src/applications/simple-forms/20-10207/config/constants.js
import React from 'react';
export const TITLE = 'Request priority processing for an existing claim';
export const SUBTITLE = 'Priority processing request (VA form 20-10207)';
export const PREPARER_TYPES = Object.freeze({
VETERAN: 'veteran',
NON_VETERAN: 'non-veteran',
THIRD_PARTY_VETERAN: 'third-party-veteran',
THIRD_PARTY_NON_VETERAN: 'third-party-non-veteran',
});
export const PREPARER_TYPE_LABELS = Object.freeze({
[PREPARER_TYPES.VETERAN]:
'I’m a Veteran. I’m requesting priority processing for my claim.',
[PREPARER_TYPES.NON_VETERAN]:
'I’m not a Veteran, but I have an existing VA claim. I’m requesting priority processing for my claim.',
[PREPARER_TYPES.THIRD_PARTY_VETERAN]:
'I’m a third-party representative or power of attorney. I’m requesting priority processing on behalf of a Veteran.',
[PREPARER_TYPES.THIRD_PARTY_NON_VETERAN]:
'I’m a third-party representative or power of attorney. I’m requesting priority processing on behalf of a non-Veteran with a VA claim (also called the claimant).',
});
export const THIRD_PARTY_TYPES = Object.freeze({
REP: 'representative',
POA: 'power-of-attorney',
});
export const THIRD_PARTY_TYPE_VETERAN_LABELS = Object.freeze({
[THIRD_PARTY_TYPES.REP]:
'I’m a third-party representative filling this out for the Veteran.',
[THIRD_PARTY_TYPES.POA]:
'I’m an authorized power of attorney for the Veteran.',
});
export const THIRD_PARTY_TYPE_NON_VETERAN_LABELS = Object.freeze({
[THIRD_PARTY_TYPES.REP]:
'I’m a third-party representative filling this out for the person with a claim.',
[THIRD_PARTY_TYPES.POA]:
'I’m an authorized power of attorney for the person with a claim.',
});
export const LIVING_SITUATIONS = Object.freeze({
OVERNIGHT:
'I live or sleep overnight in a place that isn’t meant for regular sleeping. This includes a car, park, abandoned building, bus station, train station, airport, or camping ground.',
SHELTER:
'I live in a shelter (including a hotel or motel) that’s meant for temporary stays.',
FRIEND_OR_FAMILY:
'I’m staying with a friend or family member, because I can’t get my own home right now.',
LEAVING_SHELTER:
'In the next 30 days, I will have to leave a facility, like a homeless shelter.',
LOSING_HOME:
'In the next 30 days, I will lose my home. (Note: This could include a house, apartment, trailer, or other living space that you own, rent, or live in without paying rent. Or it could include a living space that you share with others. It could also include rooms in hotels or motels.)',
OTHER_RISK: 'I have another housing risk not listed here.',
NONE: 'None of these situations apply to me.',
});
export const LIVING_SITUATIONS_3RD_PTY_VET = Object.freeze({
OVERNIGHT:
'The Veteran lives or sleeps overnight in a place that isn’t meant for regular sleeping. This includes a car, park, abandoned building, bus station, train station, airport, or camping ground.',
SHELTER:
'The Veteran lives in a shelter (including a hotel or motel) that’s meant for temporary stays.',
FRIEND_OR_FAMILY:
'The Veteran is staying with a friend or family member, because the Veteran can’t get my own home right now.',
LEAVING_SHELTER:
'In the next 30 days, the Veteran will have to leave a facility, like a homeless shelter.',
LOSING_HOME:
'In the next 30 days, the Veteran will lose their home. (Note: This could include a house, apartment, trailer, or other living space that you own, rent, or live in without paying rent. Or it could include a living space that they share with others. It could also include rooms in hotels or motels.)',
OTHER_RISK: 'The Veteran has another housing risk not listed here.',
NONE: 'None of these situations apply to the Veteran.',
});
export const LIVING_SITUATIONS_3RD_PTY_NON_VET = Object.freeze({
OVERNIGHT:
'The claimant lives or sleeps overnight in a place that isn’t meant for regular sleeping. This includes a car, park, abandoned building, bus station, train station, airport, or camping ground.',
SHELTER:
'The claimant lives in a shelter (including a hotel or motel) that’s meant for temporary stays.',
FRIEND_OR_FAMILY:
'The claimant is staying with a friend or family member, because the claimant can’t get their own home right now.',
LEAVING_SHELTER:
'In the next 30 days, the claimant will have to leave a facility, like a homeless shelter.',
LOSING_HOME:
'In the next 30 days, the claimant will lose their home. (Note: This could include a house, apartment, trailer, or other living space that you own, rent, or live in without paying rent. Or it could include a living space that they share with others. It could also include rooms in hotels or motels.)',
OTHER_RISK: 'The claimant has another housing risk not listed here.',
NONE: 'None of these situations apply to the claimant.',
});
export const ADDITIONAL_INFO_THIRD_PARTY = Object.freeze(
<va-additional-info
trigger="Who can sign on behalf of someone else?"
data-testid="thirdPartyAdditionalInfo"
>
<div>
<p>
<strong>If you’re a third-party representative</strong> (a family member
or other assigned person who is not a power of attorney, agent, or
fiduciary) requesting VA records for someone else, we must have an
authorization form on record (VA Form 21-0845) for us to release their
information.
</p>
<p>
<a
href="/find-forms/about-form-21-0845/"
target="_blank"
rel="noopener noreferrer"
>
Go to VA Form 21-0845 Authorization to Disclose Personal Information
to a Third-Party (opens in new tab)
</a>
</p>
<p>
<strong>If you’re a power of attorney</strong> requesting VA records for
someone else, we must have an official record that you were appointed as
their representative (VA Form 21-22 or VA Form 21-22a).
</p>
<p>
<a
href="/find-forms/about-form-21-22/"
target="_blank"
rel="noopener noreferrer"
>
Go to VA Form 21-22 Appointment of Veterans Service Organization as
Claimant’s Representative (opens in new tab)
</a>
</p>
<p>
<a
href="/find-forms/about-form-21-22a/"
target="_blank"
rel="noopener noreferrer"
>
Go to VA Form 21-22a Appointment of Individual as Claimant’s
Representative (opens in new tab)
</a>
</p>
</div>
</va-additional-info>,
);
export const ADDITIONAL_INFO_THIRD_PARTY_TYPE = Object.freeze(
<va-additional-info
trigger="Who can be a third-party representative or a power of attorney?"
data-testid="thirdPartyTypeAdditionalInfo"
>
<div>
<p>
<strong>A third-party representative</strong> can be a family member or
designated person filling out this form for a Veteran or someone with a
claim. We consider you to be a third-party representative if you’re not
already a power of attorney, agent, or fiduciary.
</p>
<p>
If you’re a third-party representative, we must have an authorization
(VA Form 21-0845) on record.
</p>
<p>
<a
href="/find-forms/about-form-21-0845/"
target="_blank"
rel="noopener noreferrer"
>
Go to VA Form 21-0845 Authorization to Disclose Personal Information
to a Third-Party (opens in new tab)
</a>
</p>
<p>
<strong>An authorized power of attorney</strong> can fill out this
request for the person with the claim. If you’re a power of attorney, we
must have one of these records on file:
</p>
<p>
<a
href="/find-forms/about-form-21-22/"
target="_blank"
rel="noopener noreferrer"
>
Go to VA Form 21-22 Appointment of Veterans Service Organization as
Claimant’s Representative (opens in new tab)
</a>
</p>
<p>
<a
href="/find-forms/about-form-21-22a/"
target="_blank"
rel="noopener noreferrer"
>
Go to VA Form 21-22a Appointment of Individual as Claimant’s
Representative (opens in new tab)
</a>
</p>
</div>
</va-additional-info>,
);
export const ADDITIONAL_INFO_OTHER_HOUSING_RISKS = Object.freeze(
<va-additional-info
trigger="What to know before sharing details about other housing risks"
data-testid="otherHousingRisksAdditionalInfo"
>
<div>
<p>
We understand that you may have other housing risks not listed here. If
you feel comfortable sharing more about your situation, you can do that
here. Or you can simply check this option and not include any details.
We’ll use this information only to prioritize your request.
</p>
<p>
<b>Note:</b> If you need help because of domestic violence, call the
National Domestic Violence hotline <va-telephone contact="8007997233" />{' '}
(TTY: <va-telephone contact="8007873224" />) or text "START" to 88788.
Staff are there to help 24 hours a day, 7 days a week. All conversations
are private and confidential.
</p>
</div>
</va-additional-info>,
);
export const ADDITIONAL_INFO_OTHER_HOUSING_RISKS_3RD_PTY_VET = Object.freeze(
<va-additional-info
trigger="What to know before sharing details about other housing risks"
data-testid="otherHousingRisksAdditionalInfo3rdPtyVet"
>
<div>
<p>
We understand that the Veteran may have other housing risks not listed
here. If you feel comfortable sharing more about their situation, you
can do that here. Or you can simply check this option and not include
any details. We’ll use this information only to prioritize the request.
</p>
<p>
<b>Note:</b> If the Veteran needs help because of domestic violence,
call the National Domestic Violence hotline{' '}
<va-telephone contact="8007997233" /> (TTY:{' '}
<va-telephone contact="8007873224" />) or text "START" to 88788. Staff
are there to help 24 hours a day, 7 days a week. All conversations are
private and confidential.
</p>
</div>
</va-additional-info>,
);
export const ADDITIONAL_INFO_OTHER_HOUSING_RISKS_3RD_PTY_NON_VET = Object.freeze(
<va-additional-info
trigger="What to know before sharing details about other housing risks"
data-testid="otherHousingRisksAdditionalInfo3rdPtyNonVet"
>
<div>
<p>
We understand that the claimant may have other housing risks not listed
here. If you feel comfortable sharing more about their situation, you
can do that here. Or you can simply check this option and not include
any details. We’ll use this information only to prioritize the request.
</p>
<p>
<b>Note:</b> If the claimant needs help because of domestic violence,
call the National Domestic Violence hotline{' '}
<va-telephone contact="8007997233" /> (TTY:{' '}
<va-telephone contact="8007873224" />) or text "START" to 88788. Staff
are there to help 24 hours a day, 7 days a week. All conversations are
private and confidential.
</p>
</div>
</va-additional-info>,
);
export const MAILING_ADDRESS_YES_NO_LABELS = Object.freeze({
Y: 'Yes, I have a current mailing address.',
N: 'No, I don’t have a current mailing address.',
});
export const MAILING_ADDRESS_YES_NO_LABELS_3RD_PTY_VET = Object.freeze({
Y: 'Yes, the Veteran has a current mailing address.',
N: 'No, the Veteran doesn’t have a current mailing address.',
});
export const MAILING_ADDRESS_YES_NO_LABELS_3RD_PTY_NON_VET = Object.freeze({
Y: 'Yes, the claimant has a current mailing address.',
N: 'No, the claimant doesn’t have a current mailing address.',
});
export const OTHER_REASONS = Object.freeze({
FINANCIAL_HARDSHIP: 'I’m experiencing extreme financial hardship.',
ALS:
'I have ALS (amyotrophic lateral sclerosis), also known as Lou Gehrig’s disease.',
TERMINAL_ILLNESS: 'I have a terminal illness.',
VSI_SI:
'I have a status from the Defense Department of Very Seriously Injured or Ill (VSI) or Seriously Injured or Ill (SI).',
OVER_85: 'I’m age 85 or older.',
FORMER_POW: 'I’m a former prisoner of war (POW).',
MEDAL_AWARD: 'I’m a Medal of Honor or Purple Heart award recipient.',
});
export const OTHER_REASONS_3RD_PTY_VET = Object.freeze({
FINANCIAL_HARDSHIP: 'The Veteran is experiencing extreme financial hardship.',
ALS:
'The Veteran has ALS (amyotrophic lateral sclerosis), also known as Lou Gehrig’s disease.',
TERMINAL_ILLNESS: 'The Veteran has a terminal illness.',
VSI_SI:
'The Veteran has a status from the Defense Department of Very Seriously Injured or Ill (VSI) or Seriously Injured or Ill (SI).',
OVER_85: 'The Veteran is age 85 or older.',
FORMER_POW: 'The Veteran is a former prisoner of war (POW).',
MEDAL_AWARD:
'The Veteran is a Medal of Honor or Purple Heart award recipient.',
});
export const OTHER_REASONS_3RD_PTY_NON_VET = Object.freeze({
FINANCIAL_HARDSHIP:
'The claimant is experiencing extreme financial hardship.',
ALS:
'The claimant has ALS (amyotrophic lateral sclerosis), also known as Lou Gehrig’s disease.',
TERMINAL_ILLNESS: 'The claimant has a terminal illness.',
VSI_SI:
'The claimant has a status from the Defense Department of Very Seriously Injured or Ill (VSI) or Seriously Injured or Ill (SI).',
OVER_85: 'The claimant is age 85 or older.',
FORMER_POW: 'The claimant is a former prisoner of war (POW).',
MEDAL_AWARD:
'The claimant is a Medal of Honor or Purple Heart award recipient.',
});
export const FINANCIAL_HARDSHIP_DESCRIPTION = Object.freeze(
<div>
<p>
You’ll need to scan your document onto the device you’re using to submit
this application, such as your computer, tablet, or mobile phone. You can
upload your file from there.
</p>
<p>Guidelines for uploading a file:</p>
<ul>
<li>You can upload a .pdf, .jpeg, .jpg, or .png file</li>
<li>Your file should be no larger than 25MB</li>
</ul>
<va-additional-info
trigger="What kind of evidence can I submit?"
data-testid="financialHardshipAdditionalInfo"
>
<ul>
<li>Copy of an eviction notice or statement of foreclosure</li>
<li>Copy of notices of past-due utility bills</li>
<li>Copy of collection notices from creditors</li>
</ul>
</va-additional-info>
<p />
</div>,
);
export const TERMINAL_ILLNESS_DESCRIPTION = Object.freeze(
<div>
<p>
You’ll need to scan your document onto the device you’re using to submit
this application, such as your computer, tablet, or mobile phone. You can
upload your file from there.
</p>
<p>Guidelines for uploading a file:</p>
<ul>
<li>You can upload a .pdf, .jpeg, .jpg, or .png file</li>
<li>Your file should be no larger than 25MB</li>
</ul>
<va-additional-info
trigger="What kind of evidence can I submit?"
data-testid="terminalIllnessAdditionalInfo"
>
<ul>
<li className="vads-u-margin-bottom--2">
Copy of medical evidence showing illness that is terminal in nature
</li>
</ul>
<p>
<b>Note</b>: If you want us to access your private treatment records,
you’ll need to submit an authorization to disclose non-VA medical
information to us (VA Forms 21-4142 and 21-4142a).
</p>
<p>
<a
href="/supporting-forms-for-claims/release-information-to-va-form-21-4142/introduction"
target="_blank"
rel="noopener noreferrer"
className="vads-u-display--inline-block vads-u-margin-top--2 vads-u-margin-bottom--1"
>
Go to VA Forms 21-4142 and 21-4142a (opens in new tab)
</a>
</p>
</va-additional-info>
<p />
</div>,
);
export const ALS_DESCRIPTION = Object.freeze(
<div>
<p>
You’ll need to scan your document onto the device you’re using to submit
this application, such as your computer, tablet, or mobile phone. You can
upload your file from there.
</p>
<p>Guidelines for uploading a file:</p>
<ul>
<li>You can upload a .pdf, .jpeg, .jpg, or .png file</li>
<li>Your file should be no larger than 25MB</li>
</ul>
<va-additional-info
trigger="What kind of evidence can I submit?"
data-testid="alsAdditionalInfo"
>
<ul>
<li className="vads-u-margin-bottom--2">
Copy of medical evidence showing ALS
</li>
</ul>
<p>
<b>Note</b>: If you want us to access your private treatment records,
you’ll need to submit an authorization to disclose non-VA medical
information to us (VA Forms 21-4142 and 21-4142a).
</p>
<p>
<a
href="/supporting-forms-for-claims/release-information-to-va-form-21-4142/introduction"
target="_blank"
rel="noopener noreferrer"
className="vads-u-display--inline-block vads-u-margin-top--2 vads-u-margin-bottom--1"
>
Go to VA Forms 21-4142 and 21-4142a (opens in new tab)
</a>
</p>
</va-additional-info>
<p />
</div>,
);
export const VSI_DESCRIPTION = Object.freeze(
<div>
<p>
You’ll need to scan your document onto the device you’re using to submit
this application, such as your computer, tablet, or mobile phone. You can
upload your file from there.
</p>
<p>Guidelines for uploading a file:</p>
<ul>
<li>You can upload a .pdf, .jpeg, .jpg, or .png file</li>
<li>Your file should be no larger than 25MB</li>
</ul>
<va-additional-info
trigger="What kind of evidence can I submit?"
data-testid="vsiAdditionalInfo"
>
<ul>
<li className="vads-u-margin-bottom--2">
Copy of military personnel records, such as a determination from the
Defense Department (DOD), <strong>and</strong>
</li>
<li className="vads-u-margin-bottom--2">
Medical evidence showing severe disability or injury
</li>
</ul>
<p>
<b>Note</b>: If you want us to access your private treatment records,
you’ll need to submit an authorization to disclose non-VA medical
information to us (VA Forms 21-4142 and 21-4142a).
</p>
<p>
<a
href="/supporting-forms-for-claims/release-information-to-va-form-21-4142/introduction"
target="_blank"
rel="noopener noreferrer"
className="vads-u-display--inline-block vads-u-margin-top--2 vads-u-margin-bottom--1"
>
Go to VA Forms 21-4142 and 21-4142a (opens in new tab)
</a>
</p>
</va-additional-info>
<p />
</div>,
);
export const POW_MULTIPLE_CONFINEMENTS_LABELS = Object.freeze({
Y: 'Yes, I was confined more than once.',
N: 'No, I was not confined more than once.',
});
export const POW_MULTIPLE_CONFINEMENTS_LABELS_3RD_PTY_VET = Object.freeze({
Y: 'Yes, I was confined more than once.',
N: 'No, I was not confined more than once.',
});
export const POW_DESCRIPTION = Object.freeze(
<div>
<p>
You’ll need to scan your document onto the device you’re using to submit
this application, such as your computer, tablet, or mobile phone. You can
upload your file from there.
</p>
<p>Guidelines for uploading a file:</p>
<ul>
<li>You can upload a .pdf, .jpeg, .jpg, or .png file</li>
<li>Your file should be no larger than 25MB</li>
</ul>
<va-additional-info
trigger="What kind of evidence can I submit?"
data-testid="powAdditionalInfo"
>
<ul>
<li className="vads-u-margin-bottom--2">
Copy of military personnel records such as DD214, Certificate of
Release, or Discharge from Active Duty, <strong>or</strong>
</li>
<li>
Information such as service number, branch and dates of service, dates
and location of internment, detaining power, or any other information
relevant to the detainment
</li>
</ul>
</va-additional-info>
<p />
</div>,
);
export const MEDAL_AWARD_DESCRIPTION = Object.freeze(
<div>
<p>
You’ll need to scan your document onto the device you’re using to submit
this application, such as your computer, tablet, or mobile phone. You can
upload your file from there.
</p>
<p>Guidelines for uploading a file:</p>
<ul>
<li>You can upload a .pdf, .jpeg, .jpg, or .png file</li>
<li>Your file should be no larger than 25MB</li>
</ul>
<va-additional-info
trigger="What kind of evidence can I submit?"
data-testid="medalAwardAdditionalInfo"
>
<ul>
<li className="vads-u-margin-bottom--2">
Copy of military personnel records such as DD214, <strong>or</strong>
</li>
<li>
Information showing receipt of Medal of Honor or Purple Heart award
</li>
</ul>
</va-additional-info>
<p />
</div>,
);
export const workInProgressContent = {
description:
'We’re rolling out Request Priority Processing (VA Form 20-10207) in stages. It’s not quite ready yet. Please check back again soon.',
redirectLink: '/',
redirectText: 'Return to VA home page',
};