Common menu bar links

REQUEST FOR CONTACT
Identification of Deceased Veteran
Family name:	Given name(s):
VAC file No.	Date of birth	(yyyy/mm/dd)
Place of death	Date of death	(yyyy/mm/dd)
Service No.	Veterans province of residence

Identification of Contact Person
Contact’s name, address, comments and other infromation: Relationship with Veteran: Contact’s Phone Number: xxx-xxx-xxxx E-mail Address:


Veteran’s Province of Residence at Time of Death (For applications outside of Canada, select: From Outside of Canada)

***