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Personal Injury Questionnaire

Had an accident?
You may be entitled to compensation.

Fill out the form below, click on the 'submit' button, and the details will be e-mailed to claims@swiftmedical.co.uk. You will not be charged for submitting this form.

Your Details
   
Name
Town
E-mail
Telephone Number
Accident details Please enter brief details of your accident in the box below, including the date of the accident.
 


Please contact us as soon as possible regarding this matter.

You should have a reply within 3 days to tell you whether or not you may be able to submit a claim. If it is not clear cut one way or the other then we will let you know. If you are entitled to compensation then you can instruct us by E-mail and the matter can be dealt with by telephone, post and E-mail. If you are not entitled then you have lost nothing. You are under no obligation to use us.

We can only act for you if your case can be brought in the courts in England and Wales - if you are in any doubt we will be able to let you know. Please note that any advice we give as a result of the details on this form will have to be of a general nature and cannot be relied upon exclusively unless and until we know more about the specifics of your case.

     
     
   
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