Compensation Claim Check Please answer the following questions and one of our compensation law experts will contact you to discuss your claim. 1234567Which of the following best describes the type of claim that you or your family member are looking to make? *injured at workinjured in a motor vehicle accidentinjured in a public placeinjured as a result of negligent medical treatmentI am a survivor of child sex abuseI want to make a TPD claim through my superNextWhere did the injury happen? *Western AustraliaNorthern TerritoryQueenslandSouth AustraliaNew South WalesVictoriaTasmaniaPreviousNextWhen did the injury occur? (If you do not know the precise date, please provide your best estimate) *PreviousNextPlease describe how the injury occurred.PreviousNextAs a result of the injury, did you or a family member experience any of the following? *Psychological InjuryPhysical InjuryBothPlease select which of the following best describes the type of physical injury you or your family member suffered. *Injury to spineInjury to hip / knee / ankleInjury to shoulder / elbow / wristLoss of body part / amputationHead injuryOtherPreviousNextHas the injury or accident impacted the ability to work? *NoYesPlease specifyPreviousNextThank you for completing your Free Compensation Claim Check. We will be contacting you shortly to discuss your potential claim.Name *Email *Phone Number *PreviousName Leave this field empty Submit
