Get Bi 95 Form

Filling out the Bi 95 Form online can be a straightforward process if you follow the necessary steps. This guide will provide you with clear and supportive instructions to ensure your submission is complete and accurate.

Follow the steps to successfully complete the Bi 95 Form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by providing your personal details in Part 1. This includes your surname, other names, any previous surnames, title, address, postcode, and phone numbers. Ensure that you fill in your National Insurance number accurately.
3. In Part 2, provide information about your employment at the time of the accident. Include your employer's name, their address, phone number, workplace, job title, department, and any employee reference numbers you have.
4. Proceed to Part 3, where you will describe the accident. Start with the date and time it occurred, followed by details about where it happened and what you were doing at that moment.
5. Describe the accident in detail, including how it happened and the nature of your injuries. Be specific about which body parts were affected.
6. Indicate whether you have reported the accident to your employer and provide the name of the individual to whom it was reported.
7. Note if anyone documented the details of the accident or if there were witnesses. Provide their names and addresses as required.
8. At the end of the form, sign and date your declaration, confirming that you are applying for acknowledgment of the accident as an industrial accident.
9. Review all information carefully to ensure accuracy. After completing the form, save your changes, download, print, or share the completed document as needed.

Complete your Bi 95 Form online today to ensure timely processing of your report.