Checklist for F-111 Tier Classification File

External

Section 1: Applicant's details
Name
Date of birth
DVA File Number/UIN
Is the person a new or previous Tier classification applicant?	New applicant: Create new file Have UIN allocated Establish POI
	Previous applicant ? provide details of previous claim/s outcome: What was the previous Tier status decision? Rejected not Tier Tier 2 Tier 3 Is further evidence required to review application? No Yes – send letter “Reviewed claim - more information required”
Proof of Identity (POI)	Has proof of identity been established? No – request POI Yes – Is claimant already in receipt of payments? Yes - no further POI is required No - modified POI may be required
Date of application	/ /

Section 2: Evidence
Evidence used in determining application including information provided with application	Type of evidence	Evidence found? (tick box)	Weighting given
	Type of evidence	Evidence found? (tick box)	Primary	Secondary	Tertiary	Not accepted
	AER's Airman's Evaluation Reports
	RETA's Record of Employment & Task Authorisations
	PP179s Airman's Trade Progress Report
	Course Certificates
	Aircraft Servicing Records
	Pay Records (payment of CSA allowances)
	PR101 Leave/Sick Records
	Eyewitness Accounts
	Legal Documentation
	Clothing Cards (issue of PPE)
	F111 Deseal/Reseal Nominal Rolls
	PRE (Personal Record Extract)
	BOI Evidence
	Medical, Personal and Psych Records
	Group Photo/Photo
	AC563 (Death & Injury Report or Unit Records)
	Certification of Service
	DVA Client File (if required)
	WO Technical Assessment Report
	Fuel Tank Entry Permit
	Other

Recommendation to not accept evidence

List reasons for recommending to not accept evidence:

____________________________________________________________________________________________________________________________________

__________________________________________________________________

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Section 3: Statutory declarations
Statutory declaration from applicant	Did the applicant provide a statutory declaration? No Yes - must contain all of the following: Full particulars and history of service including overall dates. Type of employment. Approximate dates when involved in tasks described in Tier 1, 2 or 3 definitions; If fuel tank entry was involved, details of entry including types of duties. An explanation as to why there are no official records, if known. Details of any documents that were in the person's possession and why/how they were lost. Names of other persons working with the claimant at the same time who can corroborate the person's fuel tank entry work and how they know the claimant, and those persons' contact details, if known.
Statutory declaration from authorised person	Has an authorised person provided a statutory declaration? No Yes - must contain all of the following: Periods of supervision of, or association with, the claimant whilst undertaking fuel tank maintenance requiring fuel tank entry or other eligible tasks. Details of claimant's roles, including any fuel tank entry work. If applicable, the date of decision of the authorised person's Tier status.
Accept/reject?	Is/are the statutory declaration/s acceptable? Yes No – reasons for not recommending acceptance: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ____________________________________________________________________________________________________________________________________
Weighting of statutory declaration in decision making process	Recommended weighting of statutory declaration/s: Primary Secondary Tertiary Reason for weighting: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

Section 4: RAAF Tier Classification team recommendation
Outcome of RAAF Tier Classification Team's investigation	Recommend claimant is classified as Tier 1 Recommended category: __________________________ Recommend claimant is classified as Tier 2 Recommended category: __________________________ Recommend claimant is classified as Tier 3 Recommended category: __________________________ Recommend claimant is rejected not Tier 1, 2 or 3 or Group 1 Recommend claimant is rejected not Tier 1, 2 or 3 but accept Group 1 Reasons for recommendation to approve or reject: (list here or insert link to document on RAAF team's Y drive) ___________________________________________________________ ___________________________________________________________
Recommendation by RAAF Team Leader	Recommendation made by: Name/signature _____________________________ Date / /
Record management	Update F-111 database with recommendation including reasons for decision Save Technical Assessment document in TRIM

Section 5: Decision
Delegate decision is:	Approve classification as Tier 1, pay $40,000 lump sum Approved category: ________________ Approve classification as Tier 2, pay $10,000 lump sum Approved category: ________________ Approve classification as Tier 3 Approved category: ________________ Reject application - not Tier 1, 2 or 3 or Group 1 Reject Tier 1,2,3; Approve Group 1 for SHOAMP Reasons for difference between RAAF team's recommendation and decision (if any):____________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
Decision made by:	Delegate's name: Date of decision: / /
Date of decision letter	/ /
Advice	Acceptance package Adapt the appropriate “accept” decision letter (templates saved on F-111 collaboration site http://dvashare/projects/F111) Enclose relevant F111 Fact Sheets as per decision letter template Rejection package Adapt the appropriate “reject” decision letter (templates saved on F-111 collaboration site http://dvashare/projects/F111) Enclose relevant F111 Fact Sheets as per decision letter template
Lump sum payment	If approved for Tier 1 or Tier 2: Obtain bank account details (or confirm if already held) Complete Claim for Payment for appropriate amount
Record management	Email Compensation Team (Glenys Jones) and SHCS Team (Sarah Chong) with advice of decision Update F-111 database with decision including reasons for decision Save signed decision letter as PDF document to TRIM against individual's UIN Return file to Brisbane, mark file location on TRIM