Information about D800 form (Claim for travelling expenses)

Note: This form is available electronically or may be obtained from any DVA State office, or Veterans’ Affairs Network (VAN) office. Please note that there have been significant changes to this form and Health Providers are only required to complete this form if travel is over 100 km return.

Sample image of d800 form page 1. 
The image above is the front page of the D800 form.
The veteran is required to complete this page. 

Sample image of d800 form page 2. 

Sample image of d800 form page 3. 

The images above shows the middle pages of the D800 form.  As an LMO you are required to complete page 3 (or green) section of this form for travel over 100 km return.

 

 Sample image of d800 form page 4.
The image above is the back page of the D800 form.  This page is used to provide additional information that may assist with the veteran's claim.