Claim Form

Please complete your details below

Road Traffic Accidents (RTAs) Were you a - passenger, driver, cyclist, motor cyclist or pedestrian involved in a road accident which was not your fault ?
Slipping and Tripping Have you slipped or tripped in a public place resulting in injury? It could have happened in a shop, a restaurant, a college or even in the street due to uneven surfacing.
Occupiers’ Liability Have you been injured in your rented accommodation due to poor maintenance? You could have fallen due to a faulty step on your stairway.
Criminal Injury Have you been a victim of crime and injured as a result? If you have reported the incident to the police we can help.
Accidents at work Have you been injured while at work? You may have been hurt due to poor Health and Safety conditions.