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 générale de la protection de la santé publique
Programme d'indemnisation des victimes d'une vaccination
930, chemin Sainte-Foy, 3e étage
​Québec (Québec) G1S 2L4
The forms can also be obtained by writing to the Ministère de la Santé et des Services sociaux at the above address.
You are about to download the English version of this publication. Please note that this is aimed for those covered by one of the exceptions 
under the Charter of the French language.
Download this document
(PDF, 611 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 10, 2025
Author: MSSS
Publication no : 25-278-23WA