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VWV approach referral form image of interlocked hands

Referral Form

Legal Referral Network

VWV Approach referral form

Referring Firm:(*)
Please include your firm name.

Contact Name:(*)
Please add a contact name.

Telephone:
Please enter a valid telephone number

Your Email(*)
Please let us know your email address.

Date
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Client Details
First name
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Surname(*)
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Client's Address
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Client's telephone
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Client's mobile
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Client's email
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Area of law
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* Personal injury and clinical negligence cases only: If you wish to receive a payment for this recommendation, please insert only the client’s surname and area of law. We will update you when your client has contacted us. For further guidance on this please contact us.

Additional details of the matter(*)
Please limit text to alphanumeric and the following special characters: £.%,'"?!£$%^&*()_-=+:;@#`

Funding
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Fee share required
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Is the person a client of your firm
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Have you disclosed the fee share agreement?
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If we cannot assist the client, please authorise referral to another firm
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See our privacy page to find out how we use and protect your data.

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Our Values

As part of our commitment to staff and clients, we are proud of our values. Our values are the backbone of the firm and underpin everything we do.