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Wednesday, 3 October 2023

Industrial Injuries Disablement Benefit forms (BI100, BI103 and BI104)

Download a claim form for Industrial Injuries Disablement benefit.


Industrial Injuries Disablement Benefit (IIDB) is for people who are disabled because of an accident at work or who are ill or disabled as a result of a disease or deafness caused by work.

You should claim straight away. If you delay you may lose benefit.

If you would like more information before applying follow the links below.

How to use this service

The forms come with notes that will help you fill it in and tell you where to send it once it's completed.

To access the form you will need a copy of Adobe Reader. Information on how to download this for free is available on the right panel of this page.

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