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.

 
We’re testing a new website design. Try it out and tell us what you think. Read more about changes to this site.
If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 7 March 2017

This information was printed Saturday 19 August 2017 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.