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Travel and accommodation reimbursement claim form

Travel and accommodation reimbursement claim formVictorian Patient Transport Assistance Scheme (VPTAS)Page 1 of 4 Important information: The standard processing time for a VPTAS claim is six to eight weeks. claim forms must be lodged within 12 months of attending an approved medical specialist service. Do not add trips to this form after the approved medical specialist or authorised officer has signed and dated this form in Section C. Submit separate VPTAS claim forms for each specialist. VPTAS Office is unable to guarantee eligibility prior to a full assessment of your the schemeThe Victorian Patient Transport Assistance Scheme (VPTAS) helps eligible Victorians and an approved escort(s) who have to Travel a long way for specialist medical treatment by subsidising their Travel and accommodation further information and current subsidy levels please refer to the VPTAS website or contact the VPTAS Office.

must be attached. Petrol receipts are not required. Tolls, parking, medical and food expenses are not covered under the VPTAS. • myki smart cards should be registered with Public Transport Victoria (PTV) and tax invoices printed to attach to your claim – contact PTV on 1800 800 007 for further assistance with myki.

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