Severn Law
Why Use Us?
Early Treatment
Can I Claim?
Types Of Accident
What Can I Claim
Claim Online Now
FAQs
Contact Us
Legal Support
 
Online Claim Form
The best way to find out if you can claim is to call us on 01291 630454 (Monday – Friday, 09.00 – 17.00)
or, if you prefer, email us the form below and we’ll get back to you as soon as possible.
  Personal Information

Your first name:

Postcode:

Your last name:

Email:

Your address:

Daytime phone:

Number/Street:

Evening phone:

City/Town:

Mobile phone:

County:

Date of birth:

  Details of your accident

Date of the accident:

Type of accident:

Motor Accident

Work Accident

Out and about

What happened?

Who was responsible?

 
YOU CAN FAX US ON 01291 637329
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Severn Law Limited. Registered in England and Wales. Company Number 05214406. Registered Office First Floor, Unit 1A Beaufort Park Way, Thornwell, Chepstow, Monmouthshire NP16 5UH.

Regulated by the Law Society. Director D M Kearns LLB Solicitor.