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Dear [insert organisation name]

Noise-induced hearing loss (NIHL) Letter of Claim

Part A

We are instructed by [insert Claimant’s name] in respect of a Noise Induced Hearing Loss claim against [insert Defendant’s name].

We are writing this letter in accordance with Annex E of the Pre-Action Protocol for Disease and Illness Claims.

To enable the Defendants to fully investigate the matter, we attach the following information (tick to confirm attached):

1. •

   ELTO Search(es)

2. •

   HMRC

3. •

   Completed questionnaire

4. •

   Completed Part B for each proposed Defendant

5. •

   Audiogram

6. •

   GP and hospital records

7. •

   Anticipated valuation

8. •

   Provisional Schedule of Special Damages with supporting evidence

9. •

   Personnel/OH file or signed authority from Claimant to obtain copy from insured

10. •

    Declaration of previous claims

1. 1. 1

      Claimant’s Details:

      1. 1.1

         Full Name:

      1. 1.2

         Address:

      1. 1.3

         Date of birth:

      1. 1.4

         National Insurance Number:

      1. 1.5

         Solicitor’s reference:

   1. 2

      Employment History

      1. 2.1

         The following table details our client’s full working in both noisy and non-noisy environments:

         Defendant	Employer	Employment dates	Exposure to noise? (Yes/No)	Hearing protection? (Yes/No)	Pursued? (Yes/No)	Lead Insurer details	FSCS Interest? (Yes/No)