Stardust Recognition Payment

1Applicant Details

2Other Information & Consent

Company

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

Are you the applicant?(Required)

What is your relationship to the applicant?(Required)

Applicant Name(Required)

First Name Surname

Previous Surname(s) (Where Applicable)

Email Address(Required)

Enter Email Confirm Email

Contact Phone Number(Required)

Address(Required)

Personal Identification Number (e.g. PPS or, if applicable, NI, SSN)

Date of Birth(Required)

IMPORTANT ADDITIONAL QUESTION

In order to ensure payments reach you securely and safely, we may ask additional verification questions prior to finalising your application.

We want to keep these questions to a minimum. In order to help minimise the number of these questions, we would be grateful if you could list your previous address at the time of the original award made by the 1985 Stardust Victims Compensation Tribunal. If you do have this information, it will be helpful in processing your application.

Previous address at the time of your award by the 1985 Stardust Victims Compensation Tribunal.

Previous Address

Please email us at [email protected] if your contact details should change.

Stardust Recognition Payment

Applicant Consent