Metro Tunnel - Personal injury claim

Use this form if you need to submit a claim relating to personal injury caused by the Metro Tunnel works.

Contact details *This question is required.

First Name

Last Name

Phone

Email Address This question requires a valid email address.

Address

Preferred method of contact *This question is required.

Please enter an 'other' value for this selection.

Have you or anyone else suffered any personal injuries? If so, please provide details *This question is required.

Date injury occurred This question requires a valid date format of DD/MM/YYYY.

calendar

Address / location where injury occurred (if known) *This question is required.

Is there a hazard to the public’s safety in the location where the injury occurred?

Please describe the nature of the hazard *This question is required.

Additional comments

Please note that Metro Tunnel Project and its contractors do not assume any responsibility or liability based on the submission of your claim, and submitting the form does not guarantee the outcome of your claim.

Privacy Statement

Metro Tunnel Project is committed to protecting your privacy by fully meeting its responsibilities under the Privacy and Data Protection Act. For further details please see our Privacy statement.

By submitting any information in this form, including sensitive information or health information, I consent to it being collected by Metro Tunnel Project, used within Metro Tunnel Project and disclosed to third parties. If the information relates to someone other than me, I am authorised to give this consent for that person.

*This question is required.