Forms
This section provides access to forms related to programs and services offered by Veterans Affairs Canada.
Top 5 Requested Forms
Disability Benefits (Pain and Suffering Compensation/Disability Pension)
Medical Questionnaire: Psychiatric/Psychological Condition(s)
Treatment Benefits Reimbursement Claim Form (POC 1-14)
Health Related Travel Claim - Veteran
Consent for Veterans Affairs Canada to Disclose Personal Information to Third Parties
My VAC Account offers guided Web forms for many programs and services available from Veterans Affairs Canada. These forms are functional, easy to use, and designed based on feedback from Veterans. Your progress is saved as you make your way through the form, so you can come back at any time to continue your application. Sign in or register for My VAC Account.
Sending your application by mail
Mail applications for services, including supporting documents, to:
Veterans Affairs Canada
PO Box 6000, Matane, QC G4W 0E4
| Form number | Title of form | Categories |
|---|---|---|
| VAC 749e | Additional Information for Hearing Loss Claims | |
| VAC 2504e | Additional Pain and Suffering Compensation | |
| PWGSC 540e | Affidavit - For Cheques over $5,000 issued by the Receiver General | |
| PWGSC 546-3e | Affidavit - For Direct Deposit payments over $5,000 issued by the Receiver General | |
| VAC 549e | Allied Service Eligibility for Long-term Care Application | |
| PEN 6240e | Aneurysm and Embolus | |
| PEN 6201e | Applicant's Statement | |
| VAC 1277e | Application - Minor Disbursement Trust Funds | |
| VAC 464e | Application and Agreement for Departmental Administration | |
| PEN 185Ae | Application for Additional Pension (Dependants) | |
| PEN 6203e | Application for Attendance, Clothing or Exceptional Incapacity Allowance | |
| VAC 609e | Application for Benefits on Behalf of an Incapacitated Child of a Veteran/Member | |
| VAC 1535e | Application for Career Transition Services - Spouse/Common-law Partner or Survivor | |
| VAC 1533e | Application for Career Transition Services - Veteran, Member | |
| VAC 1033e | Application for Critical Injury Benefit | |
| VAC 612e | Application for Detention Benefit | |
| PEN 542APe | Application for Disability and/or Death Benefit for Survivor and Dependent Children | |
| VAC 1537e | Application for Education and Training Benefit | |
| VAC 1503APe | Application for Long Term Care Support | |
| PEN 555e | Application for Prisoner of War Compensation | |
| DVA 1432e | Application for Service Award of a Deceased Member of the Canadian Forces Second World War and Korean War including the Arctic Star | |
| VAC 544e | Application for the Canadian Volunteer Service Medal of a Deceased Member of the Royal Canadian Mounted Police | |
| VAC 1571e | Application for Veterans Emergency Fund | |
| VAC 1466e | Application for War Veterans Allowance | |
| VAC 1466APe | Application for War Veterans Allowance - Application Package | |
| DVA 1433e | Application of a Veteran for Service Awards - Second World War and Korean War including the Arctic Star | |
| VAC 1278e | Application to (RCNBF, Legion Poppy Fund, CFPAF, VAC, WVDF/FMTF, ETC.) | |
| VAC 1128e | Assistance Fund (WVA) | |
| VAC 963e | Authorization to use Audio/Visual Records | |
| VAC 860e | Biography Information - Youth | |
| VAC 952e | Bomber Command Bar Application Form | |
| VAC 221e | Canada Service Eligibility for the Veterans Independence Program | |
| VAC 660e | Canadian Forces Income Support (CFIS) | |
| VAC 661e | Canadian Forces Income Support (CFIS) Benefit Initial Application - Survivor | |
| VAC 613e | Canadian Forces Income Support (CFIS) Benefit Initial Application - Veteran | |
| VAC 662e | Canadian Forces Income Support (CFIS) Benefit Monthly Change Notification - Survivor | |
| VAC 620e | Canadian Forces Income Support (CFIS) Benefit Subsequent Application - Veteran | |
| VAC 663e | Canadian Forces Income Support (CFIS) Subsequent Application - Survivor NSRD | |
| VAC 1540e | Caregiver Recognition Benefit (CRB) Application | |
| VAC 530e | Children of Deceased Veterans Education Assistance Act - Application for Special Benefit (Current Students) | |
| VAC 531e | Children of Deceased Veterans Education Assistance Act - Application for Special Benefit (Former Students between February 28, 1995 and August 31, 2003) | |
| VAC 863e | Commemorative Event Nomination Form | |
| VAC 1068e | Commemorative Partnership Program Community Engagement Funding Application | |
| VAC 1064e | Commemorative Partnership Program Community War Memorial Funding Application | |
| VAC 834e | Community War Memorial Program Application Form | |
| VAC 934e | Consent for Bureau of Pensions Advocates to Collect Personal Information from Third Parties | |
| VAC 1021e | Consent for the Bureau of Pensions Advocates (BPA) to Disclose Personal Information to Third Parties | |
| VAC 1653e | Consent for the Release of Personal Information Between Veterans Affairs Canada and The Manufacturers Life Insurance Company (Manulife), Canadian Armed Forces Long Term Disability (CAF LTD) | |
| VAC 928e | Consent for Veterans Affairs Canada to Collect Personal Information from Third Parties | |
| VAC 520e | Consent for Veterans Affairs Canada to Disclose Personal Information to Third Parties | |
| PEN 1050-2e | Declaration as to Domicile - Dependant | |
| PEN 1050-1e | Declaration as to Domicile - Disability | |
| VAC 922 | Declaration for CFIS Spouse/Dependents | |
| PEN 6205APe | Departmental Review Application | |
| VAC 765e | Designation of Memorial Cross Recipients | |
| VAC 760e | Determination of Self-employment Earnings - Financial Benefit | |
| VAC 441e | Direct Deposit Request | |
| VAC 441APe | Direct Deposit Request - Rehabilitation Letter | |
| PEN 923e | Disability Benefits (Pain and Suffering Compensation/Disability Pension) | |
| VAC 1572e | Education and Training Benefit - Completion Bonus | |
| VAC 1547e | Education and Training Benefit - Formal Program Plan | |
| VAC 1550e | Education and Training Benefit - Monitoring Form | |
| VAC 1573e | Education and Training Benefit - Plan Amendment | |
| VAC 1549e | Education and Training Plan - Short Course | |
| VAC 1416e | Family Physician Assessment | |
| VAC 1050e | Financial Benefits - Income Verification - Survivor | |
| VAC 717e | Financial Benefits - Report on Earnings from Employment | |
| PEN 1280e | Financial Report | |
| PEN 6202e | General information - Disability Benefits | |
| PEN 71e | General Medical Questionnaire | |
| VAC 752Ae | Health Related Travel Claim - Veteran | |
| VAC 752Ce | Health Related Travel Guide | |
| VAC 752De | Health Related Travel Receipt - Escort | |
| VAC 2524e | Income Replacement Benefit - Income Verification | |
| VAC 2526e | Income Replacement Benefit for Orphan(s) Over 18 | |
| VAC 2527e | Income Replacement Benefit for Orphan(s) Under 18 | |
| VAC 2507e | Income Replacement Benefit for Survivor and Orphan(s) under 18 | |
| VAC 2502e | Income Replacement Benefit for Veterans | |
| PEN 6208e | Medical Officer Consultation Request Form | |
| PEN 6224e | Medical Questionnaire: Ankle Conditions | |
| PEN 59e | Medical Questionnaire: Cardiorespiratory Conditions | |
| PEN 6226e | Medical Questionnaire: Elbow Joint Conditions | |
| PEN 6222e | Medical Questionnaire: Foot and Toe Conditions | |
| PEN 6228e | Medical Questionnaire: Fractures - Lower Limbs | |
| PEN 6229e | Medical Questionnaire: Fractures and Miscellaneous Musculoskeletal Conditions of the Chest and Upper Limbs | |
| PEN 6223e | Medical Questionnaire: Hip Conditions | |
| PEN 6221e | Medical Questionnaire: Knee Conditions | |
| PEN 56e | Medical Questionnaire: Neurological Conditions | |
| PEN 6227e | Medical Questionnaire: Thumb/Finger Conditions | |
| PEN 6225e | Medical Questionnaire: Wrist Conditions | |
| PEN 6234e | Medical Questionnaire: Activities of Daily Living | |
| PEN 6230e | Medical Questionnaire: Amputation of Upper and Lower Limbs | |
| PEN 6236e | Medical Questionnaire: Cervical Spine Conditions | |
| PEN 6237e | Medical Questionnaire: Coccyx, Pelvis and Sacroiliac Joint Conditions | |
| PEN 6238e | Medical Questionnaire: Dental and Oral Conditions | |
| PEN 62e | Medical Questionnaire: Endocrine and Metabolic Conditions | |
| PEN 61e | Medical Questionnaire: Gastrointestinal Conditions | |
| PEN 6249e | Medical Questionnaire: Hearing Loss/Tinnitus | |
| PEN 69e | Medical Questionnaire: Hemopoietic Conditions | |
| PEN 6241e | Medical Questionnaire: Hypertension | |
| PEN 6232e | Medical Questionnaire: Lower Limb Function | |
| PEN 63e | Medical Questionnaire: Malignant Conditions | |
| PEN 57Ae | Medical Questionnaire: Nose, Throat, Sinus Conditions | |
| PEN 6231e | Medical Questionnaire: Osteomyelitis | |
| PEN 6243e | Medical Questionnaire: Peripheral Vascular Arterial Disease | |
| PEN 6248e | Medical Questionnaire: Psychiatric/Psychological Condition(s) | |
| PEN 6242e | Medical Questionnaire: Raynaud's Disease/Phenomenon and Frostbite, Immersion Foot and Other Cold Injuries | |
| PEN 6220e | Medical Questionnaire: Shoulder and Acromioclavicular Joint Conditions | |
| PEN 6246e | Medical Questionnaire: Skin Diseases and Burn Scars | |
| PEN 6245e | Medical Questionnaire: Superficial Skin Wounds and Scars | |
| PEN 6235e | Medical Questionnaire: Thoracolumbar Spine Conditions | |
| PEN 6233e | Medical Questionnaire: Upper Limb Function | |
| PEN 68e | Medical Questionnaire: Urinary, Sexual, Reproductive Conditions | |
| PEN 6244e | Medical Questionnaire: Varicose Veins and Deep Vein Thrombosis | |
| PEN 6250e | Medical Questionnaire: Vertigo/Ear Conditions | |
| PEN 6239e | Medical Questionnaire: Visual Conditions | |
| VAC 1002e | Medical Release Attributable to Service Determination | |
| VAC 523e | Mini-mental State Examination | |
| VAC 1609e | Minister of Veterans Affairs Commendation - Nomination Package | |
| VAC 743e | Psychological Progress Report | |
| VAC 630e | Public Service Health Care Plan (PSHCP) Eligibility for Clients of Veterans Affairs Canada (VAC) | |
| VAC 754e | Public Service Health Care Plan (PSHCP) Request for Cancellation of Plan for Clients of Veterans Affairs Canada | |
| PEN 50e | Quality of Life (QOL) Questionnaire | |
| VAC 540e | Record of Counselling and/or Client Consent | |
| VAC 2522e | Rehabilitation Services and Vocational Assistance Program for Spouse/Common-law Partner | |
| VAC 2523e | Rehabilitation Services and Vocational Assistance Program for Surviving Spouse/Common-law Partner | |
| VAC 2533e | Rehabilitation Services and Vocational Assistance Program, and Income Replacement Benefit (VAC2501 in My VAC Account) | |
| VAC 1319e | Report by Medical Examiner | |
| VAC 2534e | Request for Additional Pain and Suffering Compensation Grade Reassessment | |
| VAC 791e | Request for Address Change | |
| VAC 808e | Request for Confirmation of Allied Service | |
| VAC 922Be | Request for Extension of Treatment | |
| VAC 611e | Request for Payment/Reimbursement Re: Cost of Financial Advice | |
| VAC 994e | Second World War Tribute Request | |
| VAC 1369e | Statement of Income and Financial Status - Overpayment Review | |
| VAC 165e | Statutory Declaration | |
| VAC 1080e | Statutory Declaration Re: Lost Policy Contract | |
| VAC 1525e | Surviving Dependant Information | |
| PEN 319e | Surviving Dependant Information Under the Pension Act | |
| VAC 1018e | Travel Claim | |
| VAC 918e | Treatment Benefits Reimbursement Claim Form (POC 1-14) | |
| PWGSC 536e | Undertaking and Idemnity - For Direct Deposit payments issued by the Receiver General | |
| PWGSC 535e | Undertaking and Indemnity - For cheques issued by the Receiver General | |
| PEN 100e | Undertaking by Administrator for Administration of Account | |
| VAC 755e | VAC - Amendment - Public Service Health Care Plan (PSHCP) | |
| VAC 844e | Validation of Identity Bulletin | |
| VAC 1679e | Veterans Affairs Canada Ministerial Advisory Group Application Form | |
| VAC 1145APe | Veterans Independence Program Application | |
| VAC 930e | Veterans Independence Program Client Reimbursement Claim Form |
- Date modified: