Freephone
0800 072 0398

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Enquiry Form

Have u been hurt in an accident in the last 3 years due to somebody else's fault?

YES? Wouldn't you like to find out if you are entitled to compensation?

Please fill out this simple form and one of our Friendly Accident Co-ordinators will contact you at your earliest convenience in the method most convenient for you.

If you are under 18, please fill in below the name, address and Contact details for your Parent/Legal Guardian.

 
Name  
Address  
Post Code  
E-Mail  
Daytime Telephone No  
Evening Telephone No  
Work Telephone No  
Fax  
Date of Accident  
Please indicate the type of accident  
If type of accident is "other", please state what type  
Best time to contact you  
Preferred method of contact  
     
   

 
A division of   No Win No Cost (UK) Ltd.

Head Office:
7/8 Vicarage lane
Bowdon Vale
Altrincham
WA14 3BD.


Free phone: 0800 072 0398
Fax: 0161 929 6699
E-Mail: enquiry@claims4u.co.uk
Don't suffer in silence, fill in the enquiry form.
 Don't suffer in silence, fill in the enquiry form.