Form

Dupuytren’s contracture: guidance on completing the claim form (BI100PD)

Updated 22 May 2024

Use these notes to help you complete the claim form if you’re claiming Industrial Injuries Disablement Benefit for Dupuytren’s contracture (prescribed disease A15).

Eligibility

To be eligible for Industrial Injuries Disablement Benefit (IIDB) for Dupuytren’s contracture you must have:

  • been employed
  • used hand-held vibrating tools for at least 10 years

Periods of self-employment do not count.

Read more about who is eligible to claim Industrial Injuries Disablement Benefit because of Dupuytren’s contracture.

Part 3: About your work or your approved employment training scheme or course and your disease

Give as much detail as you can when you fill in ‘Part 3: About your work or your approved employment training scheme or course and your disease.’

We need at least 10 years employment information for your claim. You may want to think about the employers you worked for the longest. This could cover the 10 years needed and you may not need to give details of every employer.

What type of work or training do you think caused your disease?

When you answer the question ‘What type of work or training do you think caused your disease?’ please give us:

  • employment details covering 10 years or more where you used hand-held vibrating tools
  • for each employer how many hours a day and how many days a week you spent using hand-held vibrating tools
  • the names of the tools used
  • the jobs you performed

If you need to tell us about more than 2 employers

Use the last page of the claim form BI100PD to give us the extra information. Make sure you give the same information about these employers and the work you did as you give in Part 3.

Contacting your employers

We may need to contact any of the employers you tell us about.