Lodge an online submission regarding a current Investigation/Review

This form can be completed by an eligible person or organisation wishing to lodge a submission to the Repatriation Medical Authority (the RMA) in relation to a current investigation in respect of a particular kind of injury, disease or death to determine whether Statements of Principles can be determined or a review of some or all of the contents of current Statements of Principles.

Fields marked with an asterisk (*) are required.

It is recommended that you read the RMA's Submission guidelines before making your submission.

Your details

Name of person making the submission *

Position of person making the submission (if applicable)

Name of organisation on behalf of whom the submission is made (if applicable)

I make this submission as: *

a person eligible to make a claim for pension under Part II or Part IV of the Veterans' Entitlements Act 1986 (the VEA);
a person eligible to make a claim for compensation under section 319 of the Military Rehabilitation and Compensation Act 2004 (the MRCA);
on behalf of an organisation representing veterans, Australian mariners, members of the forces, members of Peacekeeping Forces, members within the meaning of the MRCA, or their dependants;
the Repatriation Commission or the Military Rehabilitation and Compensation Commission.
a person having expertise in a field relevant to the investigation or review.

Your address for correspondence

Street *

Suburb *

State *

Postcode *

Telephone (home)

Telephone (work)

Email address *

The Investigation/Review

The condition under investigation or review

Submission

In the space provided below, please detail the submission you consider to make for the RMA's consideration. If you have prepared a submission in a digital form able to be uploaded (.doc or .pdf), you have the option of including it as an attachment below.

Attachments

Attach any documents relevant to your submission using the fields below (.doc or .pdf).

Attachment 1

Attachment 2

Attachment 3

Disclosure of information

Under section 196K of the VEA, certain decisions made by the Authority are reviewable by the Specialist Medical Review Council (SMRC). If a valid application for review by the SMRC is made, the VEA requires the Authority to disclose to the SMRC all information relevant to its determination or decision. This includes applications for investigation or review, and submissions received relevant to the matter being review by the SMRC.

I have read and understood the above disclosure of information statement.

I have read the RMA Submission Guidelines and understand what is 'sound medical-scientific evidence' (SMSE) which can be used by the RMA to make or amend a SOP.

Once you have completed your submission, the information will be available in a PDF format for you to save (or print out) for your records.

Repatriation Medical Authority