Insurance claims against the council

If you believe we could be responsible for personal injury or damage to your property, you may be able to make a claim for compensation

Your Details
1. Please note anything marked with an * is mandatory.
2. If you believe we could be responsible for personal injury or damage to your property, you may be able to make a claim for compensation.
  
  In order to make a claim, please complete the form below. Please include as much detail as possible to allow us and our insurer to investigate.
3. Title*
4. First name(s)*
5. Surname*
6. Address*
7. Date of Birth
8. National Insurance Number
9. Telephone Number
10. Email Address*
Claim Details
1. Details of the Incident. Please include the exact location, date and time*
2. Details of any injuries or damage to property *
3. Details of how or why you feel the council have acted negligently*
Form fields to check for robots
1. What's your name
2. Are you a robot
3. Are you sure?