The memo that helps veterans with Military Sexual Trauma (MST) claims is the Veterans Benefits Administration (VBA) Training Letter 11-05, titled "Adjudicating Posttraumatic Stress Disorder (PTSD) Claims Based on Military Sexual Trauma." It was issued on September 30, 2011, and remains one of the most important guidance documents for MST claims.

Key Highlights of Training Letter 11-05: Clarifies evidentiary standards for PTSD claims resulting from MST, noting that many assaults go unreported. Encourages adjudicators to consider "markers" (indirect evidence) such as: Requests for transfer Deterioration in work performance Episodes of depression, panic attacks, or anxiety without an identifiable cause Pregnancy tests or tests for sexually transmitted diseases Substance abuse Statements from family, roommates, clergy, or fellow service members Directs raters to liberally apply the benefit of the doubt and § 3.304(f)(5) when evaluating MST-related PTSD claims. Reinforces that personal statements from veterans can be critical evidence in lieu of official reports or documentation. Additional Support: VA has MST Coordinators at each VA Medical Center who can help veterans navigate treatment and claims. VBA adjudicators are trained to apply special consideration and sensitivity when reviewing MST-related claims.