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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your surname and given name(s) in the designated fields. If you have a DVA file number, include it as well.
- In the injury or disease section, provide a detailed description of your condition, including signs and symptoms. Be specific about how your service may have contributed to this issue.
- Indicate when the injury occurred and whether a Defence injury report has been completed. Attach any necessary documents if applicable.
- Fill in details regarding your medical treatment, including the name of your treating practitioner and type of treatment received.
- Complete the medical practitioner section by having your doctor summarize the diagnosis and attach relevant reports.
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Notes. Or. Admin. Code 274-037-0460. DVA 4-2020, temporary adopt filed 04/28/2020, effective 04/28/2020 through 10/23/2020; DVA 10-2020, adopt filed 10/23
May 6, 2021 Commissioner Saadi and the DVA staff implemented COVID-19 mitigation measures early in the pandemic minimizing negative health impacts on DVARead more