Industrial Injuries Disablement Benefit

4. How to claim

You’ll need to fill in and post a claim form.

The form comes with notes that:

• help you fill it in
• tell you where to send it

Download and print a claim form

To claim for:

• accidents caused by work, use form BI100A

• diseases caused by work, use form BI100PD

Request a claim form by phone

You can also ask Barnsley Industrial Injuries Disablement Benefit (IIDB) Centre to send you a claim form.

Barnsley IIDB Centre
Telephone: 0345 758 5433
Textphone: 0345 608 8551
Find out about call charges

Alternative formats

Call to ask for alternative formats, such as braille, large print or audio CD.

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