| D0529B |
D0529B About claiming income support supplement |
myservice |
General |
| D0503-4B |
D0503-4B About claiming service pension |
myservice |
General |
| D9394 |
D9394 Access to information and documents held by DVA relating to a deceased person |
na |
General, DVA Staff |
| D1320 |
D1320 Acknowledge of Receipt of the MVCS Vehicle |
na |
General |
| D1319 |
D1319 Acknowledgement of Receipt of MVCS Vehicle Modifications |
na |
General |
| D9353 |
D9353 Activities of daily living assessment |
na |
For providers, Occupational therapist (general) |
| D9076 |
D9076 Acute Care Certificate |
na |
For providers, Hospitals & day procedure centres |
| D2582A |
D2582A Additional Information Sheet |
na |
General |
| D9418 |
D9418 ADLs/Functional Impact - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9500 |
D9500 Aggravation(s) - (DRCA/MRCA/VEA) |
na |
Compensation, For providers |
| D1358 |
D1358 Alcohol Questionnaire - Claimant |
na |
General |
| D1215 |
D1215 Alcohol Questionnaire - Dependant |
na |
General |
| D0695 |
D0695 Allied health time based voucher |
dva_webclaim |
For providers, Chiropractor, Diabetes educator, Dietitian, Exercise physiologist, Medical specialist, Neuropsychologist, Occupational therapist (general), Occupational therapist (mental health), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (general), Social worker (mental health), Speech pathologist |
| D9457 |
D9457 Aneurysms and Intra-vascular Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9474 |
D9474 Ankle Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9432 |
D9432 Ankle Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D1352 |
D1352 Annual review of circumstances |
na |
General |
| D9159 |
D9159 Application and Guidelines for a Military Memorial of National Significance |
na |
General |
| D7607 |
D7607 Application for a Certificate of Entitlement for a Defence Service Homes Subsidised Loan or for a Home Support Loan |
na |
General |
| D9167 |
D9167 Application for a Photograph of a Grave or Memorial |
na |
General |
| D9212 |
D9212 Application for Additional Tuition (MRCAETS) and VCES |
na |
General |
| D9363 |
D9363 Application for approval to use the word ‘Anzac’ |
na |
General |
| D2566 |
D2566 Application for Assistance Students aged 16 to 24 years |
myservice |
General |
| D2697 |
D2697 Application for Assistance Students under the age of 16 years |
myservice |
General |
| D2667 |
D2667 Application for Attendant Allowance |
na |
General |
| D0755 |
D0755 Application for Certificate of Appreciation |
na |
General |
| D7609 |
D7609 Application for Certificate of Assignment for a Defence Service Homes Subsidised Loan |
na |
General |
| D0418 |
D0418 Application for Clothing Allowance |
na |
General |
| D1004 |
D1004 Application for Community Nursing Exceptional Case Status |
na |
For providers, Community nursing, Registered Nurse |
| D0568 |
D0568 Application for Crisis Payment - Extreme Circumstances and Domestic or Family Violence |
na |
General |
| D0567 |
D0567 Application for Crisis Payment - Prison/Hospital release |
na |
General |
| D9146 |
D9146 Application for funding overseas privately-constructed memorial restoration program |
na |
General |
| D2668 |
D2668 Application for grant of Victoria Cross Allowance |
na |
General |
| D9215 |
D9215 Application for Health Care for Cancer (Malignant Neoplasm) or Tuberculosis |
na |
General |
| D9213 |
D9213 Application for Health Care for Mental Health Condition(s) |
myservice |
General |
| D9208 |
D9208 Application for Licence to Reproduce Department of Veterans' Affairs Card Images |
na |
For providers, Pharmacist |
| D3006 |
D3006 Application for Loss of Earnings Allowance |
na |
General |
| D0556 |
D0556 Application for Lump Sum Advance Payment |
myservice |
General |
| D2580 |
D2580 Application for Motorcycle GST Rebate |
na |
General |
| D0559 |
D0559 Application for payment of a Pension Bonus |
na |
General |
| D9127 |
D9127 Application for Payment of a Pension Bonus Bereavement Payment |
na |
General |
| D9338 |
D9338 Application for Provisional Access to Medical Treatment (PAMT) Reimbursement |
na |
General |
| D0302 |
D0302 Application for Recreation Transport Allowance |
na |
General |
| D0305 |
D0305 Application for Review - Information for Applicants |
na |
General |
| D0605 |
D0605 Application for special concession primary producer — private trusts |
na |
General |
| D9387 |
D9387 Application for the Australian Defence Force Firefighter Scheme |
na |
General |
| D3056 |
D3056 Application for the Commonwealth Seniors Health Card (CSHC) |
myservice |
General |
| D9021 |
D9021 Application for Tier Classification by an F-111 deseal/reseal program participant or F-111 fuel tank entry maintenance worker |
na |
General |
| D9022 |
D9022 Application for Tier Classification by the Estate of an F-111 deseal/reseal program participant or F-111 fuel tank entry maintenance worker |
na |
General |
| D0803 |
D0803 Application for Travelling Expenses in connection with a Review |
myservice |
General |
| D0712 |
D0712 Application for Vacancy |
na |
DVA Staff |
| D3001 |
D3001 Application for Vehicle Assistance |
na |
General |
| D9333 |
D9333 Application for Veteran Payment |
myservice |
General |
| D1301 |
D1301 Application for VRB summons |
na |
General |
| D0700 |
D0700 Application for Waiver of Veterans’ Home Care Copayments |
na |
General |
| D7606 |
D7606 Application for Widow / Widower Advance, Repairs Advance, Instalment Relief |
na |
General |
| D9173 |
D9173 Application to list or modify price of a product on the RSPB |
na |
For providers, Pharmacist |
| D9203 |
D9203 Application to register for the F-111 SHOAMP Health Care Scheme Group 1 |
na |
General |
| D9204 |
D9204 Application to register for the F-111 SHOAMP Health Care Scheme Group 2 |
na |
General |
| D3057 |
D3057 Apply for a Gold Card |
na |
General |
| D9056 |
D9056 Apply for a Gold Card - Australian British Nuclear Test Participants and Australian British Commonwealth Occupation Force Participants |
na |
General |
| D9354 |
D9354 Apply for a Gold Card - SEATO medical team |
na |
General |
| D9325 |
D9325 Appointing a third party to represent a DVA client |
myservice |
General |
| D1004A |
D1004A Attachment 1 Exceptional Case – Dementia / Short Term Memory Loss / Confusion |
na |
For providers, Community nursing, General |
| D1004B |
D1004B Attachment 2 Exceptional Case — Mental Health |
na |
For providers, Community nursing |
| D1004C |
D1004C Attachment 3 Exceptional Case — Palliative Care |
na |
For providers, Community nursing |
| D1004D |
D1004D Attachment 4 Exceptional Case — Wound Care |
na |
For providers, Community nursing |
| D1351 |
D1351 Attendant Care Services Claim Form |
na |
General |
| D9398 |
D9398 Audiology prior financial approval request |
na |
For providers, Audiologist, Audiometrist, Otolaryngologist |
| D1329 |
D1329 Authority to collect and disclose personal information |
na |
General |
| D9187 |
D9187 Bank account details for overseas residents - Canada |
na |
General |
| D9195 |
D9195 Bank account details for overseas residents - Croatia |
na |
General |
| D9189 |
D9189 Bank account details for overseas residents - Hong Kong |
na |
General |
| D9190 |
D9190 Bank account details for overseas residents - Israel |
na |
General |
| D9188 |
D9188 Bank account details for overseas residents - Italy |
na |
General |
| D9186 |
D9186 Bank account details for overseas residents - Local currency automated clearing house |
na |
General |
| D9196 |
D9196 Bank account details for overseas residents - Local currency wire payment |
na |
General |
| D9194 |
D9194 Bank account details for overseas residents - New Zealand |
na |
General |
| D9193 |
D9193 Bank account details for overseas residents - Singapore |
na |
General |
| D9191 |
D9191 Bank account details for overseas residents - Türkiye |
na |
General |
| D9192 |
D9192 Bank account details for overseas residents - USA |
na |
General |
| D9197 |
D9197 Bank account details for overseas residents - Wire payment via a USA bank |
na |
General |
| D2050 |
D2050 Bank Account Details Form |
na |
General |
| D9302 |
D9302 Basic Daily Fee to ex-POW and VC holders |
na |
General |
| D9429 |
D9429 Breast Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9453 |
D9453 Cardiac Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9492 |
D9492 Cardiorespiratory Effort Tolerance - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9452 |
D9452 Cardiorespiratory Effort Tolerance - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9480 |
D9480 Cervical Spine Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9441 |
D9441 Cervical Spine Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9294 |
D9294 Chiropractic/Osteopathy/Physiotherapy Prior Financial Approval Request |
na |
For providers, Chiropractor, Osteopath, Physiotherapist |
| D1317 |
D1317 Claim for $25,000 Ex-Gratia Payment by a Civilian interned by Japan during World War II |
na |
General |
| D9077 |
D9077 Claim for $25,000 Ex-Gratia Payment by a Surviving Spouse |
na |
General |
| D9078 |
D9078 Claim for $25,000 Ex-Gratia Payment by Prisoner of War in Europe |
na |
General |
| D0307 |
D0307 Claim for a funeral benefit |
na |
General |
| D2622 |
D2622 Claim for a Repatriation Pharmaceutical Benefits Card |
na |
General |
| D9401 |
D9401 Claim for assistance dog expenses |
na |
General, For providers |
| D9075 |
D9075 Claim for Australian Participants of the British Nuclear Tests Program Commemorative Medallion |
na |
General |
| D9145 |
D9145 Claim for Bereavement Payment for single veterans |
na |
General |
| D2053 |
D2053 Claim for Compensation for Dependants of Deceased Members and Former Members under MRCA |
na |
General |
| D9182 |
D9182 Claim for Compensation for Funeral Expenses and/or Entitlements Following Death for Dependants of Deceased Members and Former Members of the Australian Defence Force |
na |
General |
| D7526 |
D7526 Claim for Costs of Relevant Documentary Medical Evidence Incurred by Applicants to the Veterans’ Review Board (VRB) |
na |
General |
| D2582 |
D2582 Claim for Disability Compensation Payment and/or Application for Increase in Disability Compensation Payment |
myservice |
General |
| D0306 |
D0306 Claim for Fees: Part-Time Members |
na |
DVA Staff |
| D9319 |
D9319 Claim for Household Services |
na |
General |
| D1360 |
D1360 Claim for Incapacity for Service/Work |
myservice |
General |
| D0529 |
D0529 Claim for Income Support Supplement Part A - Eligibility |
myservice |
General |
| D2051 |
D2051 Claim for Liability and/or Reassessment of Compensation under MRCA |
myservice |
General |
| D2636 |
D2636 Claim for Pension by a War Widow who remarried prior to 1984 |
na |
General |
| D2663 |
D2663 Claim for Pension by a Widow, Widower or other Dependant of a Deceased Veteran |
na |
General |
| D2020 |
D2020 Claim for Rehabilitation and Compensation |
na |
General |
| D0504 |
D0504 Claim for service pension by a partner, a former partner or widow or widower part A – eligibility |
myservice |
General |
| D0648 |
D0648 Claim for Service Pension or Income Support Supplement Part B – Income and Assets |
myservice |
General |
| D0503 |
D0503 Claim for service pension part A - eligibility |
myservice |
General |
| D0664 |
D0664 Claim for transfer of payment of Centrelink Age Pension to DVA |
myservice |
General |
| D0800 |
D0800 Claim for Travelling Expenses |
myservice |
General |
| D1217CN |
D1217CN Claim for Treatment Services - Community Nursing |
na |
For providers, Community nursing |
| D1217 |
D1217 Claim for treatment services voucher |
dva_webclaim |
General, For providers, Chiropractor, Clinical psychologist, Dental prosthetist, Dental specialist, Dentist, Diabetes educator, Dietitian, Exercise physiologist, General Practitioner, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Occupational therapist (general), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (mental health), Speech pathologist |
| D1181 |
D1181 Claim out-of-pocket medical expenses |
na |
General |
| D2549 |
D2549 Claim Statement |
na |
General |
| D0507 |
D0507 Claim to Determine Qualifying Service by a Commonwealth or Allied Veteran |
myservice |
General |
| D0508 |
D0508 Claim to determine Qualifying Service by an Australian or Allied Mariner during the Second World War |
myservice |
General |
| D9389 |
D9389 Community Nursing Referral |
na |
For providers |
| D1083 |
D1083 Community Nursing Service Voucher |
na |
For providers, Community nursing |
| D0541 |
D0541 Compensation and Damages |
na |
General |
| D1353 |
D1353 Confirmation of attendant care services |
na |
General, Attendant care service provider |
| D6345 |
D6345 Coronary Care Patient Certificate |
na |
Registered Nurse, For providers, Hospitals & day procedure centres, Medical specialist |
| D9430 |
D9430 Cranial Nerves - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D0698 |
D0698 Crisis Relief Data Collection Sheet |
na |
DVA Staff |
| D9072 |
D9072 Curtilage Review Form |
na |
General |
| D0804 |
D0804 D0804 - Home Medical Oxygen Therapy and/or Respiratory Home Therapy Appliances form |
na |
For providers, General Practitioner, Hospitals & day procedure centres, Medical specialist, Physiotherapist, Registered Nurse |
| D0904 |
D0904 D0904 - DVA request/referral voucher |
na |
For providers, General Practitioner |
| D0988 |
D0988 D0988 – Continence direct order form |
na |
For providers, General Practitioner, Medical specialist, Occupational therapist (general), Occupational therapist (mental health), Physiotherapist, Registered Nurse |
| D0992 |
D0992 D0992 - Mobility Functional Support (MFS) products order form |
na |
For providers, General Practitioner, Hospitals & day procedure centres, Medical specialist, Occupational therapist (general), Physiotherapist, Rehabilitation service provider, Registered Nurse, Exercise physiologist, Podiatrist, Orthotist, Prosthetist |
| D1323 |
D1323 D1323 - Authority to Install/Modify - Home/Access Modifications |
na |
For providers, Occupational therapist (general) |
| D1325 |
D1325 D1325 - Electric Mobility Aids - Part 2 - Assessment |
na |
For providers, Occupational therapist (general) |
| D1327 |
D1327 D1327 – Complex Home/Access Modifications |
na |
For providers, Occupational therapist (general) |
| D1382 |
D1382 D1382 - Request for assistive communication device and/or speech pathology apps/software |
na |
For providers, Medical specialist, Speech pathologist |
| D9140 |
D9140 D9140 - Application for Positive Airways Pressure (PAP) Equipment |
na |
For providers, Hospitals & day procedure centres, Medical specialist |
| D9160 |
D9160 D9160 - Request for Trial of Equipment (Exercise Bike/Knee Scooter) - 3 Months Only |
na |
For providers, Chiropractor, Exercise physiologist, General Practitioner, Medical specialist, Osteopath, Physiotherapist |
| D9166 |
D9166 D9166 - Order form for Non-nutritional Thickened Fluid Products |
na |
General Practitioner, Speech pathologist |
| D9199 |
D9199 D9199 - Assessment form for the supply of a Personal Response System |
na |
For providers, General Practitioner, Medical specialist, Occupational therapist (general), Physiotherapist, Registered Nurse |
| D9257 |
D9257 D9257 - Order form for low vision products |
na |
For providers, Hospitals & day procedure centres, Medical specialist, Occupational therapist (general), Optometrist, Orthoptist and Optical dispenser, Registered Nurse |
| D9299 |
D9299 D9299 - Post Home Modification Report |
na |
For providers, Occupational therapist (general) |
| D9300 |
D9300 D9300 - Electric Mobility Aids - Part 1 - Medical Assessment |
na |
For providers, General Practitioner |
| D9356 |
D9356 D9356 - Request for an assistance dog |
na |
For providers, Clinical psychologist, Medical specialist, Neuropsychologist, Occupational therapist (general), Occupational therapist (mental health), Psychologist, Social worker (mental health) |
| D9376 |
D9376 D9376 - Request for assistive listening devices and/or tinnitus devices |
na |
For providers, Audiologist, General Practitioner, Hospitals & day procedure centres, Rehabilitation service provider, General |
| D9379 |
D9379 D9379 - Electric Mobility Aids - Part 3 - Trial |
na |
For providers, Occupational therapist (general) |
| D9381 |
D9381 D9381 - Authority to Install/Modify - Vehicle Modifications |
na |
For providers, Occupational therapist (general) |
| D9414 |
D9414 D9414 - Order Form Diabetes Products |
na |
General Practitioner, Diabetes educator, Diabetes Clinic, Endocrinologist, Registered Nurse, Specialist (includes all medical specialists in relevant field), For providers |
| D9517 |
D9517 D9517 - Driver Assessment and Training / Vehicle Modifications - Medical Information Form |
na |
For providers, Occupational therapist (general), General Practitioner, Local Medical Officer |
| D1397 |
D1397 Defective Administration Compensation Application Form |
na |
General |
| D0563B |
D0563B Defined Benefit Income Stream Schedule for Veteran' Affairs assessment purposes |
na |
DVA Staff |
| D0919 |
D0919 Dental report and voucher |
dva_webclaim |
For providers, Dental prosthetist, Dental specialist, Dentist |
| D0986 |
D0986 Dental Request for Prior Approval for Treatment or Referral to a Specialist |
na |
For providers, Dental prosthetist, Dental specialist, Dentist, Medical specialist |
| D2056 |
D2056 Details of Will, Probate and Letters of Administration |
na |
General |
| D9413 |
D9413 Diabetes Membership Reimbursement |
na |
General, Diabetes educator, Diabetes Clinic |
| D9287 |
D9287 Diagnosis Form |
na |
For providers |
| D0653A |
D0653A Discharge Advice and Hospital Claim |
na |
For providers, Hospitals & day procedure centres |
| D9416 |
D9416 Disfigurement and Social Impairment - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9449 |
D9449 Disorders of the Colorectum and Anus - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9132 |
D9132 Dose Administration Aid (DAA) service VSMR |
na |
For providers, Pharmacist |
| D9336 |
D9336 DSHI Direct Debit Request Form |
na |
General |
| D9417 |
D9417 Ear Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9471 |
D9471 Ear, Nose and Throat Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D0742 |
D0742 Education Schemes Application for Rent Assistance |
myservice |
General |
| D9482 |
D9482 Elbow Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9438 |
D9438 Elbow Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9521 |
D9521 Employer Incentive Scheme Claim for Reimbursement |
na |
For providers |
| D9450 |
D9450 Endocrine Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9491 |
D9491 Endocrine Disorder(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9400 |
D9400 Essential Medical Equipment Payment (EMEP) claim |
na |
General, For providers |
| D9384 |
D9384 Exceptional Case Interruption to Care |
na |
For providers, Registered Nurse |
| D9297 |
D9297 Exceptional Case Unit - Request for Reimbursement of Nursing Consumables over $1,000 |
na |
For providers |
| D1307 |
D1307 Exceptional Case Variation |
na |
Registered Nurse, For providers |
| D9470 |
D9470 Eye Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9458 |
D9458 Eye Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9499 |
D9499 Facial Disfigurement - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9488 |
D9488 Female Reproductive System - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9428 |
D9428 Female Reproductive System - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9489 |
D9489 Female Sexual Function - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9427 |
D9427 Female Sexual Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9466 |
D9466 Fistulae and Hernia Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9478 |
D9478 Foot and Toe Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9431 |
D9431 Foot and Toe Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9464 |
D9464 Gastrointestinal Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9446 |
D9446 Gastrointestinal Condition(s) Weight and Nutrition - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9451 |
D9451 Haematological Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9436 |
D9436 Hand & Fingers Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9484 |
D9484 Hand and Finger Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D1221 |
D1221 Health practitioner service voucher |
dva_webclaim |
General, For providers |
| D9231 |
D9231 Hearing Certificate - VRB |
na |
General |
| D9473 |
D9473 Hearing Loss and Tinnitus - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9419 |
D9419 Hearing Loss and Tinnitus - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9390 |
D9390 HEAS Advance Request form |
na |
General |
| D9445 |
D9445 Hernia and Stoma - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9476 |
D9476 Hip Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9434 |
D9434 Hip Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9501 |
D9501 Historic Condition(s) - (DRCA/MRCA/VEA) |
na |
Compensation, For providers |
| D2662 |
D2662 Home Equity Access Scheme loan (HEAS) |
na |
General |
| D0652B |
D0652B Hospital Admission Voucher |
na |
For providers, Hospitals & day procedure centres |
| D9455 |
D9455 Hypertension - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D0563 |
D0563 Income Stream Schedule for Veterans’ Affairs assessment purposes |
na |
General |
| D0527 |
D0527 Income Support Pension - Investment Form C |
na |
General |
| D0515 |
D0515 Income Support Pension - Rent Assistance |
na |
General |
| D0531 |
D0531 Income Support Pension - Retirement Benefits |
na |
General |
| D0525 |
D0525 Income Support Pension Business Details |
na |
General |
| D0517 |
D0517 Income Support Pension Claim - Care Accommodation |
na |
General |
| D0518 |
D0518 Income Support Pension Claim - Employment Report - Continuing Work |
na |
General |
| D0526 |
D0526 Income Support Pension Claim - Farm/Hobby Farm |
na |
General |
| D0522 |
D0522 Income Support Pension Claim - Investment Form A |
na |
General |
| D0524 |
D0524 Income Support Pension Claim - Real Estate |
na |
General |
| D0516 |
D0516 Income Support Pension Claim - Retirement Village |
na |
General |
| D8601 |
D8601 Information Access Application Form |
na |
General |
| D2049 |
D2049 Injury or disease details sheet |
na |
General |
| D6346 |
D6346 Intensive Care Patient Certificate |
na |
Registered Nurse, For providers, Hospitals & day procedure centres, Medical specialist |
| D0501 |
D0501 Intention to Claim Income Support Pension |
na |
General |
| D9461 |
D9461 Intermittent Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9420 |
D9420 Intermittent Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D0571 |
D0571 Invalidity Income Support Supplement Claim - Medical Work Details |
na |
General |
| D9283 |
D9283 Job Seeking Questionnaire |
na |
For providers, Rehabilitation service provider |
| D9475 |
D9475 Knee Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9433 |
D9433 Knee Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D2669 |
D2669 Lifestyle questionnaire |
na |
General |
| D2670 |
D2670 Lifestyle rating |
na |
General |
| D9465 |
D9465 Liver and Biliary Tract Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9448 |
D9448 Liver, Pancreas and Gall Bladder Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9498 |
D9498 Loss of Efficient Use (LOEU) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9497 |
D9497 Lower Urinary Tract - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9477 |
D9477 Lower Limb Function (no joint) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9456 |
D9456 Lower Limb Oedema and Vascular Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9435 |
D9435 Lower Limb(s) Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D0557 |
D0557 Lump Sum Advance Payment |
myservice |
General |
| D0555 |
D0555 Lump Sum Advance Payment - Hardship Claim |
na |
General |
| D9486 |
D9486 Male Reproductive System - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9426 |
D9426 Male Reproductive System - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9487 |
D9487 Male Sexual Function - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9425 |
D9425 Male Sexual Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9462 |
D9462 Malignant Disorder(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9443 |
D9443 Malignant Disorder(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9490 |
D9490 Mastication and Deglutition - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| d9522 |
d9522 Medical Certificate - Capacity for Work and/or Rehabilitation |
na |
For providers, Medical specialist |
| D8730 |
D8730 Medical Details of Veteran |
na |
General |
| D0688 |
D0688 Medical grade footwear (MGF) prescription form |
na |
For providers, Orthotist, Podiatrist/Footwear prescriber |
| D9403 |
D9403 Medicinal Cannabis Tier 2 Application |
na |
For providers, General Practitioner, Medical specialist, Specialist (includes all medical specialists in relevant field) |
| D9073 |
D9073 MediList and Health Record |
na |
General |
| D0646 |
D0646 Men's Health Peer Education (MHPE) Volunteer Agreement |
na |
General |
| D9423 |
D9423 Mental Health Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| d9133 |
d9133 Men’s Health Peer Education Volunteer Application Form |
na |
General |
| D1302 |
D1302 Men’s Quick Health Check and Health Information Guide |
na |
General |
| D1355 |
D1355 MHPE Volunteer Reference Form |
na |
General |
| D1356 |
D1356 MHPE Volunteer Resignation Form |
na |
General |
| D9292 |
D9292 MRI/PET Scan Prior Financial Approval Request form |
na |
For providers, Hospitals & day procedure centres, Medical specialist |
| D1318 |
D1318 MVCS Referral to an Occupational Therapist |
na |
DVA Staff |
| D9424 |
D9424 Neurological Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9468 |
D9468 Neurological – Cognition and Communication - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9467 |
D9467 Neurological – Cranial Nerves - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9232 |
D9232 Notice of Withdrawal - VRB |
na |
General |
| D0578 |
D0578 Notification of Overseas Travel |
myservice |
General |
| D1372 |
D1372 Optical dispensing registration form |
na |
For providers, Medical specialist, Optometrist, Orthoptist and Optical dispenser |
| D1399 |
D1399 Optical treatment prior financial approval request |
na |
For providers, Optometrist, Orthoptist and Optical dispenser |
| D1223 |
D1223 Optometric, optometry and optical service voucher |
dva_webclaim |
General, For providers, Optometrist, Orthoptist and Optical dispenser, Optometrist |
| D9352 |
D9352 Orthotist prior financial approval request form |
na |
For providers, Orthotist |
| - |
- Outreach Program Counsellor (OPC) statutory registration form |
na |
For providers, Clinical psychologist, Psychologist, Social worker (mental health) |
| D9121 |
D9121 Overseas Privately-Constructed Memorial Program - grants exceeding $10000 |
na |
General |
| D9122 |
D9122 Overseas Privately-Constructed Memorial Restoration Program letter of acceptance |
na |
General |
| D9120 |
D9120 Overseas Privately-Constructed Memorial Restoration Program Statement of Compliance |
na |
General |
| D0633 |
D0633 Part B - Real Estate Details |
na |
General |
| D9378 |
D9378 Partner Declaration and Consent |
na |
General |
| D1218 |
D1218 Pathology service voucher |
dva_webclaim |
General, For providers |
| D0640 |
D0640 Pension Bonus Scheme - 52 Week Work Record |
na |
General |
| D9362 |
D9362 Pension Life Certificate |
na |
General |
| D9050 |
D9050 Pension Payment - Amended Account Details |
na |
General |
| D9216 |
D9216 Pension payment details for widow or widower of a deceased veteran |
na |
General |
| D9493 |
D9493 Peripheral Vascular Disease - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9421 |
D9421 Permanence, Stability and Treatment - (DRCA/MRCA) |
na |
Compensation, For providers |
| D2590 |
D2590 Personal Identity Discrepancy Details (Request to update ATO records) |
na |
General |
| D8729 |
D8729 Personal Information Sheet |
na |
General |
| D9314 |
D9314 Prior Approval Request for Treatment of Alcohol and Other Drug Use (AOD) |
na |
For providers, Clinical psychologist, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Psychologist, Social worker (mental health) |
| D9334 |
D9334 Prior Approval Request Form for DVA clients receiving treatment outside Australia |
na |
General |
| D9396 |
D9396 Prior Financial Approval Request for Non Contracted Mental Health Programs |
na |
General |
| d9533 |
d9533 Prior Financial Authorisation for Ketamine, EsKetamine and TMS for Treatment Resistant Depression |
na |
For providers, Psychiatrist |
| D9406 |
D9406 Privacy Consent Notice Young Person (Parent or Guardian) |
na |
|
| D0600 |
D0600 Private Company |
na |
General |
| D0601 |
D0601 Private Trust |
na |
General |
| D0663 |
D0663 Proving your identity to DVA |
na |
General |
| D9463 |
D9463 Psychiatric Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D0506 |
D0506 Qualifying service claim |
myservice |
General |
| D0502 |
D0502 Qualifying Service Details Partner/Widow(er) of Non-Pensioner Veteran or Mariner (Australian, Commonwealth or Allied) |
na |
General |
| D0506a |
D0506a Qualifying Service Details Service during World War II |
na |
General |
| D0507b |
D0507b Qualifying Service details Service with Forces in Yugoslavia during the Second World War |
na |
General |
| D0507a |
D0507a Qualifying Service Details Service with the Armed Forces of the Republic of Vietnam |
na |
General |
| D9218 |
D9218 Reimbursement Claim Form F-111 SHOAMP Health Care Scheme |
na |
General |
| D9459 |
D9459 Renal Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D0553 |
D0553 Rent Deductions to State Housing Authorities |
na |
General |
| D9265 |
D9265 Report a Fraud |
na |
General |
| d9535 |
d9535 Request for a cause of death to be assessed as war related form |
na |
General |
| D1378 |
D1378 Request for approval to use the DVA Logo |
na |
General |
| D9054 |
D9054 Request for Information - ATO |
na |
General |
| D9165 |
D9165 Request for nutritional supplementation |
na |
Dietitian, General Practitioner, Hospitals & day procedure centres |
| D9081 |
D9081 Request for permission to use the Service Badge |
na |
General |
| D9323 |
D9323 Request for Prior Approval for Dental Implants |
na |
For providers, Dental prosthetist, Dental specialist, Dentist, Hospitals & day procedure centres, Medical specialist |
| D9371 |
D9371 Request for Provision of Attendant Care Services by a Partner, Relative or Friend |
na |
General |
| D9351 |
D9351 Request for Transfer of Rehabilitation Authority under section 39(3)(aa) of the MRCA for a current serving member of the ADF |
na |
General |
| D0511 |
D0511 Residence in Australia |
na |
General |
| D9469 |
D9469 Respiratory Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9454 |
D9454 Respiratory Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9284 |
D9284 Retraining Questionnaire |
na |
For providers, Rehabilitation service provider |
| D0647 |
D0647 Self-nomination Form for Men's Health Peer Education Program Volunteer Representative |
na |
General |
| D0513 |
D0513 Separation from Partner |
na |
General |
| D7604 |
D7604 Service Eligibility Check |
na |
General |
| D0569 |
D0569 Service Pension Claim - Invalidity Details |
na |
General |
| D0570 |
D0570 Service Pension Claim - Work Test Questionnaire |
na |
For providers |
| D9481 |
D9481 Shoulder Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9439 |
D9439 Shoulder Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9495 |
D9495 Skin Disorder(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9444 |
D9444 Skin Disorder(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9460 |
D9460 Sleep Disorder(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D1359 |
D1359 Smoking Questionnaire - Claimant |
na |
General |
| D1219 |
D1219 Smoking Questionnaire - Dependant |
na |
General |
| D9059 |
D9059 Special Disability Trust |
na |
General |
| D1390 |
D1390 Specialist Medical Review Council Submission Form |
na |
General |
| D0931 |
D0931 Spectacles prescription |
na |
For providers, Optometrist, Orthoptist and Optical dispenser |
| D2589 |
D2589 Statement of Circumstances |
na |
General |
| D2708 |
D2708 Statement of Financial Circumstances |
na |
General |
| D9157 |
D9157 Statement of Relationship - Couple living separately due to illness |
na |
General |
| D2037 |
D2037 Tax File Number Registration |
na |
General |
| D9479 |
D9479 Thoraco-lumbar Spine Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9442 |
D9442 Thoracolumbar Spine Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| TFI01 |
TFI01 Tinnitus Functional Index Questionnaire and Scoring Instructions |
na |
For providers, Audiologist |
| D7605 |
D7605 Transfer of Ownership Application |
na |
General |
| D1328 |
D1328 Treatment prior financial approval request |
na |
For providers, Chiropractor, Clinical psychologist, Dental prosthetist, Dental specialist, Dentist, Diabetes educator, Dietitian, Exercise physiologist, General Practitioner, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Occupational therapist (general), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (mental health), Speech pathologist |
| D1216 |
D1216 Treatment service voucher |
dva_webclaim |
General, For providers, General Practitioner |
| D1216G |
D1216G Treatment service voucher (for use by general practitioners only) |
dva_webclaim |
General, For providers, General Practitioner |
| D1216S |
D1216S Treatment service voucher (for use by specialists and consultant physicians only) |
dva_webclaim |
General, For providers, Physiotherapist, Continence Adviser (Registered nurse or Physiotherapist Continence Adviser), Exercise physiologist |
| D9295 |
D9295 Update of Property Information |
na |
General |
| D9447 |
D9447 Upper Gastrointestinal Tract Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9485 |
D9485 Upper Limb Function (no joint) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9440 |
D9440 Upper Limb(s) Function - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9422 |
D9422 Upper Respiratory Tract - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
| D9496 |
D9496 Upper Urinary Tract - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D0005 |
D0005 Variation of a Published Nominal Roll |
na |
General |
| D2639 |
D2639 VCES Eligibility - Professional Assessment |
na |
General |
| D9494 |
D9494 Venous Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9472 |
D9472 Vertigo - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9388 |
D9388 Veteran Health Check Assessment Tool |
na |
For providers |
| D3053 |
D3053 Veterans Supplement Payment Form |
na |
General |
| D7524 |
D7524 Veterans' Review Board Application for Review |
na |
General |
| D1000 |
D1000 Veterans’ Vocational Rehabilitation Scheme Application Form |
na |
General |
| D1338 |
D1338 Vietnam Veterans' Sons and Daughters Support Program (VVSDSP) - prior approval form |
na |
General, For providers, Chiropractor, Clinical psychologist, Dental prosthetist, Dental specialist, Dentist, Dietitian, Exercise physiologist, General Practitioner, Hospitals & day procedure centres, Medical specialist, Neuropsychologist, Occupational therapist (general), Occupational therapist (mental health), Optometrist, Orthoptist and Optical dispenser, Orthotist, Osteopath, Physiotherapist, Podiatrist/Footwear prescriber, Psychologist, Social worker (general), Social worker (mental health), Speech pathologist |
| D9303 |
D9303 Vocational Education and Training Application |
na |
General |
| D9269 |
D9269 VVRS – Rehabilitation Rights and Obligations |
na |
General |
| D9007 |
D9007 VVSDSP - Application for Registration |
na |
General |
| D9008 |
D9008 VVSDSP - Claim and Reimbursement Form |
na |
General |
| D9053 |
D9053 VVSDSP - Travel and Accommodation Claim Form |
myservice |
General |
| D9335 |
D9335 Wellbeing and Support Program Client Consent |
na |
General |
| D9079 |
D9079 Witness Questionnaire - Services with Forces in South Vietnam |
na |
General |
| D9483 |
D9483 Wrist Condition(s) - (DRCA) |
na |
Compensation (DRCA), Compensation, For providers |
| D9437 |
D9437 Wrist Condition(s) - (MRCA/VEA) |
na |
Compensation (MRCA/VEA), Compensation, For providers |
