Download a claim form

Online claims

Calling all Advantage, Good4you, Mosaic, Foresight and Chamber customers – let us pay you back even faster.

If you are a policyholder on any of the above plans you can claim for optical, dental, chiropody and therapy treatments online. Simply sign in to My Westfield or register if you haven't already.

 

Popular claim forms

Click on the links below to download claim forms for some of our more popular plans.

 

Other claim forms

If the claim form for your plan is not listed above please sign in to My Westfield to download the claim form.

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0114 250 2000

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