Claim form

We are working on an online form but for now you will need to print off this application form and post or fax it to:

Headland House, 308-312 Gray's Inn Road, London, WC1X 8DP.
Fax: 020 7278 1812

Before completing the form, please read our how can we help you page.

If you have any questions regarding how we can help, please contact our administrator, Lena Calvert, on 020 7278 7916 or by email