Authority to Release Personal Information (Veterans' Home Care)

Form ID
D0406
Audience
General

This form is only to be completed by war widow/s widowers and veterans of the Austalian Defence Forces who may transfer from Home and Community Care (HACC) services to Veterans` Home Care.

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)