Accident Victim

Claim for Compensation - Guide and Forms

To submit a claim, you will need:

1. Forms
   These include:
• forms that must be filled out:
• the Claim for Compensation form
  • appendices:
    • Victim's Situation
    • Economic Situation
• schedules that might be needed:
  • Schedule 2 Attestation of income by the employer
  • Schedule 3 Confirmation of employment insurance benefits lost due to the accident – Confirmation of employment assistance allowance lost due to the accident
  • Schedule 4 Attestation of school attendance
  • Schedule 5 Expenses for Travel to Receive Care
  • Schedule 6 Job Description
2. Guide to the Claim for Compensation
   The guide contains all the information you will need to fill out a claim for the various types of compensation paid by the SAAQ
3. The Compensation Table.

Before submitting a claim to the SAAQ, make sure:

1. You enclose all supporting documents and vouchers on hand;
2. You enter the claim number you were assigned on all pages of the  forms and on supporting documents, such as receipts and invoices, that you enclose;
3. You sign all document where required;
4. You put sufficient postage on the return envelope before mailing it to this address:

Société de l'assurance automobile du Québec
Services aux accidentés (D.I.)
Case postale 2500, succursale Terminus
Québec (Québec)  G1K 8A2

Send in a claim as soon as possible, even if you still don't have some supporting documents from another person or institution. These can be submitted later.

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