4. Claim Form

No Obligation Consultation Where You Can Walk Away, At Any Time, Without The Need To Go Ahead With Making A Claim!

► Just fill out this simple but important form and we will arrange to call you...

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	Claim Company:	#340 Thompsons Personal Injury Solicitors - Scotland / Edinburgh
	E-mail address:
	Title:
	First Name:
	Last Name:
	Date of Birth:
	Street Address:
	City:
	County:
	Postal Code:
	Contact No:
	Mobile No:
	Type of Accident:
	Additional passengers that were involved in the accident who wish to pursue a claim:
	When did it occur? Has to be within a 3 year period
	What happened: Short and simple. Describe what happened and the injuries sustained.
	Acceptence of Terms & Conditions Privacy Policy	Date: 16/01/2019
	Please enter the code you see in this box:

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Brief details of injury sustained:

Compare Compensation Claims Ltd

Page updated 3rd Jul 2017, 17:52

Compare Compensation Claims Limited is regulated by the Claims Management Regulator in respect of regulated claims management activities. No. CRM23837. This registration is recorded on the Claims Regulation website.
A company registered in England, Company registration number 7218187. Registered office: 32 Lloyd Close, Nelson, Lancs BB9 9EH.