Claim Online - Slip or Trip

Please fill out the form below and click on 'Submit' to send us your information. We will get back to you within the hour with an assesment of your claim (office hours).

If you want to refer a friend and claim your £100 referral fee, please click HERE

Contact Us

Name:
Address Line 1:
Address Line 2:
Address Line 3:
Postcode:
Home Telephone:
Mobile Telephone:
Email Address:
Date of accident:
Accident Description:
Injuries Sustained:
Estimated depth of hazard you tripped over
Estimated length of time hazard been present
Date you sought medical treatment

Click HERE for the Work Accident Claim Form

Click HERE for the Road Traffic Accident Claim Form

Click HERE for any other type of accident Claim Form

*£100 is only payable when we have confirmed that we can accept the case and there is an admission of liability.