Severn Law
Why Use Us?
Early Treatment
Can I Claim?
Types Of Accident
What Can I Claim
Claim Online Now
FAQs
Contact Us
 
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?

 
Severn Law Limited. Registered in England and Wales. Company Number 05214406. Registered Office Suite 1/2, 5th Floor, New Premier House, 150 Southampton Row, London WC1B 5AL Regulated by the Law Society. Managing Director D M Kearns LLB Solicitor.

YOU CAN FAX US ON 01291 637329
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