Download and fill out a notice of injury form

You can fill in the PDF form with your computer and then print it on paper. You must personally sign the notice and therefore you cannot send it electronically to the Finnish Mutual Insurance Company for Injury Indemnities.

It is not necessary to enclose receipts or other inquiries about the costs and losses incurred in the notice of injury. These are investigated separately, in the case of a compensationable injury.

Sign the notice of injury form

If the claimant is of full legal age, the notice of injury is to be signed by the claimant himself or herself or by a person authorized to sign the notice on behalf of the claimant.  If signed by another person, the notice must be accompanied by the relevant authorization. For a minor or another person lacking legal capacity, the claim notification must be signed by their legal guardian. A minor’s legal guardians are usually their parents. If the parents have joint custody, the guardian who signs the claim notification must have authorization from the other guardian to handle the matter.  If the injured person has died, the notice of injury may be filed and signed by a beneficiary of the death estate.

By signing the notice of injury, the claimant gives consent to the treating institution or another body mentioned in the consent clause of the form to provide the Finnish Mutual Insurance Company for Pharmaceutical Injury Indemnities with the information and documentation needed to handle the claim.

Send the completed form to us

Claims shall be made within one year of the date on which the person claiming compensation became aware of the validity of the Insurance, the injury caused by the pharmaceutical involved and the injured event. The notice of injury form must be submitted no later than within 10 years from the occurrence of the injured event.

Send the notice of injury form to:
Finnish Mutual Insurance Company for Pharmaceutical Injury Indemnities
P.O. box  115
00181 HELSINKI

Claim Decision

It is possible that we will contact you to obtain additional information. You can read more about our compensation process next.