Before you start you'll need to know:
Details of your current claim
Your National Insurance number
If you do not have a current claim do not use this form, please complete a new application instead.
Useful tips for completing the form:
The form checks for errors and highlights anything you have missed
Question marked with an asterisk (✱) are mandatory and MUST be answered
When inputting values you do not need to include a £ sign
When inputting sort codes there is no need to include a -
Start a new form
Choose this option to start a new application. Click on the start button:
Continue with a saved form
Choose this option to continue filling out a saved application