DVA ClaimsConditionsSolar Keratosis

Making a DVA Claim for Solar Keratosis

Solar keratosis (actinic keratosis) refers to pre-malignant skin lesions caused by cumulative UV exposure, directly linked to the outdoor nature of ADF service. Veterans who served in tropical regions, on extended field exercises, or in other high-UV environments carry significantly elevated risk.

This condition is a genuinely important one to identify early, since untreated solar keratosis can progress toward skin cancer — catching and claiming it isn't just about compensation, it's a real opportunity for ongoing monitoring and treatment.

Why Solar Keratosis Shows Up So Often in Veterans

ADF service frequently involves sustained outdoor exposure in high-UV environments — northern Australia, Southeast Asia, and the Pacific among them. Tropical deployments, extended field exercises, and years of outdoor duty without consistent sunscreen access or use create the cumulative UV exposure behind solar keratosis.

What the Statement of Principles requires

DVA measures every claim against a Statement of Principles (SoP) — a legally binding document setting out the specific factors that can connect a condition to service. Here are the pathways that most often apply to solar keratosis claims, in plain language.

Cumulative outdoor UV exposure

Outdoor occupational exposure in a high-UV environment sufficient to substantially exceed average lifetime UV exposure for the general population.

This is the plain-English version. Read every factor of the Solar keratosis Statement of Principles exactly as the Repatriation Medical Authority wrote it.

How DVA Approaches the Impairment Assessment

Assessment typically considers the number, distribution, and severity of lesions, along with the ongoing treatment burden and impact on daily life. Since solar keratosis can progress toward non-melanotic skin cancer if untreated, ongoing dermatological surveillance is clinically important in its own right, separate from the compensation question.

The evidence that decides it

Most initial liability decisions currently take DVA somewhere between 3 and 6 months, longer for complex or multi-condition claims. A complete, well-organised submission up front tends to shorten that wait considerably.

  • A dermatologist report confirming diagnosis and assessing severity
  • Service records establishing outdoor postings and deployments in high-UV environments
  • Photographic documentation of lesion distribution, where available

On the PAMT list

Solar Keratosis is one of the conditions covered by Provisional Access to Medical Treatment, meaning funded treatment could begin before DVA reached a liability decision. This included:

  • Dermatology consultations and skin checks
  • Treatment of lesions (cryotherapy, topical treatments)
  • Ongoing skin surveillance

Questions veterans ask about Solar Keratosis

Does solar keratosis usually progress to skin cancer?

It can, in a proportion of cases, which is exactly why ongoing dermatological monitoring matters once it's diagnosed and accepted.

Related conditions

The same service exposure that causes solar keratosis often produces related conditions that are separately claimable. It's worth having these assessed at the same time rather than as an afterthought.

Ready to Look Into a Solar Keratosis Claim?

Book a free consultation and we'll go through whether your circumstances meet the SoP factors, what evidence would strengthen your case, and what to expect next.

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This page is general information, not medical, legal, or financial advice. Statement of Principles factors, thresholds, and program details are current as at the update date above but can change — always confirm against your own determination letter and the current SoP instrument. For medical concerns, speak with a qualified health professional; for legal advice, a solicitor experienced in military compensation law.

Presumptive liability · from 1 July 2026

Solar keratosis may be accepted without proving the link to service

Solar keratosis is listed in Part 2 of the determination as attributable to defence service, provided the criteria below are met.

  • Qualifying service: peacetime service for at least 56 weeks; or warlike service or non-warlike service for at least 29 weeks.

A diagnosis is still required, and the presumption may not apply where there is clear evidence of a cause other than service. "Onset" means when an injury was sustained, or when all the signs and symptoms of a disease were first present — not the date of diagnosis. Applies to claims made on or after 1 July 2026.

How presumptive liability works →

Dr Thomas Perkins, Veterans Health Centre

Reviewed by Dr Thomas Perkins

Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →