INSTRUMENT N° 2 of 1998

REPATRIATION COMMISSION

Instrument varying the Guide to the Assessment of Rates of Veterans’ Pensions under subsection 29(2) of the Veterans’ Entitlements Act 1986

1. The Repatriation Commission, by and in accordance with the Schedule to this instrument, varies the Guide to the Assessment of Rates of Veterans’ Pensions, instrument No. 9 of 1997, under subsection 29(2) of the Veterans’ Entitlements Act 1986.

Dated this fifteenth day of January 1998

NEIL JOHNSTON

PRESIDENT

KEITH LYON

DEPUTY PRESIDENT

PAUL STEVENS

COMMISSIONER

Interpretation

2. In the Schedule:

“line” means a line of text on a page of the instrument that is not included in an illustration, diagram, formula, figure, table, page header, or a heading to an illustration, diagram, figure or table;

“table line” means a line of text within a table or scale including the heading to the table or scale but excluding text encapsulated in any oval shaped mark on the border of the table or scale.

Schedule

Item	Reference	Variation
1	Page 2, line 28	Omit “, or in the Glossary”.
2	Page 3, line 33	Omit “On”, substitute “In”.
3	Page 5, line 15	Omit “both genders”, substitute “either male or female veterans”,
4	Page 6, line 11	Omit “rating”, substitute “ratings”.
5	Page 6, line 12	Omit “is”, substitute “are”.
6	Page 6, line 21	Omit “1 March 1998”, substitute “18 April 1998”.
7	Page 6, lines 40 and 41	Omit “If there has never been a previous assessment of impairment made for a particular accepted condition”, substitute “If the impairment from a particular accepted condition has not previously been assessed”.
8	Page 7, line 17	Omit “Examples are given in the tables.”.
9	Page 8, line 13	Omit “on”, substitute “of”.
10	Page 8, line 24	Omit “applyng”, substitute “applying”.
11	Page 14, line 8	Insert “rating” after “impairment”.
12	Page 14, line 10	Omit “based on spirometry”; substitute “rating based on measurements of lung function”.
13	Page 14, line 15	Insert “rating” after “impairment”.
14	Page 15, line 12	Omit “what information”, substitute “the information that”.

15	Page 15, line 19	Omit “is set”, substitute “are set”.
16	Page 16, line 37	Insert “monoxide” after “carbon”.
17	Page 17, line 37	Omit “useful is”, substitute “useful in”.
18	Page 18	Move Scale 1.1 to page 19 after line 29.
19	Page 23, formula for MEF 25-75	Omit “1.95”, substitute “0.0195”.
20	Page 24, formula for MEF 25-75	Omit “1.25”, substitute “0.0125”.
21	Page 25, Table 1.4, Item TWENTY-THREE, third column	Insert “72”
22	Page 25, Table 1.4, Item TWENTY-SEVEN, third column	Insert “69”
23	Page 26, Encapsulated text	Insert immediately before the reference to “Table 1.4”, “Whenever the measured parameter is less than 85% of the predicted,”; Insert at the end of the text and as a new line “When the measured parameter is 85% or more of the predicted, then the impairment rating is defined as NIL”.
24	Page 26, line 10	Insert
25	Page 27	Move Table 1.5 to page 28 after line 20.
26	Page 29	Omit “5A”, substitute “5”.
27	Page 30, line 9	Insert “(obtained in Step 5) after “rating”.
28	Page 35	Omit “Table 1.1.4”, substitute “Table 1.4”
29	Page 35	Omit “Table 1.1.5”, substitute “Table 1.5”
30	Page 37, line 20	Omit “if is there”, substitute “if there”
31	Page 37, line 26	Omit “ratings”, substitute “rating”
32	Page 37, line 27	Omit “ratings”, substitute “rating”
33	Page 38, line 13	Omit “this part”, substitute “Part 2.1”
34	Page 40, line 22	Omit “Table 2.2.1”, substitute “Table 2.1.1”
35	Page 41, line 19	Omit “if is there”, substitute “if there”

36	Page 41, line 23	Omit “if is there”, substitute “if there”
37	Page 42, line 6	Omit “then the the”, substitute “then the”
38	Page 42, line 23	Omit “if is there”, substitute “if there”
39	Page 42, line 31	Omit “limb”, substitute “limbs”
40	Page 43, line 1	Omit “if is there”, substitute “if there”
41	Page 43. Table 2.2.1	Omit “casuses”, substitute “causes”
42	Page 45, line 15	Omit “then the the”, substitute “then the”
43	Page 46, line 3	Omit “part”, substitute “Part”
44	Page 47, line 7	Insert “Resting” before “Joint”
45	Page 47, line 8	Omit “Average Range of Movement”, substitute “Range of Joint Movement”
46	Page 48, line 37	Omit “Table 3.6”, substitute “Table 3.6.1”
47	Page 50, line 7	Omit “restriction or range”, substitute “restriction of range”
48	Page 50, lines 10-12	Omit “The definitions of “about one-quarter”, “about half”, etc, are the same as those used in Chapter 19 (Partially Contributing Impairment).”
49	Page 50, line 28	Omit “Part 5 of this chapter”, substitute “Part 3.5”
50	Page 56, line 4	Omit “under Step”, substitute “in Step”
51	Page 56, line 5	Omit “under Step”, substitute “in Step”
52	Page 56, line 19	Omit “correponding”, substitute “corresponding”
53	Page 57, line 3	Omit “acepted”, substitute “accepted”
54	Page 58, line 12	Omit “if is there”, substitute “if there”
55	Page 58, line 18	Omit “Table 3.6”, substitute “Table 3.6.1”
56	Page 59, line 26	Omit “part”, substitute “Part”
57	Page 59 line 42 - Page 60 line 2	Omit “The definitions of ‘about one-quarter’, ‘about half’, etc, are the same as those used in Chapter 19 (Partially Contributing Impairment).”
58	Page 61, line 10	Omit “Part 5 of this chapter”, substitute “Part 3.5”
59	Page 61, line 27	Omit “Table 6.2.1”, substitute “Table 3.6.1”
60	Page 63, line 20	Omit “highter”, substitute “higher”

61	Page 63, line 33	Omit “under Step”, substitute “in Step”
62	Page 68, line 1	Omit “condition of”, substitute “condition or”
63	Page 68, line 3	Omit “condition of”, substitute “condition of
64	Page 68, lines 14-16	Omit “The definitions of ‘about one-quarter’, ‘about half”, etc, are the same as those used in Chapter 19 (Partially Contributing Impairment),”
65	Page 68, line 24	Omit “Part 5”, substitute “Part 3.5”
66	Page 70, Table 3.3.3	Omit “VERTABRAE”, substitute “VERTEBRAE”.
67	Page 70, line 20	Omit “Parts 1 or 2”, substitute “Parts 3.1 or 3.2”.
68	Page 72, lines 13-14	Omit “The definitions of ‘about one-quarter’, ‘about half’, etc, are the same as those used in Chapter 19 (Partially Contributing Impairment).”
69	Page 73 Table (Scale) 3.6.1	Omit “fable (Scale) 3.6.1”, substitute the following Scale 3.6.1:

Scale 3.6.1

Rating	less than			Age			greater than
	36	36-45	46-55	56-65	66-75	76-85	85
0	0	0	0	0	0	0	0
1	1	1	1	1	1	1	1
2	2	2	2	2	2	1	1
3	4	3	3	3	2	2	2
4	8	4	4	4	3	3	2
5	6	6	5	5	4	4	3
6	7	7	6	5	5	4	4
7	8	8	7	6	6	5	4
8	10	9	8	7	6	6	5
9	11	10	9	8	7	6	5
10	12	11	10	9	8	7	6
11	13	12	11	10	9	8	7
12	14	13	12	11	10	8	7
13	18	14	13	12	10	9	8
14	17	15	14	13	11	10	8
15	18	17	15	14	12	11	9
16	19	18	18	14	13	11	10
17	20	19	17	15	14	12	10
18	22	20	18	16	14	13	11
19	23	21	19	17	15	13	11
20	24	22	20	18	18	14	12
21	25	23	21	19	17	15	13
22	26	24	22	20	18	15	13
23	28	25	23	21	18	16	14
24	29	26	24	22	19	17	14
25	30	28	25	23	20	18	15
26	31	23	28	23	21	18	16
27	32	30	27	24	22	19	16
28	34	31	28	25	22	20	17
29	35	32	29	26	23	20	17
30	38	33	30	27	24	21	18
31	37	34	31	28	25	22	19
32	38	35	32	29	28	22	19
33	40	38	33	30	26	23	20
34	41	37	34	31	27	24	20
35	42	39	35	32	28	25	21
36	43	40	36	32	23	25	22
37	44	41	37	33	30	28	22
38	46	42	38	34	30	27	23
39	47	43	39	35	31	27	23
40	48	44	40	36	32	28	24
41	49	45	41	37	33	29	25
42	50	46	42	38	34	29	25
43	52	47	43	39	34	30	26
44	53	48	44	40	35	31	26
45	54	50	45	41	38	32	27
46	55	51	46	41	37	32	28
47	56	52	47	42	38	33	28
48	58	53	48	43	38	34	29
49	59	54	49	44	39	34	29
50	60	55	50	45	40	35	30
51	61	56	51	46	41	36	31
52	62	57	52	47	42	36	31
53	64	58	53	48	42	37	32
54	65	59	54	49	43	33	32
55	66	61	55	50	44	39	33
56	87	62	56	50	45	39	34
57	68	63	57	51	46	40	34
58	70	84	58	52	46	41	35
59	71	68	59	53	47	41	35
60	72	66	60	54	46	42	36
61	73	67	61	55	49	43	37
62	74	68	62	56	50	43	37
63	76	69	63	57	50	44	38
64	77	70	64	53	51	45	38
65	78	72	65	59	52	46	33
66	79	73	68	53	53	46	40
67	80	74	67	60	54	47	40
68	82	75	68	61	54	48	41
69	83	78	69	62	55	48	41
70	84	77	70	63	58	49	42

70	Page 74	Omit “preceeding”, (first occurring), substitute “preceding”.
71	Page 74	Omit “preceeding”, (second occurring), substitute “preceding”.
72	Page 75	Omit “Coments”, substitute “Comments”; Omit all text, lines, symbols or other marks appearing below the phrase ‘(at date of report)’ and above the line below which occurs the words ‘Signature’, Name (please print) and ‘Date’, and in place of the omitted text, lines, symbols or other marks, substitute “E is the final functional impairment rating for the upper limb. It is to be compared with any applicable other impairment rating in accordance with Step 8 of Part 3.1.”.
73	Page 75	Omit “preceeding”, wherever occurring, substitute “preceding”.
74	Page 77, line 30	Omit “symptoms”, substitute “effects”.
75	Page 78, line 24	Omit “impairment impairment”, substitute “impairment”.
76	Page 80, Table 4.1	Omit “him”, wherever occurring, substitute “himself”.
77	Page 80, Table 4.1, Table line 15	Omit “veterans”, substitute “veteran”.
78	Page 82, Table 4.3, Table line 4	Insert “of” after “aspects”.
79	Page 83, line 8	Omit “4.4 only”, substitute “4.4, only”.
80	Page 91, line 26	Omit “neurologial”, substitute “neurological”.
81	Page 91, line 29	Omit “neurologial”, substitute “neurological”.
82	Page 91, line 32	Omit “neurologial”, substitute “neurological”.
83	Page 92, line 2	Omit “neurologial”, substitute “neurological”.
84	Page 92, line 3	Omit “5.5.”, substitute “5.5,”.
85	Page 94, line 28	Omit “loud”, substitute “loudly”.
86	Page 94, line 31	Omit “sufficient”, substitute “enough”.
87	Page 98 Table 5.5	Omit “Functional Loss Table 5.5”, substitute the following Table 5.5:

Functional Loss Table 5.5

LOSS OF NEUROLOGICAL FUNCTION;
CRANIAL NERVES

		Assessment to be made by application of;	Complete Unilateral Loss	Complete Bilateral Loss
Cranial Nerve	Function
I	Smell		0	5
II	Vision	Chapter 8
III, IV, VI	Eye movement	Chapter 8
V Trigeminal (sensory)	Ophthalmic division		5	10
	Maxillary division		5	10
	Mandibular division		5	10
	Chewing Speech	Chapter 8 Table 5.3
VII	Taste		0	5
	Facial expression		10	20
	Chewing Speech	Chapter 8 Table 5.3
VIII	Hearing Balance	Chapter 7 Chapters 15 or 16
IX, X, XI, XII	Swallowing Speech	Chapter 8 Table 5.3
XI	Shoulder Elevation		5	10

No Age Adjustment Permitted For Tills Table.

88	Page 98, line 10	Omit “neurologial”, substitute “neurological”.
89	Page 99, line 2	Omit “neurologial”, substitute “neurological”.
90	Page 99, line 13	Omit “and Steps 2”, substitute “and 2”.
91	Page 104, line 18	Omit “intentinal”, substitute “intestinal”.
92	Page 105, line 2	Omit “applies”, substitute “apply”.
93	Page 105, line 3	Omit “it”, substitute “each”.
94	Page 105, lines 17-18	Omit “other gastrointestinal impairment”, substitute “gastrointestinal Other Impairment”.
95	Page 108, Table 6.1.8	Omit
		“NIL • Bowel disorder, eg, irritable bowel, diverticulosis: infrequent and minor symptoms such as constipation, or intermittent diarrhoea and abdominal cramps which respond to dietary treatment. • Bowel disorder: frequent moderate symptoms necessitating regular medication.”, substitute
		“NIL Bowel disorder, eg, irritable bowel, diverticulosis: infrequent and minor symptoms such as constipation, or intermittent diarrhoea and abdominal cramps which respond to dietary treatment.
		FIVE Bowel disorder: frequent moderate symptoms necessitating regular medication.”
96	Page 114, line 19	Omit “he”, substitute “the”.
97	Page 117, line 26	Omit “is”, substitute “are”.
98	Page 122, lines 13-14	Omit “in a similar way to”, substitute “in a way similar to that in”.

99	Page 122, Formula	Omit

		substitute

100	Page 123, Formula	Omit

		substitute

101	Page 124, Formula	Omit

		substitute

102	Page 132, line 6	Omit “Tnnitus”, substitute “Tinnitus”.
103	Page 132, Table	Insert after Table line 12 “Only one rating is to be
	7.1.11	selected from this table for any condition or combination of conditions. If more than one rating is applicable, the higher rating is to be selected.”
104	Page 136	Omit “asessment”, substitute “assessment”.
105	Page 137	Omit “asessment”, substitute “assessment”.
106	Page 139	Omit “%BHL”, substitute “PLH”.
107	Page 140	Omit “%BHL”, substitute “PLH”.
108	Page 141, lines 16-17	Omit “in subsection 24(3), and in section 27,”, substitute “and in subsection 24(3) and section 27”.
109	Page 142, line 15	Omit “from”, substitute “in”.
110	Page 142, line 18	Omit “from”, substitute “in”.
111	Page 143, lines 10-11	Omit “Note that glaucoma without field loss attracts an impairment rating of two.”, substitute “For glaucoma without field loss refer to Table 8.1.2.”.

112	Page 143, line 16	Omit “a less a”, substitute “less, a”.
113	Page 144, line 8	Omit “filed”, substitute “field”.
114	Page 144, line 18	Omit “the above table”, substitute “Table 8.1.2”.
115	Page 144, line 21	Omit “from”, substitute “in”.
116	Page 144, line 36	Omit “from”, substitute “in”.
117	Page 147, Table 8.1.3 Table line 27	Omit “the above”, substitute “this”.
118	Page 147, line 2	Omit “applies to”, substitute “affects”.
119	Page 148, line 6	Omit “8.1.1”, substitute “8.1.3”.
120	Page 148, Table 8.2.1 Table line 19	Omit “8.1.1”, substitute “8.1.3”.
121	Page 153, Table 9.1.1	Insert after Table line 9 “Only one rating is to be selected from this table.”
122	Page 154, Table 9.1.2 line 1	Omit “OTHER RENAL IMPAIRMENT”, substitute “RENAL OTHER IMPAIRMENT”.
123	Page 154, Table 9.1.2	Insert after Table line 17 “Only one rating is to be selected from this table for any condition or combination of conditions. If more than one rating is applicable, the higher rating is to be selected.”
124	Page 155 line 22	Omit “Compare the ratings obtained in Steps 3 and 4.”, substitute “If the lower urinary tract condition causes impairment of an intermittent nature, compare the ratings obtained in Steps 3 and 4.”
125	Page 156 line 17	Omit “Compare the ratings obtained in Steps 3 and 4.”, substitute “If the lower urinary tract condition causes impairment of an intermittent nature, compare the ratings obtained in Steps 3 and 4.”
126	Page 157, Table 9.2.1	Omit
		“FIVE • Minor stress incontinence, needing use of 1-2 incontinence pads a day. • Mild urge incontinence, but rarely unable to find a toilet in time. • Any disorder of lower urinary tract resulting in recurrent pyelonephritis, or hydronephrosis within past 12 months.”,
		substitute
		“FIVE • Bladder outlet or urethral obstruction as

		above, but with more severe symptoms such as urge frequency, nocturia, or recurrent urinary tract infections. • Minor stress incontinence, needing use of 1-2 incontinence pads a day. • Mild urge incontinence, but rarely unable to find a toilet in time. • Any disorder of lower urinary tract resulting in recurrent pyelonephritis, or hydronephrosis within past 12 months.”
127	Page 157, Table 9.2.2	Omit
		“FIVE • Bladder outlet or urethral obstruction as above, but with more severe symptoms such as urge frequency, nocturia, or recurrent urinary tract infections. • Recurrent cystitis causing frequent symptoms.”
		substitute
		“FIVE Recurrent cystitis causing frequent symptoms.”
128	Page 161, Table 10.1.1 and definition of “impotence”	Omit the table and the definition and substitute the following Table 10.1.1 and the following definitions of “Impotence” and “Severe post-ejaculatory pain”.

Functional Loss Table 10.1.1

SEXUAL FUNCTION: MALE

Age at onset :	Less than 30	30 to 39	40 to 64	65 to 74	75 to 84	85 and older
Circumcision	0	0	0	0	0	0
Scarring of Penis	2	2	2	2	2	2
Peyronie’s Disease	2	2	2	2	2	2
Impotence (not ameliorated by surgical treatment)	25	20	15	10	5	2
Impotence (ameliorated by surgical treatment)	15	15	10	5	2	0
Severe post-ejaculatory pain	20	20	15	10	5	2
Loss of all or most of penis	30	25	20	15	10	10
Loss of part of penis without significant interference with function	5	5	5	5	5	5
Only one rating is to be selected from (his table.

No age adjustment permitted for this table

For the purposes of Table 10.1.1

“Impotence” means the persistent inability to attain an erection of sufficient strength to achieve intromission.

“Severe post-ejaculatory pain” means post-ejaculatory pain of such a degree as to cause complete or almost complete avoidance of sexual activity.

129	Page 163, Table 10.1.3	Omit “Cliteridectomy”, wherever occurring, substitute “Clitoridectomy”.
130	Page 167, line 9	Omit “fertility,”, substitute “fertility or sexual function,”.
131	Page 167, line 10	Omit “Table 10.2.2”, substitute “this chapter”.
132	Page 172, line 5	Omit “conditions”, substitute “condition”.
133	Page 172, line 18	Omit “conditions”, substitute “condition”.
134	Page 173, line 20	Omit “conditions”, substitute “condition”.
135	Page 173, lines 21-22	Omit “Only one rating is to be be given for any combination of conditions from table 11.1.”, substitute “Only one rating is to be given from Table 11.1 for any condition or combination of conditions.”
136	Page 173, line 23	Omit “under Step”, substitute “in Step”.
137	Page 173, line 24	Omit “under Step”, substitute “in Step”.
138	Page 173, line 27	Omit “condition, on”, substitute “condition on”.
139	Page 173, line 30	Insert “is” after “This”.
140	Page 174, Table 11.1 Table line 39	Omit “significant”, substitute “significant”.
141	Page 174, Table 11.1 Table lines 41-42	Omit “• Severe and persistent pruritus causing difficulty in concentrating and loss of sleep.”
142	Page 176, line 18	Insert “accepted” after “the”.
143	Page 177, line 23	Omit “inculded”, substitute “included”.
144	Page 178, Table 12.1.2	Omit
		“TWO An endocrine disorder requiring daily oral medication. An endocrine disorder requiring regular injections not more often than once a month.”,
		substitute
		“TWO • An endocrine disorder requiring daily oral medication. • An endocrine disorder requiring regular injections not more often than once a month.”.
145	Page 179, line 10	Omit “15.1 and 15.2”, substitute “16.1 and 16.2”.

146	Page 187, line 31	Omit “(Malignant Disorders Other Impairment)”, substitute “(Life Expectancy)”.
147	Page 189, Table 14.2	Omit “MALIGNANT DISORDERS”, substitute “LIFE EXPECTANCY”.
148	Page 189, line 15	Omit “This procedure is fully described in Chapter 20 (Apportionment).”
149	Page 191, line 4	Omit “conditions that:”, substitute “conditions:”.
150	Page 191, line 5	Insert “that” before “remain”.
151	Page 191, line 13	Omit “is to”, substitute “may”.
152	Page 191, line 14	Omit “are to”, substitute “may”.
153	Page 191, line 18	Omit “can”, substitute “are to”.
154	Page 191, line 26	Omit “cardio-espiratory”, substitute “cardiorespiratory”.
155	Page 197, line 10	Insert “or greater”, immediately before “has occurred”.
156	Page 198, line 7	Omit “up to”, substitute “two or”.
157	Page 209, Table 17.1 Table line 20	Insert”, or” after “hands”.
158	Page 218 Scale 18.1 (continued)	Omit “Scale 18.1 (continued)”, substitute the following scale:

159	Page 223, lines 27-29	Omit “If an impairment rating has to be apportioned in a ratio other than the ratios in tables 20.1 to 20.13, the same method is to be applied.”.
160	Page 225, line 25	Omit “1.9”, substitute “1.10”.
161	Page 227, Scale 20.1 Ratios 3:1	Omit “3 & 11”, substitute “33 & 11”.
162	Page 228, line 1	Omit “above table”, substitute “Apportionment tables”.
163	Page 228, line 2	Omit “are are”, substitute “are”.
164	Page 248, Table 22.1, Rating THREE	Omit “Is unable”, substitute “Unable”.
165	Page 248, Table 22.1, Rating FIVE	Omit “The veteran is able”, substitute “Able”.
166	Page 248, Table 22.1, Rating SIX	Omit “the veteran’s”.
167	Page 249, Table 22.2, Rating THREE	Insert after “undue difficulty”, “(‘undue difficulty’ not being the need for a break in travel or for special seating arrangements)”; Omit “The veteran is independent”, substitute “Independent”; Omit “For example, the veteran needs a break in travel, or special seating arrangements.”.

168	Page 249, Table 22.2, Rating FOUR	Omit “the veteran is restricted”, substitute “restricted”.
169	Page 249, Table 22.2, Rating FIVE	Omit “inability to use”, substitute “unable to use”; Omit “the veteran is able”, substitute “able”.
170	Page 249, Table 22.2, Rating SIX	Omit “the veteran cannot drive”, substitute “unable to drive”.
171	Page 250, Table 22.3, Rating ONE	Omit “Between episodes the veteran”, substitute “Between episodes,”.
172	Page 250, Table 22.3, Rating TWO	Omit “the veteran is”.
173	Page 250, Table 22.3, Rating THREE	Omit “Inability”, substitute “Unable”; Omit “the veteran is still” (twice occurring); Omit “inability”, substitute “unable”.

174	Page 250, Table 22.3, Rating Four	Omit “Inability”, substitute “Unable”; Omit “restriction”, substitute “restricted”; Omit “inability”, substitute “unable”.
175	Page 250, Table 22.3, Rating FIVE	Omit “the veteran” (twice occurring).
176	Page 250, Table 22.3, Rating SEVEN	Omit “Inability”, substitute “Unable”.
177	Page 251, Table 22.4, Rating TWO	Omit “The veteran is still able”, substitute “Able”; Omit “difficulty,”, substitute “difficulty”; Omit “difficulty with heavy gardening”, substitute “heavy gardening”.
178	Page 251, Table 22.4, “Rating THREE	Omit “The veteran is unable”, substitute “Unable”.
179	Page 251, Table 22.4, Rating FOUR	Omit “Inability”, substitute “Unable”: Omit “The veteran needs”, substitute “Needs”.
180	Page 251, Table 22.4, Rating FIVE	Omit “difficulty” (first occurring), substitute “has difficulty”; Omit “the veteran can do”, substitute “able to do”; Omit “the veteran requires”, substitute “requires”.
181	Page 251, Table 22.4, Rating SIX	Omit “Ability”, substitute “Able”; Omit “The veteran may”, substitute “May”; Omit “for example the veteran may:”, substitute “for example:”; Omit “be able to do”, substitute “able to do”; Omit “have difficulty”, substitute “has difficulty”.
182	Page 252, line 3	Omit “refer”, substitute “refers”.
183	Page 252, Table 22.5, Rating NIL	Omit “Ability”, substitute “Able”.
184	Page 252, Table 22.5, Rating ONE	Omit “Ability”, substitute “Able”.
185	Page 252, Table 22.5, Rating TWO	Omit “Ability”, substitute “Able”.
186	Page 252, Table 22.5, Rating THREE	Omit “Inability”, substitute “Unable”.
187	Page 252, Table 22.5, Rating FOUR	Omit “The veteran is either”, substitute “Either”.
188	Page 252, Table 22.5, Rating FIVE	Omit “Inability”, substitute “Unable”.

189	Page 255, line 7	Omit “these two ratings”, substitute “the rounded Combined Impairment Rating and the Lifestyle Rating”.
190	Page 255, line 10	Omit “incapacitated”.
191	Page 255, lines 14-16	Omit “There may be exceptions, and for those exceptional cases a lifestyle rating outside the shaded area may be allocated, in accordance with Chapter 22 of this Guide”, substitute “There may be exceptional cases and, in accordance with Chapter 22 of this Guide, a lifestyle rating outside the shaded area may be allocated.”
192	Page 258, Scale 24.1 Table line 27	Omit “eve”, substitute “eye”.
193	Page 259, Column 2	Omit “cliteridectomy”, substitute “clitoridectomy”.