Get Rsa-personal Accident Scheme Claim Form - Merseyside Police ... - Merpolfed Org

Filing a claim through the RSA-Personal Accident Scheme can be straightforward when you follow the right steps. This guide provides clear, user-friendly instructions to help you complete the Merseyside Police claim form online with confidence.

Follow the steps to successfully complete your claim form.

1. Click the ‘Get Form’ button to access the claim form and open it for editing.
2. Begin by filling in the particulars of the claim section. This includes entering the name of the insured person, their home address (including county and postcode), age, height, weight, telephone number, date of birth, and police registration number.
3. In the accident section, provide the place and date of the incident along with a detailed description of what happened and the nature of the injuries sustained.
4. Complete the general section by indicating the date you ceased working and if applicable, the date you returned to work and the date you anticipate returning to work.
5. Answer the questions regarding previous injuries or physical defects, providing any necessary details if you respond 'Yes'.
6. Make sure to enter the name and address of your private medical attendant, as this is crucial for processing your claim.
7. Review the Access to Medical Reports Act 1988 section carefully, complete the consent form if you agree to allow medical information to be shared, and ensure your signature is present.
8. Fill out the data protection section by confirming your understanding and consent for data usage in relation to your claim.
9. Complete the declaration by certifying that all provided information is true, which must be signed and dated by you.
10. If necessary, ensure that the trustees’ declaration section is signed by an authorized person before submission.
11. Once the form is complete, save your changes, then download or print the form for your records. Follow any additional instructions for submission as indicated.

Complete your RSA-Personal Accident Scheme Claim Form online today to ensure your claim is processed efficiently.