Claim Forms

Claim Forms

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D2049 Injury or Disease Details Sheet
(15:39 25-Jun-2004)
This sheet should be used as an attachment to Claim for Liability and/or Reassessment of Compensation

D2050 Pre Payment Details Form
(15:39 25-Jun-2004)
The information you provide on this form will be used for the purpose of paying compensation to you under the Military Rehabilitation and Compensation Act 2004.

D2051 Claim for Liability and/or Reassessment of Compensation
(15:42 25-Jun-2004)
This form is used by serving and former members of the Australian Defence Force including Reserve Forces and cadets to claim for liability and/or reassessment of compensation payable under the Military Rehabilitation and Compensation Act 2004.

D2052 Special Rate Disability Pension Payment Choices
(15:39 25-Jun-2004)
This form must be completed if you wish to receive a Special Rate Disability Pension under the MRCA instead of incapacity payments.

D2053 Claim for Compensation for Dependants of Deceased Members and Former Members
(15:42 25-Jun-2004)
This form is used to claim compensation for dependants of deceased members and former members of the Australian Defence Force.