Start your claim

Start your claim

Please complete the claim form below.

When we receive your information, we will phone you to ask about any further details we may need to support your claim for compensation.

1. Your trip or slip accident

Basic description of your accident and injury *:

Don't worry if you miss something out. When we contact you, we will ask for any further details we need to start examining your claim.

2. Your contact details

Name *:

Email Address *:

Daytime phone number *:

Alternative daytime phone number:

When would you prefer to be called?:

Call back times are for Mon-Fri only and do not include public holidays