Voluntary acknowledgement of incorrect payments form (MO057)
Use this form to acknowledge that Department of Veterans’ Affairs (DVA) payments for services were received which were not entitled.
Download and complete the Voluntary acknowledgement of incorrect payments form.
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Page last updated: 8 September 2020
This information was printed 21 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/mo057. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.