[% SET bodyclass = 'formflow' %] [% USE date(format = '%A, %-d~~~ %B') ~%] [% PROCESS 'govuk/fields.html' ~%] [% INCLUDE header.html %] [% PROCESS errors %] [% SET data = form.saved_data ~%]
Please review all information provided and make sure all is correct and all documents attached before submitting your claim.
A copy of the above will be emailed to you, but you may also wish to save or print a copy of this page for your records.