Claim It Ltd
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Please enter your details below and make sure that you fill in each section. Your claim will be treated in complete confidence.
 
 
Title:
First Name:
Last Name:
Date Of Birth
Address:
Postcode:
Home Telephone:
Mobile Telephone:
Work Telephone:
Email Address:
Date Of Accident
Type of Accident:
Brief Description of Accident:
Brief Description of injury:
Best time to call:
How did you hear about us:
 
 
Road Traffic Accident
Road Traffic Accident
Slip & Trip
Slip & Trip
Accident at Work
Accident at Work
Medical Negligence
Medical Negligence
Public Liability
Public Liability
Sports Injury
Sports Injury
Name:
Tel:
Mobile:
E-mail:
Branch:
 
 
 
 
Claim It Ltd Regulated by the Claims Management Regulator in respect of regulated claims management activities. Our authorisation number and registration is recorded on the website www.claimsregulation.gov.uk. Authorisation number CRM3934.
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