Form

Vaccine Damage Payment claim form

Use this form to claim Vaccine Damage Payment by post.

This publication was withdrawn on

This claim form is no longer in use. It has been replaced by Vaccine Damage Payment Scheme: Claim for a vaccine damage payment.

Documents

[Withdrawn] Vaccine Damage Payment claim form

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Updates to this page

Published 1 April 2013
Last updated 31 December 2020 + show all updates
  1. Added coronavirus (COVID-19) to the list of vaccinations on the claim form.

  2. Replaced forms with April 2016 versions.

  3. First published.

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