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Personal injury claim form

If you have been injured in an accident that wasn't your fault complete our personal injury claim form below and a member of our leading team of accident and injury specialists will contact you to discuss your claim for compensation. Alternatively you can call us on 01616 966 229.

Funding your personal injury claim

Please select your title
Please enter your first name
Please enter your surname
Please enter your address
Please enter your phone number
Please enter your email
Please select the type of accident
Please enter the details of the accident
Please select how you heard about us
Please enter the verification code

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