The injury report form

You can download the injury report form from here, as well as a guide to completing the form.

utfyllingskademelding.jpg

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Bokmål version

Publisert 19 Apr. 2012 - Oppdatert 19 Apr. 2012

The Injury Report Form must be printed, signed and posted to:
Norsk pasientskadeerstatning
PO Box 3 St.Olavs plass
NO-0130 Oslo

If you want to apply for compensation

Download form/guide

Download the form as a PDF document
You must have "Adobe Reader" installed on your computer. You can choose whether you want to print the form and complete it by hand, or whether you want to work with the PDF document on your screen.

Skademeldingsskjema, PDF

Download guidance for completing the injury report form
This guide explains what information it is important to include under each of the sections in the injury report form. We recommend that you read the guide before you complete the injury report form.

Veiledning skademeldingsskjema, PDF

Download a template Letter of Authorisation
Should a patient wish to be represented by someone else, we need this confirmed by a letter of authorisation. The person who has been duly authorised will then be able to sign the injury report form.

Fullmakt, Word

Fullmakt, PDF

If you are unable to open the above documents in Word or Acrobat Reader, try saving them to your hard disk, then try to open them from there.

To open the document:
1. Click on the desired form with the right mouse button. A menu will appear on the screen.
2. Select "Save target as..."
3. Find an appropriate folder for saving the form. Select "Save".
4. Start Word / Acrobat Reader on your computer.
5. Try to open the document on your own computer.