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7.16 Claims by Dependants

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Last amended: 9 April 2013

Claims for compensation in respect of death can be divided into two types:

  • Claims where the death is the result of a disease (or possibly, delayed effects of a traumatic injury) for which the Commonwealth has already accepted liability for the injury or disease.
  • Claims where there is no prior claim for injury, i.e. the nexus between the known cause of death and ADF service has not already been the subject of a determination prior to the request for compensation following death.

7.16.1 Where the Death Results From an Accepted Condition

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Where a death results from an injury or disease for which the Commonwealth has already accepted liability, a D2053 claim form is required as it provides details of both the reason for death and the nature of the claimant's dependency on the deceased.  If the claim provides confirmation that the death is the result of the accepted condition, in this situation no further investigation into the nexus between the accepted condition and the person's service is necessary.

Investigating the Nexus With ADF service - Deaths after Discharge

Deaths from accepted conditions are often the simplest to determine, because the nexus with the condition alleged to produce the death has already been tested and accepted.  However delegates will still have to confirm, on the basis of the death certificate or by means of other medical advice, that the condition (i.e. for which the Commonwealth had previously accepted liability) did indeed cause the death, or at least contributed to the death in a material degree.

The link between accepted condition and death is undertaken primarily by two means:

  • scrutinising a copy of the death certificate, which needs to be obtained in all cases, or
  • direct communication with, and/or a written report by, the doctor treating the client during his/her last illness (this may only be necessary where the death certificate is not sufficiently specific).

In some (rare) cases, delegates may require further confirmation or explanation as to the relationship between the accepted condition and the official cause of death.  This additional medical advice may be required when, for example:

  • the degree of contribution of the compensable condition to the cause of death on the death certificate is not clear, and
  • the doctor attending the death and signing the death certificate (who may not have been the treating specialist) has given an explanation of that nexus which is unsatisfactory and/or apparently beyond the scope of his/her expertise and specialty.

Having established that the accepted condition was the cause of death or a significant contributor thereto, the delegate then needs to investigate the identity of the 'dependants' in this case, and the degree to which each was 'dependent' upon the deceased member.

7.16.2 Where Death has pre-dated or Forestalled Any Claim for Injury

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Deaths in service

This is the most common circumstance, i.e. where there has been a sudden death.  Alternatively, an aggressive disease may have caused the death of the member while still serving i.e. whilst still receiving free medical treatment and full ADF salary and thus before he/she found it necessary to claim for compensation.

In such cases, payment of compensation following death must be preceded by a full liability investigation and in fact such cases can be regarded as a mere sub-set of the general initial liability process for injury or disease.  However, for 'new' cases involving death by an injury not previously investigated for liability, it is reasonable to use the D2053 claim form for at least the principal dependant (i.e. usually the partner).

Prior to undertaking a full liability investigation it is necessary to determine whether the person claiming was actually a dependant of the deceased (eg. Wife, child etc.) and was economically dependent (or deemed to be so by virtue of living with the member prior to death). If it is determined that the person was not a dependant – for example a parent who was not economically dependent – then the delegate need not continue to investigate whether the death was actually service related.

Deaths after Discharge

For a compensation payment to be payable in respect of a death, the injury or disease must have arisen as a result of ADF service.  That is, the condition which resulted in death must be demonstrated to have satisfied the relevant head of liability.

Having established that the certified cause of death had the required nexus with ADF service, no separate determination on 'initial liability' is necessary, rather the delegate will only determine the claim for compensation for the dependant(s). As outlined above, the delegate must first satisfy themselves that the person claiming is a dependant as defined by the Act. If there person claiming is not a dependant then investigation of 'liability' need not occur.


Source URL (modified on 14/10/2014 - 11:57am): https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-7-compensation-death/716-claims-dependants

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