Veterans' Affairs New Zealand

Address:

PO Box 5146
Wellington 6145

Contact:

P: 0800 483 8372
F: 04 495 2080

E-mail:

veterans@xtra.co.nz

First Time Application for a War Disablement Pension

If this is your first application for a War Disablement Pension you will need to complete the

To make your application please complete the following six steps.

Step 1

  • Please complete numbers 1-38 of the application form. If a question is not applicable to you, please write N/A.
  • If you are unable to complete the application yourself, you can ask someone to help you such as a family member, a friend or a person from an ex-services organisation.

Step 2

  • Make an appointment with your Medical Practitioner. Tell the receptionist that you need a longer appointment than normal as you would like to have a medical assessment for a War Disablement Pension completed.
  • Tell the receptionist that you will drop off the form a couple of days prior to the appointment so that your Medical Practitioner has time to read the form before the appointment. Your Medical Practitioner will complete numbers 38-44 of the application form.

Step 3

  • Find any additional information, such as current doctors or specialist reports which supports your application and attach.

Step 4

  • Attend the appointment with your Medical Practitioner and ensure numbers 38-44 of the application form are completed. The Medical Practitioner should complete a separate diagnosis for each medical condition and return the form to you with any supporting documentation.

Step 5

  • Ensure all numbers have been answered and the checklist on page 11 of the Application Form has been completed. Read the Privacy Statement and sign the Declaration at number 53, Part 6.
  • The signature block at number 53 in the application form is a declaration so it is important that the information you provide is correct. If someone else is filling in the application form for you, please tell us who they are in the box provided at number 54, page 10 of the application form, and make sure you read the completed form and agree with the information before you sign it.

Step 6

  • Send your fully completed application and accompanying documentation (including medical evidence) to:

War Disablement Pension Application
Veterans' Affairs New Zealand
PO Box 9448
Waikato Mail Centre
HAMILTON 3240

Claimants Checklist

Use the following checklist to help you make sure that you have all the relevant documents attached to your application before you send it to us.

Have you:

  • Completed numbers 1 – 38 of this form in BLUE or BLACK pen.
  • Read the Privacy Statement and signed and dated the declaration at number 53.
  • Had your medical practitioner complete numbers 38 – 43 and signed the form at number 44.
  • Enclosed copies of two forms of certified identification (as explained in the information section).
  • Enclosed an original or certified copy of your bank statement showing your name and account number.
  • Attached all relevant reports for each claimed condition, including any specialist reports.
This page was last reviewed 30 August, 2010 and is current.
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