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Road Traffic Accidents

If you were the innocent victim of a road accident – either as a driver, passenger, cyclist or pedestrian – you are almost certainly entitled to compensation. In most cases, the compensation is paid by the other person’s insurance company but it is often possible to claim even where there was no insurance and in ‘hit and run’ accidents. Our legal team will be happy to provide more details about this.

By filling in this form you can find out if you are entitled to personal injury compensation. Simply fill out each section and click on SUBMIT. Our online assessment system will analyse your details and tell you whether or not you have a claim. One of our advisors will then contact you (without obligation) to discuss the matter further within 24 hours (48 hours at weekends).

Your Details

Name:
Email address:
Home Tel No:
Mobile Tel No:
Best time to call:

Details of your accident

1.	How old is the claimant?	years
2.	Were you the
	driver
	passenger
	a cyclist
	or a pedestrian
3.	If you were the driver, passenger or a cyclist, how did the accident happen?
	(a) Was your vehicle hit from behind?
	(b) Did a vehicle turn right in front of you?
	(c) Did another vehicle pull out from a      side road?
	(d) Did you collide with the vehicle      in front?
	(e) Did you turn right in front of      someone?
	(f) Did you pull out from a side road?
	If you were a pedestrian, how did the accident happen?
	(a) Were you on a designated crossing?
	(b) Were you running accross the road?
	(c) Had you been drinking?
4.	What was the date of your accident? (DD/MM/YYYY)
5.	Do you have the name and address of the driver of the other vehicle	Yes / No
6.	Do you have the registration number of the other vehicle?	Yes / No
7.	Did the police attend the road accident?	Yes / No
8.	Did the other person admit liability?	Yes / No
9.	Were you exceeding the speed limit?	Yes / No
10.	Did anyone else witness the road traffic accident?	Yes / No
11.	When did you go to your GP/Hospital?
	(a) Within 24 hours
	(b) Within 1 week
	(c) Not at all