DATE OF ISSUE: 9 MAY 1995
CLEARANCE FORM FOR USE IN VERIFYING REFUGEE/HUMANITARIAN STATUS FOR NEW SERVICE PENSION CLAIM PURPOSES.
The clearance form (overleaf) has been prepared for use by Income Support new claims examiners where a claimant for service pension does not meet residency requirements and states that he/she is a refugee or former refugee. It will not be necessary to use this clearance form in all cases as such claimants are likely to possess adequate information concerning their migration details.
2.The form is based upon one currently in use by the Departments of Social Security and Immigration and Ethnic Affairs. The form will not be printed and released through the Central Office Forms Unit as usage is expected to be minimal.
3.If you have any enquiries about the use of the form or clearance procedures concerning the processing of new claims for refugees and former refugees please telephone Nigel Parmenter on (03) 284-6361.
NEIL BAYLES
ASSISTANT SECRETARY
INCOME SUPPORT
REQUEST FOR VERIFICATION OF REFUGEE/HUMANITARIAN STATUS
This form is for clarification of whether the person holds, or has held, a refugee or humanitarian program visa for the purpose of determining the eligibility for benefits from this Department. This information is not usually disclosed to any body or agency.
TO: FROM:
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INTERNATIONAL MOVEMENT RECORDS UNIT Department of Immigration and Ethnic Affairs PO Box 25 Belconnen ACT 2616 Fax: (06) 264 3752 |
DEPARTMENT of VETERANS' AFFAIRS Position No Telephone No Reference No Signature.................................... / / |
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Instructions for DVA staff
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Family Name |
Given Names |
Maiden Name |
Male |
Female |
Name on initial arrival.................................................................................. |
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Date of initial arrival.................................................................................. |
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Date of birth.................................................................................. |
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Country of birth.................................................................................. |
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Marital status.................................................................................. |
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Visa number.................................................................................. |
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Refugee visa code/class.................................................................................. |
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Client authorisation: I consent for the Department of Immigration and Ethnic Affairs to disclose the above information to Department of Veterans' Affairs. Signature: ................................................................................... Date: .................. |
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Checked by: Name (please print) Phone No: Position Signature Date: |