Application for a Grant

Please read the Supporting Notes before filling in this form.

  • Your details
  • Eligibility
  • Name of Solicitor
  • Your Claim
  • Date of loss
  • Grant Information
  • Current Solicitor
  • Documentation
  • Other
  • Declaration

Supporting notes: Applicants are expected to complete, sign and return this form to us. It is the applicant’s details which should be recorded in this section.

Please provide your contact details:

Please provide the details of the other person: