D9216 — Pension Payment Details for Widow/Widower

This guide walks through the DVA form section by section. It explains what each part is asking for and highlights common mistakes. Download the actual form from DVA — this guide sits alongside it.

You are preparing to fill in your DVA form with section-by-section guidance.

Form type: Supporting form (filled by you, doctor, or witness)Acts: VEA, MRCAMyService: Not available

Download the official form directly from DVA:

Get D9216 from dva.gov.au

This form is for dependant and family claims.

This tool currently supports veteran self-claims only. Dependant and family claim pathways are not yet supported here. For guidance on completing this form, verify directly with DVA on 1800 555 254 or speak with a qualified advocate.

Form D9216 is used to provide payment details when applying for a widow or widower pension. DVA requires this form to set up your pension payments.

This form is completed alongside your main pension application.

Section-by-Section Guidance

Tips

  • Have your bank details ready before starting
  • Double-check your BSB and account number
  • This form is submitted with your main pension application

Common Mistakes to Avoid

  • Incorrect BSB or account number
  • Not signing and dating the form
  • Submitting without the main pension application
This is guidance only — we do not reproduce DVA form content. Download the form directly from DVA. Always verify with DVA directly or with a qualified advocate before lodging a claim.