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24 hours a day, 7 days a week
from a mobile 0333 577 8866

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Not sure what you need? Request a callback
Full Name *
Contact Number *
How Can We Help?
Best Callback Time?

Make a claim - step two

That’s everything we need for now, just wait for us to call

Your contact information has been sent to one of our trained legal specialists. They’ll give you a call you as soon as possible to discuss your claim.

DO YOU HAVE A MOMENT TO TELL US MORE ABOUT YOUR CLAIM?

You can fill in the optional form below, which could help us process your potential claim quicker. Your enquiry has already been submitted and we will contact you to discuss your claim accordingly. But, if you have time now you can start giving us some of this information below. Don’t worry if you can’t. We have your contact details and will be in touch.

Who are you claiming for?
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Could we have a few details about them? Skip
Name
Age
What's their relationship to you?
Name
Phone Number
Alternative Phone Number
Email Address
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What's the claim about?
When did it happen?
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Have you taken any legal advice about it already?
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Legal advice Skip
Could you give us an idea of the kind of legal steps you've taken?
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Road traffic accident Skip
What type of road traffic accident was it?
Where was the accident?
How many other people were injured in the accident?
Did the police attend the accident?
Did the other vehicle or vehicles stop?
Has anyone admitted responsibility for the accident?
Do you know if the other vehicle or vehicles were insured?
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Road traffic accident - vehicle collision Skip
Were you, or the person you're enquiring for, the driver or a passenger?
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Accident at work Skip
What was your job title when the incident happened?
Was the accident reported?
Do you, or does the person you're enquiring for, still work there?
Is there anything that could have been done to prevent the accident?
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Accident abroad Skip
Which country did the accident happen in?
Was the trip booked as a package holiday?
Where did the accident happen?
Was the accident reported?
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Accident abroad - package holiday Skip
Which tour operator did you book through?
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Slip, trip or fall Skip
Where did the accident occur?
What caused it?
Was it reported in an accident book or to someone?
Did anyone witness the accident?
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Slip, trip or fall - details Skip
Please describe what made you fall.
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Medical negligence Skip
Where did the negligence happen?
Has a complaint been made?
What type of negligence was suffered?
Has the other party admitted fault for the negligence?
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Industrial disease Skip
What type of industrial disease is being suffered?
Has the illness been confirmed by a Doctor?
When was the illness diagnosed?
If a particular job may have caused the illness, what was it?
How long was the job done for?
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Faulty product Skip
What type of product caused the injury?
How old is the product?
Has the product been kept?
Was the accident reported?
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Details Skip
Was an injury suffered from this incident?
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Injury details Skip
Which areas of the body were injured?
What kind of injury or injuries?
Can you rate the severity?
Were there any fatalities in the incident?
Did you receive medical treatment for your injuries?
Please describe how the injuries are/were affecting normal daily life.
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Injury details - medical treatment Skip
What treatment did you receive?
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Other impacts caused by your accident Skip
Did you have to take time off work due to your accident?
Were there any other financial losses or costs associated with the accident?
Is there anything else you think we should know about your claim?
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Other impacts - time off work Skip
How long for?
Were you paid?
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Other impacts - financial losses or costs Skip
Please describe the types of costs.
Could you give an idea of how much it all came to?
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When would you like us to call?
Date
Time