Tel: 0800 358 3601

Publications

Forms

Application form - Compensation following a fatal injury
Compensation after a fatal injuryDownload (PDF) 229.63 KB Link to Document
Application form - Compensation following a period of abuse
Compensation for a personal injury following a period of abuse — including physical or sexualDownload (PDF) 191.26 KB Link to Document
Application form - Compensation following a single incident
Compensation for a personal injury following a single incidentDownload (PDF) 187.18 KB Link to Document
Applying as a representative
Using a representativeDownload (PDF) 32.15 KB Link to Document
Applying for loss of earnings compensation
I expect to be unable to work for more than 28 weeks as a result of my injuriesDownload (PDF) 22.72 KB Link to Document
Applying on behalf of an adult who is legally defined as incapable of managing their own affairs
Applying on behalf of someone over 18 who is legally incapable of managing their own affairsDownload (PDF) 43.32 KB Link to Document
Applying on behalf of someone under 18
Applying on behalf of someone for whom you have parental responsibilityDownload (PDF) 46.09 KB Link to Document

for compensation

Telephone helpline Telephone helpline 0800 358 3601

8.30am to 8.00pm Mondays to Fridays, and 9.00am to 1.00pm on Saturdays.