VAC Form 930: Fillable PDF
Veterans Independence Program Client Reimbursement Claim
Veterans Affairs Canada
Claim reimbursement of eligible Veterans Independence Program expenses.
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 930 is the Veterans Independence Program (VIP) client reimbursement claim. Clients who have been approved for VIP services use it to claim back eligible expenses they paid out of pocket, in line with the arrangements Veterans Affairs Canada set out in their approval.
The 930 is a dynamic XFA PDF. Browsers and most PDF tools show a placeholder page instead of the form, so download the official file from this page and open it in Adobe Acrobat Reader on a computer. My VAC Account, the VAC online portal, is the alternative for handling much of this business electronically.
What VAC Form 930 is used for
The form lets an approved VIP client itemize expenses and ask Veterans Affairs Canada to reimburse the eligible portion. Which expenses qualify depends on the services approved in your VIP decision, and VAC pays some VIP elements in other ways, such as arrangements paid in advance.
A typical claim includes:
- Your identification and VAC file number
- The service or expense being claimed and the dates it covers
- The amounts paid and who provided the service
- Receipts or proof of payment where required
Who uses VAC Form 930
The form is for veterans and other clients, including former RCMP members in applicable programs, who already receive Veterans Independence Program benefits and paid for an eligible service themselves.
If you have not yet applied for VIP, start with VAC Form 1145AP, the program application. The 930 only applies once VAC has approved services for you.
How to fill out VAC Form 930
Open the downloaded PDF in Adobe Acrobat Reader and complete the claim carefully:
- Enter your personal details and VAC file number so the claim matches your record
- List each expense with dates, amounts, and the provider's details
- Attach the receipts or invoices your approval letter or the form asks for
- Print the form, then sign and date the declaration before sending it
How to submit the claim
Send the signed claim and supporting receipts to Veterans Affairs Canada using the submission details on the current version of the form and the VAC website. Registered users can also manage VIP business through My VAC Account.
Keep copies of receipts and the completed claim. If a claim is returned or partially paid, VAC's decision letter explains why and what to do next.
Frequently asked questions
The 930 is an XFA dynamic PDF, a format browsers and most PDF viewers cannot render, so they display a please wait placeholder. Save the file to your computer and open it in Adobe Acrobat Reader to access the actual claim form.
Claims generally need proof of the expense, such as receipts or invoices showing what was paid and to whom. Keep the originals or clear copies for your records in case Veterans Affairs Canada asks for them again.
No. Reimbursement applies only to services Veterans Affairs Canada approved for you under the Veterans Independence Program, and some program elements are paid through other arrangements. Your VAC decision letter describes what your coverage includes.
No. The 930 is for clients who already have approved VIP services. To apply for the program itself, use VAC Form 1145AP or apply through My VAC Account.
Veterans Affairs Canada issues payments to the client, and direct deposit is the usual method. VAC Form 441 sets up or updates the banking details VAC uses for payments.
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