Make a claim online for employers

Income protection claim

Get your claim started

To make a claim, just fill in the form below and our claims team will be in touch to let you know what happens next.

To submit the form, please enable JavaScript on your browser.

Company details

Employee details

Has the employee been off with this condition before?
Is the employee currently or going to be absent from work?
Has the employee provided you with any medical information that we can get from you?

Are you happy with us to contact the absent employee?

Consent to contacting your employee

Are you happy with our claims team to discuss the details of the policy with your employee?

Consent for claims team to contact your employee

Aviva uses your personal data as set out in our Privacy Policy. We use Google’s reCAPTCHA technology to protect our websites from spam and abuse. The Google Privacy Policy and Terms of Service apply to reCAPTCHA.