Contact Us

Comments

This field is for validation purposes and should be left unchanged.

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

General Enquiry

Employer

Your Name(Required)

Prefix First Last

Your Address

Street Address Address Line 2 City ZIP / Postal Code Country

Staff/Service Number:

National Insurance Number(Required)

Date of Birth(Required)

How Can We Reach You?

How can we get in touch?

Your Email Address(Required)

Email Address Confirm Email Address

Contact Number

How can we help?

Please type your question in the below field.

Your Comments/Questions(Required)

Telephone enquiries

If you have an urgent query, for example you have not received payment, then please contact us on the number below.

Tel: 028 71 31 9111

Complaints

If you are dissatisfied with any aspect of the scheme, you should first raise the matter informally with HSC, the scheme administrator.

We will aim to resolve your concern as quickly as possible. If the issue cannot be resolved to your satisfaction, you may wish to consider whether it is eligible to be raised through the Internal Dispute Resolution Procedure (IDRP).