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Industrial Injuries Disablement Benefit claim forms

Industrial Injuries Disablement Benefit claim forms to print and fill in with a pen.

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Use form BI100A to claim Industrial Injuries Disablement Benefit for an accident caused by work.

Use form BI100PD to claim Industrial Injuries Disablement Benefit for a disease caused by work.

To get more information or printed copies of the forms, go to www.gov.uk/industrial-injuries-disablement-benefit