30 second claim check

Do you suffer from an injury or illness?

Yes No

Did your injury or illness occur in one of the following ways

Motor Vehicle Accident Work Place Accident Public Liability Incident (i.e trip/fall) Medical Negligence Other

Did the injury occur in Queensland?

Yes No

Did your injury occur in the past 3 years?

Yes No

Have you lost income/been unable to work due to the injury/illness?

Yes No

First name

Last name

Email

Phone

T102/292 Anzac Avenue
PO Box 299
Kippa Ring QLD 4021

Liability limited by a scheme approved under professional standards legislation