This form is used to collect details of a pensioner's bonds, debentures and money loaned. This is a supplementary form to be submitted with a claim for pension.
The information requested in this form is required to assess or review your eligibility for an income support pension or benefit under the Veterans’ Entitlements Act 1986. The information contained in this form may be disclosed to Centrelink and the Australian Taxation Office for the purposes of data matching.
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.