Follow the steps to successfully complete your claim form.

1. Press the ‘Get Form’ button to access the BI100A Notes and open the document in an editor.
2. Begin by completing Part 1, which asks for personal information including your surname, date of birth, and National Insurance number. Make sure all details are accurate.
3. If you are filling the form on behalf of someone else, complete Part 2. Explain why the claimant cannot fill out the form and provide your details.
4. In Part 3, describe your work or approved employment training scheme. Include your employer’s or training provider’s name, address, and contact details.
5. Detailed information about the accident is required in Part 4. Specify where, when, and how the accident occurred, as well as any reports made.
6. In Part 5, provide comprehensive details about the accident itself, including your activities at the time and the injuries sustained.
7. If you have previously claimed Industrial Injuries Disablement Benefit, indicate this in Part 6 and provide relevant details.
8. Complete Part 7 with your medical details, including information about your GP and any treatments related to the accident.
9. Part 8 addresses any other benefits you or your partner might be receiving. Ensure to tick the relevant boxes.
10. Specify how you prefer to be paid in Part 9, and provide your bank account details accurately.
11. Use Part 10 to add any additional information that may be relevant to your claim.
12. Finally, in Part 11, sign and date your form to confirm that all information provided is correct, and submit the claim promptly.
13. Save any changes, and then download, print, or share your completed form as needed.

Complete your UK BI100A Notes form online to ensure a smooth application process.