Report a claim farmer

Are you providing this information for yourself or someone else?

For myself

For someone else

What was the name of the person or company who contacted you?

What was their contact number? Please enter all number/s that they contacted you on.

How many times were you contacted?

Once

Between 2 and 10 times

More than 10 times

Not sure

Did the person or company attempt to refer you to a lawyer or law practice to make a claim?

Yes

Not sure

Did the person or company refer you to someone else to assist you in making a claim?

Yes

Not sure

Is there any other information you would like to provide? Please provide as much information as possible in relation to the incident (e.g. suggestions on how the caller may have obtained your personal information).

Your contact details

Name

Your contact details

For the public