RAF Claim Assistance Form

Welcome to our RAF Claim Assistance Form.

This form is designed to help us understand your specific situation and needs related to the Road Accident Fund (RAF) claims process. Whether you’re just starting out, awaiting settlement, or looking for post-settlement advice, we’re here to guide you.

Please fill in the form with as much detail as possible.

Your information will provide us with valuable insight into your case, including the accident details, injury impact, legal representation, and current claim status.

The more information you provide, the better we can tailor our advice and support to fit your unique circumstances.

After submitting the form, our team will review your details and get in touch with you to discuss the best next steps.

Your journey through the RAF claims process is important to us. Let’s get started on finding the best path forward for you. 🌟

Allow 15 minutes to complete the form in as much detail as possible

First Name

Last Name

Mobile

Relationship to Injured/Deceased

Date of Accident

Location of Accident

Police Case Number

Brief description of Accident

RAF Link Number (if available)

Date of Claim Submission

Details of Any Previous Correspondence with RAF

Attorney Firm Name

Attorney Name

Attorney Contact

Description of Injuries

Current Medical Status

Medical or Hospital Records

Work Before Accident

Work After Accident

Financial Impact of Injuries

Occupation

Anything else we should be aware of?

Specific Questions or Areas of Concerns

Supporting Documents

Consent to Process Personal Information

Acknowledgment of Privacy Policy

Note: RAF Cash is not a Credit Provider. RAF Cash is not a Financial Advisor nor does it provide financial advice. RAF Cash does not provide legal advice or participate in any legal representation. RAF Cash is not a law firm or a substitute for an attorney or law firm.