Publications du ministère de la Santé et des Services sociaux
Forms – Québec's compensation for victims of vaccination program
Form
Description
A claimant must print the forms below; fill them out, providing all information requested; and send them to the following address:
Ministère de la Santé et des Services sociaux
Direction de la protection de la santé publique
Programme d'indemnisation des victimes d'une vaccination
1075, chemin Sainte-Foy, 11e étage
Québec (Québec) G1S 2M1
The forms can also be obtained by calling 1 855 881-9869.
Download this document
(PDF, 576 Ko, 10 pages)
This publication is available only in an electronic version.
This publication is available in French.
Details
Online since: July 16, 2013
Last modification: October 23, 2015
Author: MSSS
Publication no : 15-form-indemnisation-en