The questions on the next few pages will help you determine if you are now eligible for a TSGLI payment under the new law.
Were you injured between October 7, 2001 and November 30, 2005?
You are not eligible for the retroactive TSGLI benefit, but you may still be eligible for TSGLI. Please answer the question below to find out if you may be eligible.
Were you injured on or after Dec. 1, 2005?
Was your injury the result of any of the following:
an intentionally self-inflicted injury or an attempt to inflict such injury?
Use of an illegal or controlled substance that was not administered or consumed on the advice of a medical doctor?
The medical or surgical treatment of an illness or disease?
A traumatic injury sustained while committing or attempting to commit a felony?
A physical or mental illness or disease (not including illness or disease caused by a wound infection, a chemical, biological, or radiological weapon, or the accidental ingestion of a contaminated substance)?
Based on your answers, you are not eligible for a TSGLI payment under the new law.
Certain injuries are excluded from qualifying for the TSGLI benefit, including injuries that are the result of:
Because you indicated that your injury was caused by one of these, you do not qualify for payment.
Did you suffer one of the losses listed on the TSGLI Schedule of Losses?
Based on your answers, you are not eligible for a TSGLI payment under the new law.
To qualify for a TSGLI payment, you must meet the TSGLI eligibility criteria and have an injury (loss) that is listed on the TSGLI Schedule of Losses.
Because you indicated that you did not suffer a loss listed on the TSGLI Schedule of Losses, you do not qualify for payment.
Please downolad and complete the Application for TSGLI Benefits. Once you have completed Section A, you should have your doctor complete Section B, then forward the completed application to your Branch of Service TSGLI Office listed on the application. You should also include copies of any medical documentation with your application.
Based on your answers, you are not eligible for a TSGLI payment under the new law.
To qualify for a TSGLI payment, you must suffer a loss from the TSGLI Schedule of Losses within two years (730 days) of the traumatic event.
Because you indicated that your loss did not occur within two years of the traumatic event, you do not qualify for payment.