Before we can process your claim you must provide a form of identification. Acceptable proof of identity includes, but is not limited to, a photocopy/image of one of the following:

• Current valid passport
• Current driving licence (not a provisional licence)
• Current Voters I.D.

Please note that if you are a company, one of the directors is required to complete this form and provide one of the forms of identification above, together with proof of directorship. This may be in the form of a print from Companies Office of Jamaica or equivalent.

Please tick the appropriate box to indicate which form of identification you have enclosed with this form. Please note that your claim will not be processed unless identification is provided.

I confirm that I have suffered loss as a result of the actions of this Attorney-at-Law/Law Firm or their employees and I want to claim that loss. I understand that if I am not entitled to some or all of the money I receive, I will return it to the General Legal Council within 21 days.

I understand that grants from the Compensation Fund are discretionary, and I am not entitled to a payment. If I receive monies from the Compensation Fund, I acknowledge that the General Legal Council will be entitled to make any claim I may have against the Attorney-at-Law or Law Firm in my place, to the extent of any payment made to me. The Council may sue in my name on the basis that it will protect me against any legal costs. I transfer to the Council any rights I may have to recover the amount of any payment from the Attorney-at-Law or Law Firm.

I understand that a payment made to me from the Compensation Fund does not constitute a finding by the General Legal Council or the Disciplinary Committee of the General Legal Council that the Attorney-at-Law complained of is guilty of a Disciplinary offense.

I give you permission to gather any information you need from other people, including, but not limited to, any financial institution and to give other people information about my claim.

As far as I know, the information I have given is true. I acknowledge that I must tell you about any other information (for example, any money I recover or if I am made bankrupt) which may be relevant to this claim. If I am submitting this form as the representative of another person, I confirm that they have authorised me to submit it.