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Ex Gratia Payment Application Kit
The Government of Canada is offering a one-time, tax-free ex gratia payment of $20,000 in response to the testing of unregistered U.S. military herbicides, including Agent Orange, at CFB Gagetown in 1966 and 1967.
To qualify for this ex gratia payment, specific criteria must be met. Please refer to the guidelines included in the application kit. They are meant to help you complete the application and forms. We recommend you review them before completing the application.
We are presently working to ensure our Web site is compliant with new Government of Canada standards. These new standards will help make our Web site as accessible as possible for all Canadians. However, some documents have not yet been updated. These documents will continue to be available in their previous format until the new standards are met. If you have any questions or concerns, please contact communications@vac-acc.gc.ca. We apologize for any inconvenience and are working to resolve this issue as quickly as possible.
This application package includes the following:
- Checklist
- Detailed eligibility criteria
- Application and forms (All PDF documents in this list open in a new window)
- Guidelines for completing your ex gratia payment application
- Application for ex gratia payment - PDF Version (Help)98 KB
- Physician's Statement - PDF Version (Help)80 KB
- Canadian Forces Authority to Release Service Information - PDF Version (Help)74 KB
- Authority to Release Personal Information - PDF Version (Help)249 KB
- Frequently Asked Questions
If you have more information you would like to include, please send it along with your completed application to:
Veterans Affairs Canada
Processing Centre
P.O. Box 7700
Charlottetown, PE C1A 8M9
Please be aware, you are responsible for any costs associated with getting the information needed to support your application.
If you have any questions, please do not hesitate to call us at
1-866-522-2122.
