Make an Employer’s Liability Claim – DFE Risk Protection Arrangement Claims Portal

Risk Protection Arrangement

Employers Liability Claim

(Serious incidents or claims made against a member for injuries sustained by an employee)

N.B. Please complete a separate form for each individual claim notification.

Fields marked with an * are required

Your Details

(Person completing form)

Name

Your Position

Phone

Does your claim involve one of the following?

School Details

To confirm the correct school details, please click the following link:

Get Information about Schools - GOV.UK (get-information-schools.service.gov.uk)

Name of School

Address Line 1

Address Line 2

City

Postcode

URN

Injured Employee Details

Full Name

Address Line 1

Address Line 2

City

Postcode

Phone

Occupation

National Insurance Number

Date of Birth

Incident & Injury Details

Date of the Incident

Incident Location

Please provide a description of the incident and the nature and extent of the injuries sustained as a result

Please provide any other information relevant to this incident and what steps, if any, have been taken to prevent a reoccurrence

If applicable, please confirm the injured party’s period of absence from work

Supporting Information

In addition to any correspondence that may have been received, please upload any internal documentation generated as a result of this incident e.g. RIDDOR report, accident book entry, internal investigation/incident report, witness statements, etc.

Please note no more than 10 documents can be attached with your application but that each document cannot be larger than 50MB. Please also note that the maximum combined size of files submitted with your application cannot exceed 50MB. If you exceed this capacity your claim will not be received.

File Upload

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School Details

Injured Employee Details

Incident & Injury Details

Supporting Information