Alcohol Questionnaire - Claimant

Form ID
D1358
Audience
General

The alcohol questionnaire is designed to assist clients claiming alcohol related conditions for the purpose of Liability under the Veterans' Entitlement Act 1986 and the Military Rehabilitation Compensation Act 2004.

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.

How can I access this form?
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Form (PDF or Word)