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Home » Make a Claim

Make a Claim

  • This process uses automated decision-making to assess whether you have a potential claim. If you would prefer to speak to one of our Legal Support Advisers instead, please click here.
  • Okay, fill out the form on their behalf – for example, when it asks about "your injuries" enter their injuries, etc.
  • Psychological injuries can include post-traumatic stress disorder (PTSD), depression, anxiety disorders or any other mental condition. The effects can sometimes be more devastating/distressing than a physical condition.
  • Sorry, as you were not injured we cannot help you make a claim.

    We understand how much, and in all the different ways, an accident can affect your life. For more information about organisations and charities who may be able to help click here.

  • MM slash DD slash YYYY
    Date of the accident
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    In England and Wales you must start your claim within three years of the accident taking place, unless you were under the age of 18 when it happened.
  • Sorry, it looks like we are unable to help you with this accident as it was more than three years ago.

    For more information about organisations and charities who may be able to help click here.

  • Good news!

    It looks like you might be able to claim.

    To get you started we need a few more details about your accident and your injury.

    First, what can we call you?

  • Don't worry if your injured area isn't listed below, simply pick the one most closely related. We'll ask for more specific details later.
  • Don't worry if your injured area isn't listed below, simply pick the one most closely related. We'll ask for more specific details later.
  • Don't worry if your injured area isn't listed below, simply pick the one most closely related. We'll ask for more specific details later.
  • Don't worry if your injured area isn't listed below, simply pick the one most closely related. We'll ask for more specific details later.
  • Don't worry if your injured area isn't listed below, simply pick the one most closely related. We'll ask for more specific details later.
  • Don't worry if your injured area isn't listed below, simply pick the one most closely related. We'll ask for more specific details later.
  • Areas Injured except Psychological

    If you have only sustained one injury, please select it below.
  • Psychological - Yes

    Injury still affecting my ability to live or work normally.
  • Okay [Client Name], let's just check what we've got so far:

    In an accident at work on 1 January 2017 you suffered a psychological injury. This is still affecting you.

    We appreciate how important this is to you.

    We just have a few more questions about treatment and time off work.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • (Please select the most relevant option)
  • Has your injury reduced your ability to do everyday tasks at home, at work, or out and about?
  • Okay Jan, let's check what we've got so far:

    Summary report here...
  • Incident happened AT ROAD

  • (Don't worry if your exact situation isn't pictured, simply pick the closest one)
  • Incident happened AT WORK

  • Please provide details about where the incident happened...
  • Did you take any photographic evidence = YES

  • Please provide details of anyone who witnessed the accident
  • An unprovoked attack means an assault that you didn’t start or agree to take part in, or which was disproportionate to an initial dispute.
    For example your company may provide restraint training. If you are unsure, or your company does not supply this type of training please select 'no'
    Additional support could include better training, additional staff or equipment.
  • What caused your injury = Other

  • Thanks [ClientName] for taking the time to share this information with us. One of our advisors will be in touch shortly to check a few things.
  • We need your postcode to help us allocate the right solicitor for you
  • MM slash DD slash YYYY
  • Our advisors are available: Mon-Fri 8am-9pm Saturday 9am-6pm Sunday 9:30am-5pm

    Find out more about our services here.

    The information you share with us today will only be used to assess your claim, and is stored securely on our system for up to 3 years. Information on how we handle your data is in the herePrivacy Policy.

  • Approve Icon Here
  • Thanks [ClientName], we have your details and will try to call you within 30 minutes, during our working hours.
  • Our advisors are available: Mon-Fri 8am-9pm Saturday 9am-6pm Sunday 9:30am-5pm

    Find out more about our services here.

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