Claim Now

If you have suffered a personal injury or illness, you may be entitled to compensation for:-

  • your pain and suffering
  • hurt to your dignity and feelings
  • loss of earnings
  • costs you have incurred as a result of what happened
  • paying for a relative to look after you
  • repairing any damage to your possessions

In addition, your relatives might be entitled to compensation if there are services that you can no longer provide as a result of your injuries.

Start your claim immediately by completing the form below and we’ll do the rest.

Remember – you won’t pay a penny for our help, whatever happens.
THE CLAIMANT
title    
first names surname
house no street
area/district 1 area/district 2
town/city postcode
home phone no mobile no
email
national insurance no date of birth
THE ACCIDENT (OR OTHER CAUSE OF INJURY OR ILLNESS)
date of accident/cause country of accident/cause
type of accident/cause
briefly describe the circumstances
address or location of accident/cause
has solicitor been instructed
name, address & phone number of solicitor
names, addresses & phone numbers of any witnesses
if a road traffic accident:-      
reg no of claimant’s vehicle reg no of other vehicle
crash diagram completed did the police attend
any other relevant information
THE INJURY OR ILLNESS
summary of injury/illness suffered
medical attention received
name and address of GP/hospital
providing treatment & relevant dates
OTHER CONSEQUENCES & RELEVANT INFORMATION
time off work how long
loss of earnings how much
any other relevant information
 
ROAD TRAFFIC ACCIDENT ILLUSTRATIONS
1. car emerging from a junction in front of oncoming traffic
 2. car changing lanes on a roundabout

 3. car indicating to turn but going straight on
4. car joining a roundabout in front of oncoming traffic
 5. car in front doing a u-turn

 6. car on the wrong side of the road
7. rear-end shunt

 8. car driving through a red light
 9. car passing parked traffic and veering too far over
10. car exiting from parked into the path of oncoming traffic
 11. car emerging from a junction into a car waiting to turn
 12. car reversing into another
13. other (please explain)