Diabetes Membership Reimbursement

This form should be completed by eligible Department of Veterans’ Affairs (DVA) clients when requesting a reimbursement of membership fees paid to diabetes organisations.

Eligible DVA clients are:

• all Gold Card holders, and
• White Card holders with diabetes as an accepted condition.

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.