Starting Your Claim Application  

Checklist and Points to Note

Before you start filling in the application form, make sure you have all the relevant documents and dates to hand – you will need all of this information to complete this form.

Online Application Checklist

  • Date of Accident.
  • Details of the respondent – the person(s), entity or entities that you are making the claim against.
  • Credit card or debit card details. A fee of €45 is payable to process your claim.
  • A completed medical report (if available).


If you do not have a medical report right now you can submit your claim without it and send it later.


The respondent (the individual(s), entity or entities you are making a claim against) will be notified that you are making a claim against them once you have submitted your completed application. will also contact you directly once the form has been received to follow-up on details of your case and progress the application with you.

Need some help?

Call us on 1890 829 121
NI/UK 0870 8768121
Overseas +353 23 8832826

Click here to request a callback

Important Note

Only an injured party should submit their application using this online facility. If you are not the injured party please contact 1890 829 121 in order to submit your application.