Permanent Impairment Handbook
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Source URL: https://clik.dva.gov.au/military-compensation-srca-manuals-and-resources-library/permanent-impairment-handbook
Ch 1 Overview
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1.1 Compensation for Permanent Impairment under the DRCA
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1.2 Lump Sum Compensation for Losses under the 1930 and 1971 Acts
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Ch 2 Legislation
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2.1 SRCA - S24, 25, 26, 27, 124
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2.2 S24 Compensation for Injuries Resulting in Permanent Impairment
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2.3 S25 Interim Payment of Compensation
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2.4 S26 Payment of Compensation
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2.5 S27 Compensation for Non-Economic Loss
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2.6 S124 Application of Act to Pre-existing Injuries
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Ch 3 Concepts
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3.1 Injury
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3.2 Impairment
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3.3 'Permanent' Impairment and Importance of Date Permanent
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3.3.1 Introduction
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3.3.2 Importance of Date Permanent
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3.3.2.1 When should an old Act injury be assessed under the 1988 Act?
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3.3.3 Section 24(2)
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3.3.4 'Have regard to'
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3.3.5 'Duration of the impairment' - para (a)
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3.3.6 'The likelihood of improvement' - para (b)
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3.3.7 'All reasonable rehabilitative treatment' - para (c)
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3.3.8 'Any other relevant matters' - para (d)
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3.4 Whole Person Impairment
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3.4.1 Definition
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3.4.2 Effect of Canute, Fellowes & Robson
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3.5 Non-Economic Loss
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3.5.1 Definition
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3.5.2 Each injury must be assessed separately
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3.5.3 Assessment of NEL
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3.6 Severe Injury Adjustment (SIA)
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3.6.1 Defence Determination 2016/19
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3.6.2 Severe Injury Adjustment
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3.6.3 Financial Advice
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3.6.4 Avoidance of Double Benefits
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3.6.5 Payment Procedures
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3.6.6 Advice to Recipients
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3.7 'Eligible' 1988 Impairments
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Ch 4 Assessment
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29 May 2017
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4.1 Permanent Impairment Claims in R&C ISH
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4.2 Conduct of Assessment
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4.2.1 Date of Injury
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4.2.2 Determining the Correct Date of Injury
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4.2.3 Date of injury - loss of hearing cases
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4.2.4 Date of Assessment
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4.2.5 Finding the WPI Amount
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4.2.5.1 Bilateral conditions
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4.2.6 Investigation of WPI Amounts
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4.2.7 Use of WPI in Permanent Impairment calculations
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4.3 Interim Payment of Compensation for Permanent Impairment
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4.3.1 Interim Payment
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4.3.2 Criteria for making an interim assessment
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4.3.3 NEL is not payable with an interim assessment
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4.4 Reassessment
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4.4.1 What is a reassessment?
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4.4.2 When does a reassessment occur?
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4.4.3 Effect of a reassessment
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4.5 Condition is Stable
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4.5.1 Relevance of the 'Date Stable' of an Impairment
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4.5.2 When is an Impairment Stable?
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4.5.3 Requirement to Undertake Reasonable Medical Treatment
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4.6 Can permanent impairment compensation be claimed and paid following a veteran's death?
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4.6.1 Survival of claims
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4.6.2 Provisions applicable on death of beneficiary
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Ch 5 Calculation using the Approved Guide
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5.1 The Approved Guide and Principles of Assessment
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5.1.1 'Approved Guide' - S4(1)
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5.1.2 Explanatory statement - Approved Guide
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5.2 Calculating Impairment and Section 24 Entitlement
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5.2.1 Compensation for Permanent Impairment
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5.2.2 Excepted Impairments - S24(8)
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5.2.3 Guide to the Assessment of the Degree of Permanent Impairment
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5.2.4 Choice of tables in Division 1 of the DRCA PI Guide
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5.2.5 If None of the Tables in the Guide Apply - AMA Guides
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5.3 Tables 1-13 of the Approved Guide
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5.3.3 Respiratory Conditions - Table 2.1
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5.3.4 Skin Disorders - Chapter 4
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5.3.5 Psychiatric Conditions - Table 5
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5.3.7 Ear, Nose and Throat Disorders - Table 7
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5.3.8 Digestive System Disorder - Table 8
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5.3.8.2 Table 8.1 and Dietary Modification
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5.3.8.1 IBS Case Examples
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5.3.9 Musculo-Skeletal Disorders - Table 9
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5.3.11 Male reproductive system – Table 11.1
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5.3.12 Neurological Disorders - Table 12
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5.3.13 Miscellaneous - Table 13
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5.4 Combined Values Chart
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5.4.1 Combined Whole Person Impairment (CWPI)
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5.4.2 Using the Combined Values Chart to calculate CWPI
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5.5 AMA Guides
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5.5.1 American Medical Association's (AMA) Guides to the Evaluation of Permanent Impairment
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5.5.2 Application of the AMA Guides
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5.6.3 Hearing Loss - Terminology
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5.7 Calculation of Entitlement for Non-Economic Loss
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5.7.1 Compensation for Non-Economic Loss
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5.7.2 Investigation of NEL
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5.7.3 Previous NEL scores for a different injury
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5.7.4 Reassessment of NEL scores given for an injury
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5.7.5 Current NEL Scores for Reassessments with Multiple Impairments
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5.7.6 Examples of NEL assessments
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5.7.7 Scoring NEL in pre-1/12/1988 cases affected by new s27(3)
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5.8 NEL 'Part B' Amount Tables B1 - B5 and Questionnaire
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5.8.1 NEL Table B1 - Pain and Suffering
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5.8.2 NEL Table B2 - Loss of Amenities
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5.8.3 NEL Table B3 - Other Loss
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5.8.4 NEL Table B4 - Loss of Expectation of Life
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5.8.5 NEL Table B5 - Combined Value Calculation
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5.8.6 NEL Questionnaire
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Ch 6 Payment
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6.1 Determination, Payment & Interest Payable
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Permanent Impairment payments and overseas bank accounts
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6.2 Section 45 Elections
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6.3 Common Law Recoveries
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6.4 Corrections
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6.5 Interim Payment of Compensation
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6.6 Overpayments
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6.6.1 Authority for recovery of overpayments
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6.6.2 Deduction for overpayments
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6.7 Clearances
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6.7.1 VEA Clearance
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6.7.2 Defence Act payments are not subject to clearance
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6.7.3 PI Payments are not subject to clearance with Centrelink
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6.7.4 Legislative provisions for SRCA/VEA offset arrangements
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6.7.5 SRCA and MRCA conditions
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6.8 Payment Procedures
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Ch 7 Assessments under the 1971 and 1930 Acts
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7.1 SRCA or Repealed Acts?
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7.2 Entitlement to NEL Payments under the 1971 and 1930 Acts
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7.2.1 Payments for NEL - Schlenert
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7.2.2 Pre-Schlenert assessments may require a correction for NEL entitlement
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7.3 No Entitlement to NEL where Application made after 7 December 2000
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7.3.1 New S27(3)
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7.3.2 What constitutes an 'Application' for S27(3)
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7.3.3 Policy: an application is 'made' upon receipt by DVA or other relevant authority
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7.4 Assessment of spinal injuries and associated limb impairment
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7.5 Reassessments under the Repealed Acts
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Ch 8 Permanent Impairment under the 1971 Act
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8.1 Table of Losses - S39
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8.1.1 S39, 1971 Act
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8.1.2 Historical rate increases - S39(1), 1971 Act
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8.1.3 Compensation is payable only in respect of the major loss
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8.2 Eye and Sight Impairments - 1971 Act
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8.2.1 Overview - loss of sight
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8.2.2 Provisions of the 1971 Act
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8.2.3 Percentage reduction in sight
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8.2.4 Percentage reduction in sight of second eye - 1971 Act
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8.2.5 Assessment is made on uncorrected vision
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8.3 Hearing Loss - 1971 Act
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8.4 Speech Impairments -1971 Act
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8.4.1 Total loss of power of speech
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8.4.2 Dates of rate increases - loss of speech
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8.4.3 Impairment of speech
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8.5 Arm, Hand and Finger Impairments - 1971 Act
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8.5.1 Arm and hand impairments
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8.5.2 Whole finger impairments
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8.5.3 Partial finger impairments
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8.5.4 Loss includes total loss of efficient use
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8.6 Leg, Foot and Toe Impairments
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8.6.1 Leg and foot impairments
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8.6.2 Toe impairments
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8.6.3 Loss includes total loss of efficient use
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8.7 Loss of Sexual Organs - S40
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8.7.1 S40, 1971 Act
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8.7.2 Historical rate increases - S40
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8.7.3 Female sexual organs impairment
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8.7.4 Male sexual organ impairment
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8.7.5 Compensation is payable only in respect of the major loss
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8.7.6 Amendments included partial loss of genitals and loss of breasts
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8.7.7 Exclusion because of death
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8.8 Facial Disfigurement - S41
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8.8.1 S41, 1971 Act
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8.8.2 Historical rate increases - S41, 1971 Act
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8.8.3 Facial disfigurement has to be severe
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8.8.4 Medical board
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8.8.5 Assessing the amount of compensation
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8.8.6 Requirement to undertake 'suitable' medical treatment
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8.8.7 Refuses or fails to have, or obstructs, the medical examination
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8.9 Loss of Sense of Taste or Smell - S42
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8.9.1 S42, 1971 Act
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8.9.2 Historical rate increases - S42, 1971 Act
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8.9.3 'Total and permanent loss'
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8.9.4 Medical Referees
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8.10 Loss of Efficient Use (LOEU) of a Body Part
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8.10.1 Loss of efficient use for the purposes of employment
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8.11 Total Incapacity Excludes Payment of Compensation under S39
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8.11.1 Totally incapacitated for work
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8.11.2 Will result 'in whole or in part' from that injury
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8.11.3 Section 39(14) continues to have effect in Transitional Cases
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8.12 Death Excludes Payment of Compensation under Ss40, 41 and 42
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8.12.1 The injury (or another injury sustained at the same time)
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8.12.2 Within three months after the date of that injury
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8.13 Refuses or Obstructs a Medical Examination under Ss41 or 42
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8.13.1 'Refuses or fails to submit' to a medical examination or 'in any way obstructs' the medical examination
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8.13.2 Review of a decision to suspend processing of a claim
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Ch 9 1930 Act
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9.1 Table of Injuries
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9.1.1 S12, 1930 Act
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9.1.2 Schedule 3, 1930 Act
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9.1.3 Historical rate increases - 1930 Act
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9.1.4 Compensation is payable only in respect of the major loss
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9.1.5 Eye and sight impairments
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9.1.6 Percentage loss of sight in eye - S12(4), 1930 Act
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9.1.7 Historical rate increases - eye and sight impairments
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9.1.8 Hearing impairments
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9.1.9 Arm and hand impairments
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9.1.10 Whole finger impairments
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9.1.11 Partial finger impairments
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9.1.12 Right or left finger, hand or arm impairment?
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9.1.13 Leg and foot impairments
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9.1.14 Toe impairment
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9.2 Percentage of Loss of Efficient Use (LOEU) of a Body Part
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9.3 Total Incapacity Excludes Payment of Compensation
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9.3.1 Total and permanent incapacity for work
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9.3.2 Section 12(1A), 1930 Act
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9.3.3 Section 12 has effect in Transitional Cases
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Ch 10 Permanent Impairment Procedures
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Source URL: https://clik.dva.gov.au/military-compensation-srca-manuals-and-resources-library/permanent-impairment-handbook/ch-10-permanent-impairment-procedures
10.1 The Claiming Process
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Source URL: https://clik.dva.gov.au/military-compensation-srca-manuals-and-resources-library/permanent-impairment-handbook/ch-10-permanent-impairment-procedures/101-claiming-process
10.2 Combining PI with Other Investigations
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10.3 Correspondence and Contact with Clients
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10.4 Medical Screening Form
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10.5 Combined Whole Person Impairment (CWPI)
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10.5.1 Use of the CWPI amount in R&C ISH
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10.6 Hearing Loss Claims
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10.7 Processing PI- offer/determination to payment
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