Claim Forms: Claims on Behalf of Living Patients

If you are making a claim on behalf of yourself, or on behalf of a patient who is living, please read the Information Sheet carefully and fill in the Claim Form.

Documents

An Information Sheet relating to the operation of the Scheme Please read the information sheet before completing the claim application form. You may find that you are not the correct person to make the claim.

Claim Application Form

(N.B.: If you have not already installed Acrobat Reader on your computer, you can download and install from this location.)