Personal Accident Compensation Claims
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Claim form

Lupton Fawcett are a leading Law Practice with 40 years trusted experience in the handling of all types of personal injury claims. With rigorous attention to detail and legendary client care, Lupton Fawcett were the obvious choice of Law Practice for our clients.

We have arranged that all our clients will receive 100% of their damages awarded or negotiated on their behalf.

No fees to pay if you win
No fees to pay if you lose
No complicated loans

You will receive friendly, sensible advice from experienced lawyers who will contact you within the hour, or at such time as you prefer.

So talk to someone who CARES about your problem and KNOWS about the solution. Please complete the form below and an advisor will be in touch with you within 24 hours.

By completing the form below, you are not actually making a claim, just providing us enough information to make an initial judgment as to whether we think you have a valid claim.

The more information you supply, the better your potential lawyers will be able to advise you

Fields marked with an * are required and must be completed in order for us to process your enquiry:

*Title:
*Name and Initial:
*Surname:
*Date of Birth (dd/mm/yyyy):
*Address:
 
*Postcode:
*Town/City:
 County:
*E-mail:
*Home Tel:
 Mobile:
 Work Tel:
 Fax:
 Preferred Contact No:
 Preferred method of contact:
*Incident Date:
*Location where the Incident:
*Could you please let us know who you think was responsible for the accident and why ?

Including name and address of the person. In the case of a Road Traffic Accident, the registration number of the other party's vehicle would be benficial.
*Please provide as much information (detailed) as possible about the incident:
*Please provide as much information (detailed) as possible about your injuries: