Request for Ophthalmologist or Optometrist Report form (SA013)

Use this form if you are claiming Age Pension or Disability Support Pension on the basis of permanent blindness.

This form must be completed by the Ophthalmologist or Optometrist.

 

Page last updated: 14 September 2016

This information was printed Wednesday 28 September 2016 from humanservices.gov.au/customer/forms/sa013 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.