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Esophageal Cancer

PACT Act presumptive.

Filing this claim

If you have qualifying service for the PACT Act (GI cancer) presumption, you don't need a nexus letter — file as a primary claim with proof of qualifying service and your current diagnosis. Use the letter generators to draft your nexus letter and Statement in Support of Claim.

Step by step

1. File an Intent to File (Form 21-0966) to lock your effective date.
2. Confirm you have a current medical diagnosis in a medical record.
3. Gather proof of qualifying service (DD-214, deployment records, etc.) — no nexus letter needed.
4. Write a Statement in Support of Claim (21-4138).
5. If applicable, gather buddy statements (21-10210).
6. File the formal 21-526EZ.

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Source: 38 CFR §4.114. For exact regulatory language, consult eCFR Title 38. This is general education — for your specific case, consult a VA-accredited representative.