If someone has suffered an injury and believe they are entitled to compensation, they can submit a claim to PIAB.
This can be done using either the online claim form or print paper claim forms available at the links below.
Start the process in six clear steps
Fill out a claim application form online OR complete and send one to us by post or email along with a copy of your medical report and processing fee.
Fees: For claim forms submitted by post or email the processing fee is €90. For applications using the online form, the fee is €45.
Paper forms: If you are not using the online form, you can download a claim form (Form A) and a medical form (Form B) here. The forms are available at that link in either Word or PDF format to facilitate their use and printing.
Someone under 18 years needs to be represented by a 'next friend' who will make the claim on their behalf.
Respondent (the person or organisation who you are claiming against) receives notification of your claim from PIAB.
Respondent, usually represented by an insurance company, agrees to the assessment of your claim by PIAB. The majority of respondents agree to this.
PIAB may arrange an independent medical examination on your behalf.
PIAB assess the amount of compensation (monetary value of your claim).
Claimant and respondent both accept the amount of compensation. Respondent issues settlement cheque.
Download the claim application form.
- If the respondent does not agree to a claim being assessed by PIAB, the claimant is issued with an authorisation to take their claim through the court system should they so wish. Authorisation from PIAB is required.
- If either of the parties rejects the assessment by PIAB, then the process is that PIAB issues an authorisation which allows the claimant to take their claim through the court system should they so wish.
As part of your claim application you are required to submit a medical report to PIAB. In most instances you need to make your claim within 2 years of the accident. It is recommended you submit your application form, the fee as set out above, and medical report within this time period. If you have further queries please refer to the frequently asked questions below or alternatively contact our Service Centre on Lo-Call 1890 829 121.
Have more queries? See our Frequently Asked Questions