Unsure if you can make a claim for your road accident? Find out
for FREE.
Simply fill in the questionnaire below and click submit.
2. Please describe, briefly, how the accident happened.
Include
details like: were you stationary or moving, if so how fast, were
you at a junction or open road.
3. Were you a driver or passenger?
driver passenger
4. Were you wearing a seat belt?
yes
no
5. Were you wearing a properly adjusted head restraint?
yes no
6. What is the name and address of the party you consider
responsible for this accident?
If unknown, please state 'unknown'
7. Why do you think they were to blame?
8. What were the driving conditions like? (was it night or day,
fine, raining, foggy, icy, etc.)
9. Please describe any conversation that you had with the other
party or driver as appropriate following the accident.
10. Your name
11. Your address
12. Your phone number (required)
13. Your Work Number (optional)
14. Your Mobile Number (optional)
15. Your E-mail address
Click to send >
NOTES: The information will be sent to one of our specialist
Personal Injury Solicitors who assess your claim and contact you as soon
as possible.
Your Privacy: The information you provide is confidential and will not be passed to
any third parties. You will not be obliged to instruct us by using this
free service
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