Request for ophthalmologist/optometrist report form (SA013)

Use this form if you are claiming Age Pension or Disability Support Pension on the basis of permanent blindness.

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

Download and complete the Request for ophthalmologist/optometrist report.

An ophthalmologist or optometrist must complete this form.

Page last updated: 30 May 2024.
QC 19136