How was your injury caused?
Select the type of injury
Select the specific category
Select the severity of your injury
Do you have any other injuries from this incident?
Have you lost income due to your injury?
Due to the injury if you have to take off days, we can assist in claiming for lost earnings, lost overtime, bonuses and commission. We can also assist in getting expected future lost earnings.
You can also claim if a family member or friend provided unpaid care.
Would you like to include this?
Approximately how many hours of unpaid care have you received and/or will you receive from the family member or friend?
(Estimate or leave blank if not known)
Other expenses or losses
(Estimate or leave blank if not known)
Please select who you believe was responsible for the incident
Please select your age category when the injury occurred
Please select when the incident occurred
Enter your details to receive your calculation
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