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

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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.

Application form Number
Appeal against Review Decision [PDF, 397 KB]  
Appointment of a Representative [PDF, 276 KB]  VA55
Approved Travel for Assessments, Treatment, Rehabilitation [PDF, 276 KB]  VA23
Certificate of Appreciation and Lapel Badge [PDF, 565 KB]  
Change of Circumstances [PDF, 316 KB]  VA52
Childcare payment for Children of a Deceased Veteran (Scheme Two) [PDF, 364 KB]  VA48
Children’s Bursary [PDF, 494 KB]  VA08
Children’s Pension [PDF, 514 KB]  VA06
Dependant’s Pension [PDF, 527 KB]  VA07
Disablement Pension [PDF, 496 KB]  VA01
Disablement Pension and Lump Sum Payment Maximum rate for terminal condition [PDF, 541 KB]  VA03
Employment and Earnings Declaration [PDF, 309 KB]  VA51
Financial Advice [PDF, 290 KB]  VA49
Funding for Commemorative Event or Project [PDF, 510 KB]  VA24
Funding for Commemorative Travel [PDF, 518 KB]  VA20
Funeral Expenses [PDF, 730 KB]  VA14
Independence Allowance Lump Sum (Scheme Two) [PDF, 247 KB]  VA34
Individual Care Plan for Audiologists [PDF, 223 KB]  
Memorial Contribution (Plaque or Headstone) [PDF, 294 KB]  VA29B
Memorial Order Form (Plaque or Headstone) [PDF, 255 KB]  VA29A
Personal Information and Consent Form [PDF, 248 KB]  
Private Hospital Surgery [PDF, 272 KB]  VA26
Reconsider Decision [PDF, 377 KB]  VA15
Registration of Deceased Spouses and Partners of Viet Nam Veterans’ [PDF, 85 KB]  
Registration of Deceased Viet Nam Veterans [PDF, 94 KB]  
Registration of the Deceased Children of Viet Nam Veterans’ [PDF, 90 KB]  
Registration of Viet Nam Veterans [PDF, 92 KB]  
Registration of Viet Nam Veterans’ Children and Grandchildren [PDF, 89 KB]  
Registration of Viet Nam Veterans’ Spouses and Partners [PDF, 81 KB]  
Retirement Lump Sum [PDF, 447 KB]  VA13
Review of Decision [PDF, 351 KB]  VA16
Statutory Declaration [PDF, 209 KB]  
Surviving Spouse or Partner Pension [PDF, 719 KB]  VA05
Surviving Spouse or Partner Pension—New Relationship (Scheme One) [PDF, 309 KB]  VA18
Survivor’s Grant and Weekly Compensation [PDF, 345 KB]  VA47
Transfer to a Disablement Pension [PDF, 313 KB] VA1A
Travel Concession Payment [PDF, 255 KB]   VA40
Travel Concession Dispensation from the Normal Evidential Requirements [PDF, 131 KB]  
Travel—Long Term Hospital Care [PDF, 262 KB]  VA33
Travel Statutory Declaration [PDF, 218 KB]  
Treatment and Rehabilitation [PDF, 380 KB]  VA30
Treatment Expenses (other) [PDF, 472 KB]  VA22B
Treatment Expenses (vet) [PDF, 454 KB] VA22A
Veteran Support (Scheme Two) [PDF, 692 KB]  VA44
Viet Nam Veterans Annual Medical Assessment (AMA) [PDF, 511 KB]  
Weekly Compensation (Scheme Two) [PDF, 892 KB]  VA11
Weekly Income Compensation [PDF, 800 KB] VA04