Sample only · not your file · not a court exhibit

What the paper looks like

Two buildings. Calc prints math. Scan prints an index of pages you upload. These sheets are invented examples so you can judge the paper. Do not file them.

Calculator tape

369 CADENCE RECEIPT  *** SAMPLE ***
ESTIMATE ONLY · 38 CFR 4.25 / 4.26
Not a VA decision. Not a claim filing. NOT YOUR FILE.

ITEM  70%
ITEM  30%  BILATERAL
ITEM  10%

70%: 70.0% of remaining 100.0 -> remaining 30.0
30% bilateral: 30.0% of remaining 30.0 -> remaining 21.0
4.26 bilateral factor 3.0: 3.0% of remaining 21.0 -> remaining 20.4
10%: 10.0% of remaining 20.4 -> remaining 18.3

unrounded 81.7
ROUNDED PAY TIER  80%

SMC-S SCREEN  not flagged on these inputs

FEE COMPARISON (ILLUSTRATIVE)
369Cadence cut of this award: 0%
Flat software only. No VA Form 21-22. No VA.gov login.

Run your own numbers on the live tape

Scan Stage 1 sheet

369SCAN  ·  STAGE 1 TEASER  *** SAMPLE ***
File label: SAMPLE_BlueButton.pdf
Pages in this slice: 1–40 of 186
NOT A REAL VETERAN FILE. NOT FOR COURT AS EVIDENCE.
Software index only. Not VA. Not a VSO. Not a rating.

LEAD LINE
Service-connected percentage line located in this slice.
Problem-list labels located: 12
Active-med labels located: 8

DATES IN THIS SLICE
2018-03-02  consult note header
2019-11-14  imaging header
2021-06-17  mental-health encounter header
2024-08-19  secure-message header

POSSIBLE GAPS (not proof VA failed)
Companion record not located in this slice: nexus opinion
Companion record not located in this slice: DBQ for knee

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Software utility. Not legal advice. Not representation. Not VA Form 21-22. Attach original records if you take a sheet to a representative.