Claim for Disability Pension and/or Application for Increase in ...

The Veterans’ Entitlements Act 1986 provides that the Secretary may obtain information for the purposes of the legislation.In order to determine this claim, the Department may need to obtain information about the veteran from another agency, body orperson, that could include (but not be restricted to):• the Department of Defence, in order to obtain information about your service history;• doctors, hospitals and other health care professionals who have provided the veteran with treatment;• your current and/or previous employer, to obtain information about your employment history.If your claim is successful, information contained in this form may be provided to:• Centrelink and the Australian Taxation Office for the purposes of matching information, including clearance for pensionpayments;• the various State or Local Government authorities, or other organisations, to verify your eligibility for rebates or concessionsrelating to rates, electricity, transport, motor vehicles and ambulance; and• doctors and other health providers to provide treatment.Giving false or misleading information is a serious offence.If any of the details you give in this form change, you must tell the Department within 21 days.How to contact DVAIf you need more information, please contact DVA on:National Toll Free Number133 254AddressesBy Mail:Department of Veterans’ AffairsGPO Box 9998In your Capital City (or in Townsville, Qld)In personContact 1800 555 254 and 133 254 for the address of the nearest VAN office2