Claimant Report - Kneeling Or Squatting Osteoarthritis
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Claimant Report - Kneeling or Squatting
Osteoarthritis
This form is in connection with your claim for pension and medical treatment and the information you supply will assist in deciding eligibility for benefits
under the Veterans' Entitlements Act 1986 and/or Military Rehabilitation and Compensation Act 2004. In the event of an appeal against a decision, this
information may be provided to the Veterans' Review Board, Administrative Appeals Tribunal or Federal Court.
Veteran's Details
Surname
Given Names
DVA File Number
Report Detail
1.
Is there a history of kneeling or squatting for at least an hour a day, on more days than not,
on a regular basis? The kneeling or squatting can be for an hour or for shorter periods adding up
to at least an hour each day.
No
Yes - Please indicate overleaf the periods of time when this happened, how often, and give
a brief description of the activities involved.
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