D9182 Claim for compensation of Funeral Expenses and ...
D9182 Claim for compensation of Funeral Expenses and ...
D9182 Claim for compensation of Funeral Expenses and ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
SECTION GOther <strong>Claim</strong>sFurther Lodgment55 Have you or do you intendlodging a claim <strong>for</strong> a pensionunder the provisions <strong>of</strong> theVeterans’ Entitlements Act1986 (VEA)?No Yes If you have already lodged a claim under the VEA or MRCA please providethe DVA file numberImportant: Posthumous claim <strong>for</strong> Permanent Impairment <strong>compensation</strong> may only be madeby your Legal Personal Representative.SECTION H<strong>Funeral</strong> <strong>Expenses</strong>Persons who have paid the cost <strong>of</strong> the funeral or who carried out the funeral (where that cost has not been paid) <strong>of</strong> a memberor <strong>for</strong>mer member <strong>of</strong> the Australian Defence Force (ADF) where the person died as a result <strong>of</strong> a pre 1 July 2004 defence-relatedinjury or disease should complete this section. Please be aware that where the answer to question 7 is no, liability will needto be established prior to any reimbursement <strong>of</strong> funeral expenses being made.Details <strong>of</strong> the funeral56 <strong>Funeral</strong> Director’s name57 Date <strong>of</strong> funeral/ /58 Location <strong>of</strong> funeral59 Have the funeralexpenses <strong>for</strong> thedeceased (referred toin Section A <strong>of</strong> thisclaim) been paid?No Yes Name <strong>of</strong> person/organisation who paid the expensesAmount <strong>of</strong> funeral expenses$Date paid/ /Method <strong>of</strong> paymentPlease attach a copy <strong>of</strong> relevant documentation e.g. tax invoice, receipt, etc.<strong>D9182</strong> 11/13 P11 <strong>of</strong> 12
Change language