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The following information may help us to deal with your claim faster, but is completely optional. If you'd simply like us to call you back on the number provided above then feel free to skip to the bottom of this form and submit it right away.
Email Address:
Your Date of Birth:
Type of Claim:
Accident Date
Was the accident reported to anyone?
Do you have any details of any witnesses?
Description of Injuries Suffered:
Description of Accident Circumstances
Do you have any documents that might help your case such as letters, photographs,etc?
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Important note – Under the terms of the ‘Solicitors Introduction and Referral Code’, it is our duty to inform you that Injury Claims Solutions will refer your enquiry to a solicitor who is a member of it’s panel. All panel members pay Injury Claims Solutions a referral fee for work introduced to them. This does not affect your rights in any way and you are not obligated to use our service or the service of the solicitor we select. All our panel members will offer you (the client), fully independent legal advice in accordance with Law Society regulations.
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Make an EnquiryKeep 100% of any compensation. Receive free legal advice today!