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Injury Benefits Permanent Injury form

The NHS Injury Benefit Scheme is only available to applicants who have sustained an injury or contracted a disease on or before 30 March 2013.

The Injury Benefit Regulations were amended for any applicants who left NHS employment on or after 31 March 2018 in that it is now the responsibility of the applicant to provide compelling evidence to support their application.

Due to the above changes and the requirements of GDPR, the application form for Permanent Injury Benefits has now been amended and there are now two forms on the website. These are the only forms that will be accepted.

The original application form for Permanent Injury Benefits, known as form AW13, is for applicants who have sustained an injury or contracted a disease on or before 30 March 2013 and who left employment or commenced lower paid NHS employment on or before 30 March 2018. Please ensure the relevant documents noted in the guidance notes and on page 6 of the application form are included, or we will not be able to process the application.

There is a new application form, known as form AW14, which is to be completed for applicants who have sustained an injury or contracted a disease on or before 30 March 2013 but have left employment or commenced lower paid NHS employment on or after 31 March 2018. The applicant will need to provide compelling evidence in order to make a claim. More details can be found in the guidance notes.

If you have any queries you should contact the Injury Benefits helpline on 01253 774957 or email nhsbsa.injurybenefitsenquiries@nhs.net.