VAC Form 2504: Fillable PDF
Additional Pain and Suffering Compensation Application
Veterans Affairs Canada
Apply for Additional Pain and Suffering Compensation for a service-related permanent impairment.
Reviewed July 2026
This form must be opened in Adobe Acrobat Reader to fill it out. Browsers show a placeholder page instead of the form.
How it works
- 1
Download the form. Save the official PDF to your device.
- 2
Open it in Adobe Acrobat Reader and fill in each field. Browsers show a placeholder page for this form type.
- 3
Save and submit the completed form following the official instructions.
VAC Form 2504 is the application for Additional Pain and Suffering Compensation (APSC), a Veterans Affairs Canada benefit for veterans living with a severe and permanent service-related impairment that creates a barrier to life after service. The form starts VAC's assessment of whether the benefit applies to your situation.
Like most current VAC forms, the 2504 is a dynamic XFA PDF. Browsers and typical online PDF tools cannot display it, so download the official file from this page and complete it in Adobe Acrobat Reader on a computer. Veterans Affairs Canada also accepts this application online through My VAC Account.
What VAC Form 2504 is used for
Additional Pain and Suffering Compensation is a monthly benefit that recognizes the ongoing impact of a severe and permanent impairment caused by a service-related injury or illness. The 2504 collects the information VAC needs to decide entitlement and to assess the level of the benefit.
VAC assesses each application against the current program criteria, which generally involve:
- A disability for which VAC has already granted pain and suffering entitlement
- A severe and permanent impairment linked to that service-related condition
- A barrier to re-establishment in post-service life caused by the impairment
Who uses VAC Form 2504
Veterans who believe they meet the APSC criteria complete the 2504. Because the benefit builds on an existing VAC disability entitlement, most applicants have already been through a disability benefits decision with Veterans Affairs Canada.
This page describes the form itself, not your entitlement. Eligibility decisions rest with VAC, and the criteria and benefit structure can change, so verify the current details on the Veterans Affairs Canada website. Universal PDF is not affiliated with VAC or the Government of Canada.
How to fill out VAC Form 2504
Open the downloaded PDF in Adobe Acrobat Reader and complete each section:
- Identification: your name, date of birth, contact information, and VAC file number
- Details of the service-related condition and how the impairment affects your daily life
- Any supporting information the form asks you to include or that VAC has requested
- Declaration and signature: print the form, review your answers, then sign and date it
How to submit the form
You can apply through My VAC Account or send the completed paper form to Veterans Affairs Canada using the submission details shown on the current form and the VAC website.
Keep copies of the application and anything you attach. If you want support with the process, veterans' service organizations and VAC itself can direct you to help with applications.
Frequently asked questions
The 2504 is an XFA dynamic PDF, and browsers or lightweight PDF viewers display a please wait placeholder because they cannot render that format. Download the file and open it in Adobe Acrobat Reader on a computer to see the real form.
APSC is a monthly Veterans Affairs Canada benefit that recognizes a severe and permanent service-related impairment that creates a barrier to re-establishment after service. VAC assesses both entitlement and the level of the benefit based on your application.
APSC is generally tied to a condition for which VAC has already granted pain and suffering entitlement. If you have not applied for disability benefits yet, review the VAC website or contact VAC to confirm the right order of applications for your situation.
Yes. Veterans Affairs Canada accepts this application through My VAC Account. The downloadable 2504 PDF is the paper alternative and must be completed in Adobe Acrobat Reader.
Veterans Affairs Canada reviews the application and notifies you of its decision, including the assessed level if the benefit is granted. Processing times vary, and VAC publishes current service standards on its website.
Related forms
Universal PDF is an independent product and is not affiliated with or endorsed by any government agency. Forms are provided from official government sources; always confirm you have the current version before filing.
This form is reproduced from official Canadian government sources. Universal PDF is not affiliated with or endorsed by any Canadian federal or provincial government body; always confirm you have the current version on the official site.