Protective Award Questionnaire

Please complete this questionnaire in as much detail as possible. Your responses will be reviewed by our protective award team and the information you give us will help us to assess your claim. If you are a member of a trade union, please make sure you tell us which in the space below. Thank you and we look forward to helping you.

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* 2. Please enter all your personal details below.

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* 3. What is your Date of Birth?

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