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Injury Claim Form

Claim form
1 - Tell us about your accident
Accident type: Incident Date: Basic description of your accident and injury: 2. CALL ME BACK
Fill in your details and contact information

Title: First name: Surname: Daytime phone number: Alternative daytime phone number: Email: Address: Town/City: Postal:
Please provide two phone numbers and your e-mail address-just in case we have difficulty contacting you.
We also need your full postal address to ensure all correspondence reaches you without delay.
We value your privacy. Your contact information will be treated with the strictest confidence.
3 - Choose a call-back time that suits you

When would you prefer to be called? :
Call-back times are Mon-Fri only and exclude public holidays.

Enter Sum for verification::
4 - Please check your contact details are correct

If you have had an accident, illness or injury, contact us - we will advise, and act for you at no cost to yourself.

No claim is a small claim

Our records of successful claims hold examples ranging from minor injuries like minor whiplash or RSI to the most major ones like Brain and spinal injuries, amputation and even fatalities. Thousands of people have been helped by us at Injury Claims Lawyers to claim millions of pounds worth of compensation for injuries of all kinds. We promise to treat every claim we work on, whether minor or major, with the same professionalism as any other case.

Whiplash injuries are one of the most common compensation claims in the UK. Here at Injuryclaimslawyers.com we have access to the UK’s leading whiplash compensation claims solicitors to help you with your claim. Slips and trips are unfortunately a common occurrence in life, but in the wrong place or with the wrong person they can be devastating. If you or a member of your family has suffered a slip or trip through no fault of your own then our highly experienced team can help you with your claim. We also have extensive experience dealing with claims involving injuries in the workplace, so if you’ve had an accident at work due to someone else’s negligence then Injuryclaimslawyers.com is the right choice for you.

It doesn’t even matter how you sustained your injury. If you slipped on holiday, if you were in a car accident or if you’ve suffered an injury in the workplace, in the world of personal injury claims, InjuryClaimsLawyers.com are experts across the board. So whatever the accident, just fill in the short form on the left of the page and we’ll get back to you.

www.injuryclaimslawyers.com is operated by ECS Limited and is regulated by the Ministry of Justice for regulated claims management activities.

Our authorisation number is CRM 16191 and our registration is recorded on the Ministry of Justice website.

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