appointment dates on a kitchen wall calendar
Your responsibility as a veteran

Your Part in This Is Not Optional

I will be straight with you. No advocate on earth can win a claim for a veteran who will not do his or her part. The VA decides on the record, and you are the only person who can build the medical side of that record. We do the legal and forensic work. You do yours. Here is what that means, every single time:

  • See a doctor and get every symptom written into your medical record. If it is not on paper, the VA treats it as if it never happened.
  • Keep a symptom journal. Dates, flare-ups, missed work, the nights you did not sleep. That is the evidence of how this condition actually runs your life.
  • Answer every VA letter and every request for evidence before the deadline. Silence gets claims denied.
  • Show up to your C&P exam and describe your worst days honestly. Do not tough it out in that room. Do not exaggerate either.

You do your job and we will do ours. That is how claims get won.

Choose Your Service

The Three Services

We offer three completely separate services, kept distinct on purpose so you know exactly what you are buying, what it costs, and how it is paid. These are not tiers of one agreement, you choose the single option that fits your situation.

Two are contingency representation with no cost up front; they differ by how hard the case is and how the fee gets paid. The third is a flat-fee forensic report for the veteran who wants to fight the claim himself.

An accredited claims agent and a veteran reviewing a clean, single-issue appeal together
Option 1

Standard Direct-Pay Representation

20% of back pay

No cost up front, nothing out of pocket. The VA withholds our fee and pays us directly under §14.636(h). Best for cleaner, more recent, single-issue denials, routine higher-level reviews, supplemental claims, and rating increases, carried all the way to the Board of Veterans’ Appeals.

See full details
An advocate reviewing a veteran's decade-deep claims file
Option 2

High-Complexity Representation

30% of back pay

For high-complexity cases, long claim histories, prior Board denials, CUE, complex effective-date and TDIU fights, multi-issue toxic exposure. Still no cost up front. Because the VA pays a rep only up to 20% directly, the VA sends your full retro to you and we invoice you directly for the 30%. Lawful, but never entered into lightly.

See full details
A forensic file audit in progress
Option 3

Mission 5 Intelligence Brief

$750 flat

A standalone forensic file review and written road map, not representation. For the veteran with a tough, older case who wants to fight it himself and keep 100% of his back pay. We audit your file, show you every error, and hand you the plan. Available only to veterans who already have a VA decision.

See full details

The exact contingency percentage on your case is set in a written agreement by the complexity of the work, always within the maximum the law allows. Federal-court litigation, if it is ever needed, is a separate, pre-agreed arrangement.

A veteran shaking hands with his VA-accredited claims agent after reviewing his claim
Denied or under-rated?

Talk to a VA-accredited claims agent about your claim

Albert L. Thombs Jr. is a US Army veteran, VA-Accredited Claims Agent #45147, and 100% service-connected himself. He personally reviews every request. Fees are capped by 38 CFR §14.636, and there are no fees on representation unless you win.

702-992-4883

Mon–Fri, 11AM–6PM Pacific

Questions are always free. The Mission 5 Brief is $750 flat.