1. Verify items 1, 2, and 10 (if applicable). 

2. Verify items 6 through 9. See rules 1 through 13 in figure 3 for detailed instructions.

3. If continuous periods of service ended under conditions OTH, show latest date eligible for complete separation. See rule 14 in figure 3.

4. If veteran entered active service between 11/12/18 and 4/1/20, inclusive, and did not have prior active service during WWI, state whether or not veteran served in Russia. See rule 15,figure 3.

5. Furnish 90-day statement. See rule 17 in figure 3.

6. If veteran had less than 90 days total active wartime service, furnish reason for separation. See rule 17c in figure 3.

7. Furnish reason for separation from active duty.

8. If veteran had peacetime service only, show reason for separation. If separation by reason of disability, show line of duty and disease or injury.

9. Furnish date of birth or age at time of entrance on active duty.

10. Furnish latest home address.

11. Furnish information and/or records requested in item 20. (See rules 14 thru 18 in figure 3 for instructions on eligibility for complete separation, travel time, 90-day statement, Russian service, and service in Moro Province.)

12. If VA has not indicated in item 20 what is needed, and if nothing is to be automatically furnished in relation to the entry in the "Type of Claim" block, ask VA to specify what is needed.

13. Furnish all available medical records, including dental records and physical examinations. See rules 19 thru 23 in figure 3.

14. Furnish character of separation for last period of service only. Also furnish reason for separation from last period of service when reports of physical examinations are not furnished.

15. Furnish copy of DD Form 214 from each period of service extending beyond Jan. 31, 1955, (or as requested). Show copy as an enclosure to VA 3101. (When an extra copy of DD 214 is on file, send it to VA.) Do not enclose DD 214 in a VA envelope unless some other records are also being sent.

16. Verify items 1, 3, 7, 8, 9, 10, and 11 on VA Form 3101.

17. Furnish any copies of previously verified VA Forms 3101.

18. When information sought can be provided by furnishing a copy of each separation document, send a copy Instead of verifying data on VA Form 3101. Show copy as an enclosure in the reply portion of the VA Form 3101. (When an extra copy of separation document is on file, send it to VA.) Do not enclose document in a VA envelope unless some other records are also being sent.