Activities of daily living assessment
How can I access this form?
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Form file format
Form ID
D9353
Audience
For providers
Occupational therapist (general)
The Department of Veterans’ Affairs (DVA) can reimburse the reasonable cost of household services to serving and ex-serving members of the Australian Defence Force who have an accepted incapacitating compensable condition.
If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.