This form is for aged care providers to enable payment of the basic daily fee (the client contribution) by the Department of Veterans’ Affairs on behalf of former Prisoners of War (POWs) and Victoria Cross (VC) recipients in relation to the below aged care programs:
Residential Aged Care;
Home Care Packages;
Short–Term Restorative Care (STRC); and
Nursing–home–type care (in a hospital setting).
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.