Information if you're affected by coronavirus (COVID-19).
Claim for a Repatriation Pharmaceutical Benefits Card
Form ID:
D2622
Audience:
General
Use this form to apply for an Veteran Orange Card.
If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.
How can I access this form?:
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