Let us assess your child abuse claim

We can assess your claim on line. Please fill in as much information as possible. If English isn't your first language please tell us and we will let you know how we can make your claim easier.

If you are applying on behalf of someone else, please state so here and let us know how you are related to the person you are applying for. Please answer the remainder of the questions for the abused person.

Claims Information
Yes I am the injured person
No I am not the injured person
When did the abuse happen?
What is your date of birth?
What happened?
Whose fault do you think it was?
Why?
Are there any witnesses?
Have you reported the abuse to the police? Yes No
If so, what happened - has your abuser been prosecuted and if so when?
What is the nature of your injury (physical and/or psychological)?
When did you first seek medical help?
And from whom?
Have you incurred any financial loss as a result of the abuse?
Have you received legal advice already - if so when and from whom?
How did you find our web site?
Personal Information
Name
Address
Email
Phone
How would you like us to respond?
When would you like us to respond?