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Claims Initial Enquiry
We’ll get answers within 24 hours.
Fill in all the details you are comfortable with. Only your name, phone and email are required. The more information you provide, the quicker we can assess whether you have a claim for compensation.
Full Name (required) DOI (Date of Incident) DOB ਪਤਾ Phone (required) ਈਮੇਲ (required) Employer at time Employed as Injuries Previous injuries
Doctors Physiotherapists Specialists
Super fund TPD amount Policy number
Police report number
Collision type
Vehicle vs Vehicle/Motorcyclevs Bicyclevs PedestrianRego 1 Rego 2 WorkCover claim number Ombudsman reports for med neg
Doctors reports available?
YesNoPhotos of incident/injuries
If file upload is not available, please note whether photos are available below.
Photos available (yes/no) and note
Currently with a lawyer?
YesNoCurrent issues with law firm/lawyer How previous injuries affected you prior to this incident
How injury occurred
Liability type
Medical negligenceAt WorkMotor VehiclePublic LiabilityRental Property InjuryFurther answer
Before you send
Injury Check is not a law firm. We use your details to check whether you may have a claim and, if you agree, to send them to the law firm you choose so it can contact you. Some of our service providers store data overseas, including in the United States. You can access, correct or delete your information at any time: info@injurycheck.info. Read our Privacy Policy
I agree to Injury Check collecting my injury and health information and any photos or documents I provide, to check my claim, as described in the ਪਰਾਈਵੇਸੀ ਪਾਲਿਸੀ.
I agree to Injury Check sending my details, including my health information and photos, to the law firm the injured person chooses so it can contact me.
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