Injury Claimer | Occupational Injury

Have you suffered from an accident or injury in the workplace within the last 3 years?
(please select)

Yes

No

What type of injury did you sustain?
(please select the most applicable)

Head/Brain

Upper Body

Lower Body

Internal

Psychological

Multiple/Other

Did you receive any medical attention?
(please select)

Yes

No

Please confirm your details below to check if you qualify:

Full name

Email

Telephone

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Your information is processed in the strictest confidence.

Unfortantely, you must have suffered from a work related accident, injury or illness within the last 3 years in order to make a claim.