The fields with the red border are required.
      Initial Request for Documents        
      Personal Injury Claims for Loss of Profits / Earnings    
               
      Claimant's Name      
               
      Occupation Many of the preliminary documents needed are common to most occupations.  
    However, some employments / trades may have specific documents -
    Employee
      Is the claimant
    Self Employed?
    Employed?
    Company Director?
    Don't Know
         
    Accident Date
    Calendar
    Calendar
    Time off work
    Still off work?
    Yes
    No
    Self Employed
    Company Director