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  • Au D2049 2016

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Ction to be filled in by the claimant Please fill out one sheet per injury or disease for which you are now claiming liability. If this is a reassessment, do not complete this sheet. Please detail the injury or disease you are now claiming and describe as fully as you can the signs and symptoms that make you notice the disability (e.g. pain in lower back, shortness of breath, loss of range of movement in right arm). You are requested to ask your doctor to fill in the Medical Practitioner section.

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How to fill out the AU D2049 online

The AU D2049 is an important document for individuals seeking to claim liability for injuries or diseases related to service. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the AU D2049 with confidence.

  1. Click ‘Get Form’ button to obtain the AU D2049 form and open it in the editor.
  2. In the 'Injury or disease details sheet' section, fill in your surname and given name(s). If you have a DVA file number, include it as well. Remember, you need to complete one sheet per injury or disease.
  3. Indicate how you believe your service caused, contributed to, or aggravated your injury or disease.
  4. Record the date when you first noticed signs or symptoms of the injury or disease. Also, specify when you first received medical treatment.
  5. Answer whether the injury or disease has worsened or been aggravated since July 1, 2004, and confirm if a medical practitioner’s account is attached.
  6. If required, continue to the medical practitioner section on the next page, where a medical practitioner can provide necessary diagnosis and treatment details.
  7. Once you complete the form, review all entries for accuracy, save any changes, and download or print the completed AU D2049 for submission.

Start filling out your AU D2049 online today!

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AU D2049
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