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VAC 1319: Report by Medical Examiner

Veterans Affairs Canada uses this report from an examining physician to decide eligibility for the War Veterans Allowance and benefits under the Civilian War-Related Benefits Act. The examiner records complaints, history, physical findings, a functional and psychosocial assessment and diagnoses, then gives an opinion on employability, prognosis and potential for retraining. Because the allowance depends on this medical information, the form asks for early transmission.

Who completes it

The examining physician completes sections 1 to 9, states the date of examination and whether they are the patient's own physician, and signs. The top of the form identifies the client by name, VAC file number, mailing address and any service or RCMP regimental number.

Submitting and payment

How to submit it
The completed report goes back to VAC without the address cover sheet, which the form says is for address purposes only, and VAC asks for it to be sent early.

Good to know

  • Section 4 special studies, such as x-ray, serology, urinalysis or EKG, are done only when authorized by the VAC Medical Adviser or District Authority; results can follow later if a tentative assessment is possible.
  • List multiple diagnoses in order of significance for employability, and support the employability opinion in section 7 with a narrative summary in section 8.
  • Section 5 asks for general appearance, speech and affect as they might impress a prospective employer, plus a psychosocial assessment; append any psychiatric or psychological report obtained.
  • Section 7 records unrestricted or restricted employability, whether the client is probably permanently unemployable, prognosis with adequate treatment, and retraining potential: good, moderate or not feasible.

Get the official form

Download the current version from the source each time; forms change without notice.

Report by Medical Examiner

Rapport du médecin examinateur

Official pagePDFVersion française

Fill it with Vero

Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

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Frequently asked questions

What is VAC form 1319 used for?

It gives Veterans Affairs Canada the medical information it needs to decide War Veterans Allowance eligibility; its privacy notice also cites the Civilian War-Related Benefits Act. The form states that granting the allowance depends on this information and asks the examiner to send it early, so a delayed report can hold up the decision.

Is VAC 1319 available in French?

Yes. VAC publishes it in English as VAC 1319e and in French as Rapport du médecin examinateur. The current edition is dated 2016-02, it is a fillable PDF listed under VAC's Medical Professional Documents, and VAC notes that you can enter information directly and save it as you go.

What physical findings does VAC 1319 ask for?

Section 3 asks for apparent age, height, weight, blood pressure and pulse, then significant findings under headings such as nutritional status, head and neck, pulmonary, cardiac, circulatory, abdomen, reflexes, musculoskeletal and posture, using your own examination routine. Section 2 covers surgery, current regimen, alcohol and cigarette use and social problems.