Evidence used in determining application including information provided with application |
Type of evidence |
Evidence found? (tick box) |
Weighting given | |||
Primary |
Secondary |
Tertiary |
Not accepted | |||
AER's Airman's Evaluation Reports |
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RETA's Record of Employment & Task Authorisations |
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PP179s Airman's Trade Progress Report |
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Course Certificates |
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Aircraft Servicing Records |
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Pay Records (payment of CSA allowances) |
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PR101 Leave/Sick Records |
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Eyewitness Accounts |
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Legal Documentation |
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Clothing Cards (issue of PPE) |
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F111 Deseal/Reseal Nominal Rolls |
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PRE (Personal Record Extract) |
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BOI Evidence |
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Medical, Personal and Psych Records |
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Group Photo/Photo |
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AC563 (Death & Injury Report or Unit Records) |
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Certification of Service |
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DVA Client File (if required) |
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WO Technical Assessment Report |
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Fuel Tank Entry Permit | ||||||
Other |
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Recommendation to not accept evidence |
List reasons for recommending to not accept evidence: ____________________________________________________________________________________________________________________________________ __________________________________________________________________ __________________________________________________________________ ____________________________________________________________________________________________________________________________________
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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 [3]) 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 [3]) Enclose relevant F111 Fact Sheets as per decision letter template |
Lump sum payment |
If approved for Tier 1 or Tier 2: |
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 |
Applicants for Tier classification must satisfy POI requirements.
Group 2 participants must also prove their relationship to the Group 1 participant.
Factsheet DVA06 Proof of Identify Requirements [5] has information about what documents must be provided to in order to satisfy POI requirements and access to DVA entitlements.
Order and weighting of evidence used in decision-making process for F-111 Tier Classification applications
The evidence used in the decision-making process (order of weighting is from highest to lowest) includes:
In the absence of any Primary or Secondary evidence Tertiary evidence can be used as the sole source of evidence upon which to base a decision.
Where tertiary evidence conflicts with other evidence the claimant should be given the opportunity to resolve the conflict with further evidence.
Gathering evidence
The delegate must consider all of the following evidence (if available) before making a decision:
If the above listed evidence is not available, record that a search was made for that evidence but no evidence of that type was able to be found.
File records
Individual files must contain:
Information sources must always be referenced and dated.
Reconsiderations should follow the same process as outlined above, with the decision documented and put on file. Any material supplied as the basis for the reconsideration request should be filed.
Files must be folioed.
The Ministerial determination provides delegation powers for Tier determinations. The Tier determination letters will have to indicate that the person is acting for and on behalf of the Minister. An example signature block is below.
Sarah Chong
F-111 Tier Classification Team
For and on behalf of
The Hon Warren Snowdon MP
Minister for Veterans' Affairs
Minister for Defence Science and Personnel
Payments of ex-gratia lump sums are made under the FMA and must be made by an APS4 or above.
Claims may be from F111 workers previously rejected due to:
Section 62 of the SRCA allows for a review own motion, or review requested by client. These reviews must be made at the APS 6 level by a different delegate to the original decision maker. The client is not obligated to provide anything further (unless it is necessary as part of the investigation process) as it is a review own motion.
A decision under section 62 is a "reviewable decision" under the Act and the claimant would have a right to go directly to the AAT. However, as a policy approach, letters could be carefully worded to allow the claimant to firstly request an internal review of the decision. This review would again be conducted under section 62 and would need to be done by a recons delegate at the APS 6 level.
Unlike the MRCA and VEA there are no provisions under the SRCA for an additional 'primary decision' on the basis of new evidence, there is also no way of amending a previous decision without it being officially done under Section 62 and giving the claimant appropriate review rights.
Previously rejected because of NIF – send review letter advising rejected again but if they can provide evidence of a diagnosis they should reclaim.
An independent senior officer is to be appointed within the Department of Veterans' Affairs. This person does not have any decision making powers but will be responsible for reviewing cases for claimants to ensure proper procedures have been followed and all reasonable avenues of assistance for the claimant have been explored. Any cases being reviewed by the Ombudsman should also be referred to this officer for their review. This officer can also talk to dissatisfied claimants before they seek the assistance of the Ombudsman.
The independent officer will be responsible for documenting their interactions with claimants and other 3 — rd parties and recording the same on the file.
If a person is not satisfied with how their application for Tier classification was determined, they can apply to the Commonwealth Ombudsman. The Ombudsman will only consider the decision-making process undertaken and the information considered by the Department which resulted in the decision. The Ombudsman cannot review the decision itself.
Commonwealth Ombudsman
http://www.ombudsman.gov.au [9]
Ph: 1300 362 072
Email: ombudsman@ombudsman.gov.au [10]
Postal: GPO Box 442, CANBERRA ACT 2601
Action required |
Responsible area |
Step 1 Establish if claim is:
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F-111 Compensation Team |
Step 2 Determine:
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F-111 Compensation Team |
Step 3
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F-111 Compensation Team |
Step 4 If no Tier decision has been made, are ss7(2) conditions involved?
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F-111 Tier Classification Team |
Step 5 Obtain diagnoses for the claimed conditions. Also obtain an appropriate specialist opinion on causation for SRCA claims that do not involve ss7(2) conditions. |
F-111 Compensation Team |
Step 6 Determine claim:
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F-111 Compensation Team |
Step 7 Send appropriate decision letter including advice about relevant action to be taken under SHOAMP Health Care Scheme. If the claim was lodged under VEA and is rejected and the person is Tier 1, 2 or 3 – include invitation to claim under ss7(2) SRCA (if this advice has not been given previously) |
F-111 Compensation Team |
Step 8 Complete a Needs Assessment for claimants with accepted conditions. |
F-111 Compensation Team |
Action required |
Responsible area |
Step 1A Group 1 Registration Registration form received from person who has never applied for Tier 1, 2 or 3 classification.
Group 2 Registration Family members of Group 1:
Worker on Base: Registration form received from person who has never applied for Tier classification.
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F-111 Health Care Team |
Step 1B Group 1 Registration Registration form received from approved Tier 1, 2 or 3 classified personnel.
Enter contact details on SHCS payment database. Group 2 Registration Registration form received from eligible Group 2 participant.
Enter contact details on SHCS payment database. |
F-111 Health Care Team |
The following steps only relate to Group 1 participants requesting treatment. Counselling for Group 1 and Group 2 participants is provided through VVCS. Step 2 If person requests treatment, check 'Pick and Patch' database to see if compensation claim for SHCS condition has been lodged. If a compensation claim hasn't been submitted – send letter advising that SHCS can't cover interim treatment unless compensation claim lodged and include Fact Sheet F111-04 Compensation under subsection 7(2) of the SRCA for F?111 workers.. |
F-111 Health Care Team |
Step 3 If eligible for treatment under SHCS, pay reasonable treatment invoices for SHCS conditions until compensation claim is determined. SHCS does not pay for investigations or testing for diagnostic purposes:
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F-111 Health Care Team |
Step 4 If treatment is for GP consultation or pharmaceuticals, no prior approval is required. If treatment is for specialist consultation (excluding Psychiatrist), hospital, allied health (eg Physiotherapist) or appliances, prior approval is required:
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Step 5 Process payment through the F-111 health care payment database. |
F-111 Health Care Team |
Action required |
Responsible area |
Step 1A Registration form received from person who has never applied for Tier 1, 2 or 3 or Group 1 classification.
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F-111 Health Care Team |
Step 1B Registration form received from approved Tier 1, 2 or 3 classification or Group 1 classification.
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F-111 Health Care Team |
Step 2 If person requests screening, check BHP Payments spreadsheet to see if screening for that condition has been undertaken recently.
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F-111 Health Care Team |
Step 3 Check if person is requesting screening through a GP or specialist
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F-111 Health Care Team |
Step 4 Record payments on Better Health Program spreadsheet. |
F-111 Health Care Team |
Links
[1] https://clik.dva.gov.au/user/login?destination=comment/reply/20972%23comment-form
[2] https://clik.dva.gov.au/user/login?destination=comment/reply/20997%23comment-form
[3] http://dvashare/projects/F111
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/21002%23comment-form
[5] http://factsheets.dva.gov.au/factsheets/documents/DVA06%20Proof%20of%20Identity%20Requirements.htm
[6] https://clik.dva.gov.au/user/login?destination=comment/reply/20983%23comment-form
[7] https://clik.dva.gov.au/user/login?destination=comment/reply/20989%23comment-form
[8] https://clik.dva.gov.au/user/login?destination=comment/reply/21004%23comment-form
[9] http://www.ombudsman.gov.au/
[10] mailto:ombudsman@ombudsman.gov.au
[11] https://clik.dva.gov.au/user/login?destination=comment/reply/20999%23comment-form
[12] https://clik.dva.gov.au/user/login?destination=comment/reply/20967%23comment-form
[13] https://clik.dva.gov.au/user/login?destination=comment/reply/20971%23comment-form