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Forms

Forms for our clients, family and whānau, and our providers.

Download the latest versions of our forms here

We often make changes and updates to our forms. To make sure you have the correct version, always download forms from our website as you need them.

Most popular forms

Form to use: When you served: Number
Disablement Pension application form [PDF, 886 KB] Before 1 April 1974 or in Viet Nam VA01
Veteran Support application form [PDF, 444 KB] After 31 March 1974 VA56
Veteran's Independence Programme form [PDF, 513 KB] VA63

Forms for clients

Application form Number
Appeal against Review Decision [PDF, 376 KB]  
Appointment of a Representative [PDF, 751 KB] VA55
Approved Travel for Assessments, Treatment, Rehabilitation [PDF, 551 KB] VA23
Change of Circumstances [PDF, 536 KB] VA52
Childcare payment for Children of a Deceased Veteran (Scheme Two) [PDF, 484 KB] VA48
Children’s Bursary [PDF, 791 KB] VA08
Children’s Pension [PDF, 617 KB] VA06
Counselling for Children of Veterans [PDF, 358 KB]  
Dependant’s Pension [PDF, 709 KB] VA07
Disablement Pension [PDF, 886 KB] VA01
Disablement Pension and Lump Sum Payment Maximum rate for terminal condition [PDF, 503 KB] VA03
Employment and Earnings Declaration [PDF, 532 KB] VA51
Financial Advice [PDF, 504 KB] VA49
Funding for Commemorative Event or Project [PDF, 570 KB] VA24
Funding for Commemorative Travel [PDF, 809 KB] VA20
Funeral Expenses [PDF, 914 KB] VA14
Independence Allowance Lump Sum (Scheme Two) [PDF, 565 KB] VA34
Individual Care Plan for Audiologists [PDF, 289 KB]  
Memorial Contribution (Plaque or Headstone) [PDF, 482 KB] VA29B
Memorial Order Form (Plaque or Headstone) [PDF, 492 KB] VA29A
Personal Information and Consent Form [PDF, 910 KB] VACON
Private Hospital Surgery [PDF, 755 KB] VA26
Reconsider Decision [PDF, 713 KB] VA15
Registration of Deceased Spouses and Partners of Viet Nam Veterans’ [PDF, 639 KB]  
Registration of Deceased Viet Nam Veterans [PDF, 451 KB]  
Registration of the Deceased Children of Viet Nam Veterans’ [PDF, 435 KB]  
Registration of Viet Nam Veterans [PDF, 439 KB]  
Registration of Viet Nam Veterans’ Children and Grandchildren [PDF, 442 KB]  
Registration of Viet Nam Veterans’ Spouses and Partners [PDF, 428 KB]  
Retirement Lump Sum [PDF, 583 KB] VA13
Review of Decision [PDF, 621 KB] VA16
Skin Cancer — Claim for Private Specialist Treatment form [PDF, 657 KB] VA62
Statutory Declaration [PDF, 258 KB]  
Surviving Spouse or Partner Pension [PDF, 837 KB] VA05
Surviving Spouse or Partner Pension—New Relationship (Scheme One) [PDF, 549 KB] VA18
Survivor’s Grant and Weekly Compensation [PDF, 613 KB] VA47
Transfer to a Disablement Pension [PDF, 308 KB] VA1A
Travel Concession Payment [PDF, 504 KB] VA40
Travel Concession Dispensation from the Normal Evidential Requirements [PDF, 238 KB]  
Travel—Long Term Hospital Care [PDF, 527 KB] VA33
Travel Statutory Declaration [PDF, 282 KB]  
Treatment and Rehabilitation [PDF, 671 KB] VA30
Treatment Expenses (other) [PDF, 592 KB] VA22B
Treatment Expenses (vet) [PDF, 587 KB] VA22A
Veteran Support [PDF, 444 KB] VA56
Veteran's Independence Programme [PDF, 513 KB] VA63
Viet Nam Veterans Annual Medical Assessment (AMA) [PDF, 711 KB]  
Weekly Income Compensation [PDF, 2.4 MB] VA04

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