Injury Compensation Programs

The National Vaccine Injury Compensation Program (VICP) is a no-fault alternative to the traditional legal system for resolving vaccine injury petitions. The VICP provides compensation for people injured by certain vaccines.

Any individual, of any age, who received a covered vaccine and believe they were injured as a result, can file a petition. Parents, legal guardians and legal representatives can file on behalf of children, disabled adults, and individuals who are deceased.

To electronically submit a copy of your petition that has already been filed with the court, login above and select the Submit button under Submit a Petition to VICP on the home page.

For more information about VICP: 1-800-338-2382 or vaccinecompensation@hrsa.gov.

The Countermeasures Injury Compensation Program (CICP) was created so that in the unlikely event you have a serious injury from a covered countermeasure, you may be considered for benefits.

The following may be eligible for Program benefits:

• The injured countermeasure recipient
• Certain survivor(s) of a deceased injured countermeasure recipient
• The estate of a deceased injured countermeasure recipient

Select one filing method only. Do not submit the same requests electronically and by mail.

To electronically submit a CICP Request for Benefits, login above and select the Submit button under Submit a Request Package to CICP on the home page.

The following form can be completed and uploaded at the time of your submission or added to your In Progress request at a later date:

• Instructions for the Authorization for Use or Disclosure of Health Information form* (PDF - 42 KB)
• Authorization for Use or Disclosure of Health Information form* (PDF - 162 KB)
• Please note that you need to fill out a separate form for each healthcare provider who treated you.

For more information about CICP: 1-855-266-2427 (CICP) or cicp@hrsa.gov.

Select one filing method only. Do not submit the same requests electronically and by mail.

• Instructions for the Request for Benefits Form* (PDF - 42 KB)
• Instructions for the Authorization for Use or Disclosure of Health Information form* (PDF - 42 KB)

Please complete thoroughly:

• Request for Benefits form* (PDF - 246 KB)
• Authorization for Use or Disclosure of Health Information form* (PDF - 162 KB)
• Please note that you need to fill out a separate form for each healthcare provider who treated you.

Please make sure:

• Your Request for Benefits forms are sent to the CICP via U.S. Postal Service mail or a private courier. CICP does not accept Request for Benefits forms via fax or email.
• CICP receives all medical records from each health care provider who treated you. These are generally all of the medical records from one year before the administration or use of the covered countermeasure to the present time. The records also need to be sent to the CICP by U.S. Postal Service mail or private courier service.

The CICP is not authorized to provide reimbursement for attorneys’ fees. You may elect to use an attorney; however, you are responsible for any costs incurred from using one.

You can file Request for Benefits form without other documents.

For more information about CICP: 1-855-266-2427 (CICP) or cicp@hrsa.gov.