Preliminary Information Contact Form
Identification of Deceased Veteran
Please fill in as much information as you have available.
Veteran's Last Name
Veteran's Given name(s)
VAC file Number
Date of birth
Date of death
Place of death
Province of residence at time of death
Marital Status at time of death
Identification of Contact Person
Please provide us with your name and address as contact person of the deceased.
Full Name (First, Last)
Relationship to Veteran
Please add any additional comments
Thank you. One of our counsellors will be in touch soon to begin your application process.