Get in touch

Customer helpline: 0114 250 2000

Opening times: 8am - 6pm. Monday - Friday.

Email: Policyholder enquiries

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Download a claim form

 

Download the correct claim form for your plan below...

Why not Claim Online?
If you are a member of the Good4you or Advantage plans you can claim for Optical, Dental & Chiropody online. Simply login to access this convenient service.

Click on your plan name to download the claim form...

Good4you Plan

Advantage Plan

Westfield Flex Plan

Foresight Plan

Chamber Plan

IoD Plan

Mosaic Plan


Printing problems?
If you are having problems printing your claim form please download the latest version of Adobe Reader.Link: Get Adobe Reader



At times, you may encounter problems when printing a PDF file. For example, a PDF file can contain damaged content such as images or fonts that cannot be rendered by Acrobat during the printing process. Choosing Print As Image bypasses that rendering operation by sending the printer a rasterized image of the document.

To print as image:

1. Open the PDF file in Acrobat.
2. Choose File > Print.
3. Click Advanced.
4. Select Print As Image near the top of the dialog box.
5. Click OK, and then click OK again to print.