BVA9505322 DOCKET NO. 92-16 061 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Cleveland, Ohio THE ISSUE Whether the veteran has timely appealed from a decision which denied entitlement to VA outpatient dental treatment. REPRESENTATION Appellant represented by: AMVETS ATTORNEY FOR THE BOARD R. T. Jones, Counsel INTRODUCTION The veteran had active service from January 1944 to May 1946. This matter initially came to the Board of Veterans' Appeals (Board) from a decision which denied the veteran Department of Veterans Affairs (VA) outpatient dental treatment. In September 1990, the veteran claimed outpatient dental treatment. In September 1990, the VA Outpatient Clinic (OPC) in Columbus, Ohio, asked the VA Regional Office (RO) in Cleveland, whether the veteran was eligible for treatment on the basis of being service connected for dental trauma. A January 1991 RO dental rating held that there was no service-connected dental trauma, and the RO so informed the OPC in January 1991. On February 8, 1991, the OPC sent the veteran a letter which told him he was ineligible for VA outpatient dental treatment under any relevant category of the law. In August 1991, the RO received a letter from the veteran in which he expressed disagreement with the OPC determination. The RO wrote the veteran in November 1991 and told him the OPC determination was correct, and that he was ineligible for VA outpatient dental treatment. In November 1991, the RO received another letter from the veteran in which he again disagreed with the determination. A statement of the case was issued by the RO on December 9, 1991. The veteran's substantive appeal (VA Form 1-9) was received by the RO on March 30, 1992. In November 1993, the Board remanded the case to the RO for consideration of the question of whether the veteran had timely appealed the decision to deny VA outpatient dental treatment, particularly whether there was a timely substantive appeal. In January 1994, the RO held that the veteran had not filed a timely appeal of the February 1991 decision denying VA outpatient dental treatment. The case was thereafter procedurally developed for Board review of the issue of timeliness of the appeal. CONTENTIONS OF APPELLANT ON APPEAL The veteran asserts that he did not timely appeal the denial of VA outpatient dental treatment because he was out of state from December 1991 until March 1992, during which time he was traveling with and managing a band. He asserts that he should be treated for service-connected teeth. DECISION OF THE BOARD The Board, in accordance with the provisions of 38 U.S.C.A. § 7104 (West 1991), has reviewed and considered all of the evidence and material of record in the veteran's claims file. Based on its review of the relevant evidence in this matter, and for the following reasons and bases, it is the decision of the Board that the veteran did not timely perfect his appeal. FINDING OF FACT A claim for VA outpatient dental treatment was denied by the VA OPC and the veteran was notified of this decision on February 8, 1991; following submission of a notice of disagreement, a statement of the case was furnished to the veteran on December 9, 1991; the veteran did not thereafter make a timely request for an extension of the time for filing a substantive appeal; and his substantive appeal was received by the VA on March 30 1992. CONCLUSION OF LAW The veteran did not submit a timely substantive appeal from the February 1991 OPC decision which denied his claim for VA outpatient dental treatment, and thus the Board lacks authority to review the claim. 38 U.S.C.A. §§ 7105, 7108 (West 1991); 38 C.F.R. §§ 20.200, 20.302, 20.303 (1994). REASONS AND BASES FOR FINDING AND CONCLUSION The issue is whether the veteran filed a timely appeal from a February 1991 decision by the OPC which denied his claim for VA outpatient dental treatment. An appeal consists of a timely filed notice of disagreement and, after a statement of the case has been furnished, a timely filed substantive appeal. For a notice of disagreement to be timely, it must be filed within one year of the date that the agency of original jurisdiction (e.g., an OPC or RO) mails notice of the adverse determination. For a substantive appeal to be timely, it must be filed within 60 days from the date that the agency of original jurisdiction mails the statement of the case, or within the remainder of the one-year period from the date of mailing of the notification of the adverse determination being appealed, whichever period ends later. 38 U.S.C.A. § 7105; 38 C.F.R. §§ 20.200, 20.302. An application for review on appeal shall not be entertained by the Board unless it is in conformity with these provisions. 38 U.S.C.A. § 7108. On February 8, 1991, the OPC mailed notification to the veteran of the adverse decision on his claim for VA outpatient dental treatment. In August and November 1991, the veteran submitted letters to the RO, expressing disagreement with the decision, and either one of these letters represents a timely notice of disagreement. The statement of the case was sent to the veteran on December 9, 1991. The cover letter to that document told him that he had to file a substantive appeal (on an enclosed VA Form 1-9); that his appeal would be closed if he did not respond within 60 days; and that if he needed more time to file he should see the relevant instruction on VA Form 1-9 (the instruction notes the 60 day time limit for filing the substantive appeal, with an extension permitted for good cause). The veteran's substantive appeal (which he signed and dated March 11, 1992), was not received by the RO until March 30, 1992. This is clearly untimely, as it was submitted more than 60 days after the December 9, 1991 statement of the case was sent to him, and subsequent to the one year period following the February 8, 1991 notice of the adverse decision (which period expired February 8, 1992). In the absence of a timely substantive appeal, the Board has no authority to provide appellate review of the local determination which denied the claim for VA outpatient treatment. Roy v. Brown, 5 Vet.App. 554 (1993). The veteran states he did not timely appeal the case because he was out of the state, traveling with and managing a band, during the time in question. The law does permit an extension of the time for filing the substantive appeal, for good cause shown. 38 U.S.C.A. § 7105(d)(3). The accompanying regulation, however, mandates that an extension must be requested in writing prior to the expiration of the time limit for filing the substantive appeal. 38 C.F.R. § 20.303; Roy, supra. No such timely request was made by the veteran, and it is also doubtful that being away from home with a traveling band would constitute good cause, given that the substantive appeal could have been mailed by the veteran from any location. In view of the untimely filed substantive appeal, the Board has no jurisdiction to entertain the appeal from the February 1991 OPC decision which denied entitlement to VA outpatient dental treatment, and the appeal must be dismissed. ORDER The appeal is dismissed as being untimely. L. W. TOBIN Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. NOTICE OF APPELLATE RIGHTS: Under 38 U.S.C.A. § 7266 (West 1991), a decision of the Board of Veterans' Appeals granting less than the complete benefit, or benefits, sought on appeal is appealable to the United States Court of Veterans Appeals within 120 days from the date of mailing of notice of the decision, provided that a Notice of Disagreement concerning an issue which was before the Board was filed with the agency of original jurisdiction on or after November 18, 1988. Veterans' Judicial Review Act, Pub. L. No. 100-687, § 402 (1988). The date which appears on the face of this decision constitutes the date of mailing and the copy of this decision which you have received is your notice of the action taken on your appeal by the Board of Veterans' Appeals.