Statement Templates
Guided templates to help you write statements for your DVA claim.
This is a guide onlyTemplates to help you structure your statements. We do not collect anything you write. Have your statements reviewed by an advocate before submitting to DVA.
Nexus Statement RequestA letter to give your treating doctor, asking them to write a medical opinion that links your condition to your service.Written by: You write this letter, then your doctor writes the nexus statement based on it.Related forms: D2582, D2051, D2020
Personal Statement (Statement in Support)Your own written account of what happened during service and how it affects you now. Used alongside form D2141.Written by: You write this yourself.Related forms: D2141, D2582, D2051, D2020
Functional Impact StatementA detailed description of how your condition affects your daily life, work, and relationships.Written by: You write this yourself. Family members can also write one about what they have observed.Related forms: D2582, D2051, D2020
Buddy / Witness StatementA statement from someone who witnessed the incident or can describe changes they have seen in you.Written by: A fellow service member, family member, friend, or colleague writes this.Related forms: D2141
Incident Report / Exposure DescriptionYour own detailed account of a service incident or exposure, especially when there is no formal report on file.Written by: You write this yourself.Related forms: D2582, D2051, D2020
Not sure which statements you need?Use the Evidence Builder to get a personalised checklist for your claim type.
This is a guide only. We do not collect or store any information. Always verify with DVA directly or with a qualified advocate.