Claim for Compensation form

Please read the make a claims page, review the questions in the hardcopy claims document PDF, 74.71 KB and prepare all your documents and images for attachment before filling in the online form below. Please have your PDFs and JPEGs under 2MB.

 Required fields are marked with an asterisk (*).

Type of Compensation (Step 1 of 12)
Please select the compensation being sought: *

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