Court of Civil Appeals of Texas, 2015

Ceaser, Joseph Rickey

Court of Civil Appeals of Texas · Decided July 27, 2015

Opinion

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100 NoT leTE m THls sPA¢E) 1vA DATE sTAMP)

1. FOR WHAT BENEF_lT ARE You APPLY|NG? 4 §- coMPENSAT»loN § PENsloN § BOTH co_MPéNSATlON AND PENSloN

2 HAVE YOU PREV|OUSLY APPLIED FOR ANV VA BENEF|T(S) ? (( /mkapplicab/e hu.x) § PENSloN § coMPENSATloN § oTHER(Specify)

4D. lF YOU SERVE_D U[\JD§R ANOTHER NAME, G|VE NAME AND PER|OD DUR|NG WHlCH YOU.»SERVED A`ND SERV|CE NO.

5. MA|L|NG ADDRESS (N11111/1e1' and .\‘Ireel ar rural rr)u/¢.'. c/'Iy ur l’.()., Slale and le’ ('.'r)de)

6 TELEPHONE NUMBER(S) (lnc/udu Area(_. ade) 7-.‘E-MA\_LADDRESS_(l/`£lpp/ic‘ab/€) A. DAYT|ME B EVEN|NG C CELL

aA. DATE OF BlRTH 11140,111,, day year/ eB. PLACE oF BlRTH .' 9. sE>< 1 , - . 1 `. § MALE § FEMALE 10A' HAVE YOU EVER F|LED A CLA!M FOR COMPENSAT|ON FROM 1OB. WHEN WAS THE CLA|M F|LED? 1OC. EOR WHAT DlSAB|LlTY ARE YOU THE oFFlcE oF WORKERS' coMPENsAT10N PROGRAMS? W”~ d”y- .v'-/ ' _RECE'V'NG BENEF'TS? (l"r)rmer/y /lw l/..S`. Bureau Qf`l;'n_1[)l0yee.\' Compenmlion) _ . af § YES {:] NO' a (If "Yes. " cbn1}1/ete ltems ]0B & /()C)

A. LIST DlSABlLlTY(lES) ` B. DATE BEGAN C. PLACE OF TREATMENT * 12A ARE You NOW oR HAVE You REcE\vED -` 123 DATES oF TREATMENT/cARE 120. NAME.AND ADDRESS 0F vA MED|CAL FAC|L|TY TREATMENT OR DOM|C|LIARY CARE AT A VA . 1 ' (]fy()u need more .\'pace use llem 45, "l\’emark.\") MEDacAL FAclL\TY? M°""' Day' _ Ye~a' ‘ § YEs` § No (1f"Yes,"comp/e1e lzem; 1213 &12C)

13A'. HAVE YOU EVER BEEN A PR|SONE_ER OF WAR? - 135. NAME QF COUNTRY ' ' 13C, DATE_S OF CONF|NEMENT 1 w - "" ` FRoM . _ 10 [:] YES m NO (l/ Ye.\' comp/ere /Iem.\' I.JB ami l3() . 4 ` n _ 14 ~ 0 ARE YOU CLA\M|NG A D|SAB|L|TY RELATED TO AGENT ORANGE OR ' _` _ 15. ARE YOU CLA|MlNG A DlSABlLlT_Y RELATED TO ASBESTOS OTHER HERB|C|DE EXPOSURE'? (l_/ "Ye.\,"/1$di.\11/)iliL\1(ic.s) helrm) ' l EXPOSURE? (I_/ "Ye.\'. "11\1 disabllily(ies) be/ou) §YES§NO ` "§YES§NO ARE YOU CLA|M|NG A DiSAB|L|TY RELATED TO MUSTARD GAS EXFOSURE? 17. ARE YOU CLA|M|NG A D|SAB|L|TY RELATED TO |ON|Z|NG RAD|AT|ON (l_/ "Yc.\ "liv/ dl.\ab/I/`/y(iu$ hclm¢) EXPOSURE'? (l/"YL'A',"/i.vldi.vabiliL\/(ie.§) hel¢)w) §YES§NO ._ _ §YE_s'§ No __ ,__.,., w .

VA FORM SUPERSEDES VA FORM 21-526, JUN 2014.

Nov 2014 21'526 WH|CH W|LL NOT BE USED. PAGE 5

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28A. DATE AND PLACE OF MARRlAGE

MONTH, YEAR_ C|TY.v STATE ZBC. TERM|NATED 28D, DATE AND PLA_CE TERM|NATED

(Death, Divorce) MONTH, YEAR C|TY, STATE

FURN|SH THE FOLLOWlNG |NFORN|ATION ABOUT EACH PREVIOUS MARR|AGE OF YOUR PRESENT SPOUSE (IFNOTAPPLICABLE, WR]TE "N/A ’)

29A, DATE AND PLACE OF MARR!AGE

MONTH. YEAR ClTY. STATE ' 2954 To WHOM MARR\ED 290_ TERM|NATED ` 290. DATE AND PLACE TERM|NATED

(Dearh, Divorce) MONTH, YEAR C|TY, STATE

DEPENDENCY~ Dependenf Children lnformation (Ifyou need additional space, use Item 45 "Remarks")

FURN|SH\THE FOLLOW|NG lNFORMAT|ON FOR EACH OF YOUR DEPENDENT CH|LDREN

SOB. DATE & PLACE OF BlRTH (City, state or country) 3OA. NAME OF CH|LD {First, middle ini!ia/, ]asl)

(Month, day, year) Place: E ¢ El [] , ;l:] E []

(Month, day, year) Place;

(Mo`m‘h, day, year)

Place:

' 11 [] |:l

i:] ij

[]

FURNISH THE FOLLOVV|NG |NFORMATION FOR EACH OF YOUR DEPENDENT CH|LDREN VVHO DO NOT LlVE W|TH YOU

31A. NAME(s) oF ANY cHlLD(REN) NoT lN YouR cusToDY 3184 NAME AND ADDRESS OF _ PERSON HAVING CUSTODY 31C. MONTHLY AMOUNT YOU CONTR|BUTE TO CHILD'S SUPPORT

NOT:E You do not have to submit medical evidence or list disabilities if you~are age 65 or older unless you are housebound or require the regular assistance of another person.

32. WHAT DlSAB|L|TlES PREVENT YOU FROM WORKING? (List below)

NURS|NG HOME |NFOR|V|AT|_ON

NOTE: You may submit a statement by an official of the nursing home that tells us that you‘ are a patient in the nursing home because of a physical or mental disability The statement should include the monthly charge you are paying out-of-pocket fo_r your care.

34A. ARE YOU NOW |N A NURS|NG HOME? (lf "YES,"comp/e!e |:) YEs m NO new 3431hr1/34D)

34B. NAME AND CON\PLETE MA|L|NG ADDRESS CF THE FACiLlTY MED|CA|D'? [:] YES |:]No

34C. HAVE YOU APPL|ED FOR

ti’>" YOU MUST S|GN AND PRINT YOUR NAME AND DATE TH|S FORM |N-lTEMS_ 42A THRU 420 ON PAGE 10.

PAGE 7

State Counsel for Offenders Texas Depart_ment of Criminal Justice P O. Box 4005 - Huntsvi||e,TX 77342-4005 ' (936) 437-5203 May12,2_015 lJoseph Ceaser TDCJ ID#. 19_4.4()45 Estelle Unit (E2/032) Dear Mr. Ceaser: We recently received your letter asking for assistance with sex registration; The ]'" able of Contents in Chapter 8 in Volurne 1 of the State Counsel for Offenders Legal Handbook contains general information Since sex registration is a paiole (and 11 ec World legal issue), you must obtain the assistance ot an outside attorney that practices in this area of law You can find addresses 1n the Texas Legal Directory (Blue Books).

Both the Legal Handbook and the Blue Books are in the unit law library. The law librarian can assist you in finding the information referenced herein.

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NO l`E: Please complete the information for each period ofactive duty Attach DD2l4 or other separation papers for all periods ol`active duty lfyou do not have your DD2l4 form or other separation papers check the box |:\

DATE PLACE DATE ' PLACE

NOTE: Enter complete information for each period of Reserves and National Guard service Attach any separation papers you have.-

20A. ENTERED 1Nr0 sEvacE _ 205. sEercE zoc_ sEPARArED Fr=_zorvr sEvaeE S::';b:ET€Y'_?F' zoE. GRADE, RANK on ` , NuMBER ` _ (_"""“ RAT|NG, oRGAleATlON DATE PLACE ` DATE PLACE N“"“"“' ""”"/} _/’ "_ "_" .

21 rF DrsAeiLiTY occuRRED DuRiNG AcrivE oR 1NAcT1vE 22A ARE You Novv A MEMBER oF THE RESERVES 223 RESERVE STATUS ourv FoR rRAerNG GrvE BRANCH oF sERvicE AND DATE on NATroNAL GUARD? rF so erer _THE BRANCH l:| ACT,VE l:| RESERVE oF occuRRENcE 01= sERvicE _ ostreAnoN t [:| _YES |:] NO BRANCH [| inAcrl\/_E

22C. NAME, ADDRESS AND PHONE NO_. OF RESERVE OR NAT|QNAL GUARD UN|T (I_/`au'dilir)na/ space i.\' needed, u.vu llem`,45 "Remark.s"')

lMPORTANT » Unless you check the box in item 25 below, you are telling us that you are choosing to receive VA compensation instead of military retired pay, if it is determined you are entitled to both benei'rts. ll you are awarded military retired pay prior to eompensation, we will reduce yo'u`r retired pay by the amount of any compensation'that you are awarded VA will,notify the Military Retired Pay Center of all benefit changes lf you receive both military retired pay and VA compensation, some ot" the amount you receive may be recouped by VA` or, in the case of Voluntary Separation l`ricentive (VSI), by the Depanment of_Defense.

23A. ARE YOU RECE|V|NG MiLlTARY 23B. W|LL YOU RECEi\/E MILITARY RET|RED PAY lN THE 230- BRANCH OF 230. MONTHLY RET|RED PAY? (lf "Yes, "complele FUTURE? ([f ")'es, "éxp/ain, i.e, Fu_ture Reserve/National Guard - SERV|CE AMOQNT ltems 23C & 23D) Retiremenl, }’ending MEB/PEB) ' g YEs l:l No ij YEs_ [:l No $ RET|RED STATUS 25. NO, l DO NOT WANT VA COMPENSAT|ON lN LlEU OF M|L|TARY RET|RED PAY' l:l RETrRED m TEMPORARY DlsABlLiTY [:] DlsABLED (Check box.'ifapplicable) l:] RETIRED LlST RET|RED LlST

27A MAR|TAL STATUS (l_/ married c()/np/ele ]Ienl.\' 2 7/1‘ lhru 29/)) . 27a sPouSES'S BlRTHDATE (M11.. 11¢1,11._111.)

E] MARR|ED [:] WlDoWED l:| DlvO_RcED ' |:] NEVER MARRiED(//111»11)11111111111/, 1111/1111/1€11131)) " '-

27€1. NUMBER OF T|_MES 27D~ NUMBER OF T"V|ES YOUR 27E. IS,¥OUR SPOUSE ALSO A VETERAN? '27F. SPOUSE'S VA F|LE NUMBER (Ifany) YOU HAVE BEEN PRESENT SPOUSE H.AS ' - . ` - MARRlED (l`u include ..BEEN MARR!ED (7`0 l:' YES l: NO (lf"Yes, "comp/ete '. ' CW"¢"" ”'””"”XL’) include current marriage) l - ' '[lem 2 7}") . _ ~ " C- 27G. DO YOU LlVE TOGETHER? 27H. REASON FOR SEPARATION (l"r)r example`, __ - 27|y PRESENT ADDRE$S OF SpOUSE ' niarila/ proh/cm.\'.jr)b ruqr/il'uniul1l.r, hea/Ih, elc`,) ' ,)_. |:’ YES |:} NO (lf "No, "comp/ele llems_27H thru 27./) w

PAGE 6 l "'.

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Case-law data current through December 31, 2025. Source: CourtListener bulk data.