If you have had an accident and want advice from our team of specialist lawyers, we would be very happy to help you.

We offer preliminary advice free of charge. Please complete and submit the form below and on receipt of this information one of our team will be in touch with you by your chosen method of communication.

Fields marked with a * must be completed.

Your Details

First name*

Surname*

Date of birth

Address line 1*

Address line 2

Town

County

Postcode

Telephone*

Fax number (if applicable)

Mobile

Email*

Occupation

Date of accident

Please indicate what type of accident you have had from the following:*



Road accident
 Accident at work
Trip or slip
Caused by a faulty product purchased
Other

Are you suffering from an industrial disease?
Yes No

Please provide as much information about the accident as possible*

Briefly describe your injuries*

Do you have any particular questions?

Your preferred contact method

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