Defined Benefit Income Stream Schedule for Veteran' Affairs Assessment Purposes

Form ID: 
D0563B
Audience: 
DVA Staff

This form is used to collect information about a pensioner's defined benefit income stream. It is sent to the defined benefit provider.

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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