Get Au D2049 2013

The AU D2049 form is essential for individuals seeking to claim liability for an injury or disease. This guide provides clear, step-by-step instructions to help users accurately complete the form online.

Follow the steps to successfully fill out the AU D2049 form.

1. Press the ‘Get Form’ button to access the AU D2049 form and open it in your editing tool.
2. In the section labeled 'This section to be filled in by the claimant,' provide your surname, given name(s), and DVA file number (if known). Ensure to fill out one details sheet per injury or disease for which you are claiming liability.
3. Detail the injury or disease you are claiming. Describe in full the signs and symptoms that you experience, such as pain or difficulty in movement.
4. Indicate how you believe your service contributed to or aggravated this injury or disease. If the space is insufficient, attach a separate sheet with additional information.
5. Fill in the date when the injury occurred and whether a Defence injury report has been completed. Choose one from 'Yes', 'No', or 'Do not know'. If applicable, attach the Defence injury report.
6. Report when you first noticed signs or symptoms of the injury or disease, and the date when you first received medical treatment. Include the name of your treating medical practitioner, hospital, or specialist, along with the type of treatment provided.
7. Indicate whether the injury or disease has worsened or been aggravated since July 1, 2004.
8. Confirm if a medical practitioner’s account is attached in relation to the completion of the injury or disease details sheet.
9. If applicable, complete the medical practitioner section with the diagnosis and basis for diagnosis. Ensure your medical practitioner provides their stamp and signature.
10. Review all filled sections for accuracy. Save your changes, then choose to download, print, or share the completed form as necessary.

Ensure your claims are processed efficiently by completing the AU D2049 form online today.