Get Particulars Of Claim - Accident At Work Client Ref ... - Oyez

This guide provides comprehensive instructions on filling out the Particulars of Claim form for accidents at work. The form is essential for individuals seeking compensation due to workplace injuries, and this guide aims to assist users in completing it accurately and efficiently.

Follow the steps to successfully complete your form.

1. Press the ‘Get Form’ button to access the particulars of claim document, allowing you to fill it out online.
2. Enter your client reference number in the designated field to help identify your claim for future reference.
3. Provide the court name where you intend to file the claim, ensuring you are using the correct jurisdiction.
4. Leave the claim number blank initially, as this will be allocated by the court after submission.
5. Input the claimant's name (your name), ensuring it's spelled correctly.
6. Enter the name of the defendant, which is typically your employer in this case.
7. State your job title and provide the address of the work premises where the incident occurred.
8. On the specified date, describe the activity you were engaged in when the injury took place, providing as much detail as possible.
9. Detail the nature of the injury sustained, including any relevant medical information or details as necessary.
10. List the particulars of the injury, including any supporting medical reports, making sure to attach them as needed.
11. Complete the particulars of special damages, enumerating past and future expenses related to your injury.
12. Sign the statement of truth to confirm that the information provided is accurate, including the date of the signature.
13. If additional information is required due to limited space, utilize the continuation sheet provided at the end of the form.
14. Once completed, save your changes and choose the option to download, print, or share the form as required.

Complete your Particulars of Claim online today to ensure a smooth filing process.