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Claim Form ( UK based claimants only )
 
Please fill in the form below to submit your enquiry to us.
 
July 15 2005, 05:06 pm Posted by: Kevin


Your Full Name:
Your Full Address:
Date of birth
Daytime Phone Number
Evening Phone Number
Email Address
Preferred contact method
Accident or Injury Type
Accident Date
Was the accident reported to anyone?
Do you have any details of any witnesses?
Description of Injuries Suffered
Description of Accident Circumstances
Do you have any documents that might help your case such as letters, photographs, etc?

Important note
– Under the terms of the ‘Solicitors Introduction and Referral Code’, it is our duty to inform you that UK Personal Injury Claims will refer your enquiry to a solicitor who is a member of it’s panel. All panel members pay UK Personal Injury Claims a referral fee for work introduced to them. This does not affect your rights in any way and you are not obligated to use our service or the service of the solicitor we select. All our panel members will offer you (the client), fully independent legal advice in accordance with Law Society regulations.


 

Your privacy is important to us. We'd like you to know how we collect and use information about you and what we do to safeguard that information.

Why we collect information about you
The are several reasons for collecting information about you:

  • To help us provide the best, most efficient service to you.
  • To identify you (by asking security questions such as your date of birth) before disclosing confidential information.
  • To detect and combat fraud.

Where we get the information from
There are a number of ways in which we gather information. When you use our service we will ask you to tell us, for example, your contact details and date of birth. Also, if you contact us with an enquiry the communication that takes place between us may imply something about your preferences. Finally, there are also several public sources of information that we may use such as Directory Enquires and the Electoral Roll.

What sort of information we collect

When we are dealing with your case you may reveal some information that could be considered to be 'sensitive' as defined by the Data Protection Act 1998: information about your ethnic background or state of health, for example. Rest assured that we will only use this type of information for the specific purpose you provided it for.

Who we share the information with

We will never sell your details to third parties for their marketing purposes. We will pass your details to other people - our lawyers, for instance - who need it to work on your case. We may also, where required or permitted by law, disclose information to authorities such as the Police and the Inland Revenue.

How we protect the information
The information that we hold about you is protected by strict security measures. We will check your identity at the start of each phone call and we encrypt all the information that you submit through our web site.

Respecting your preferences
If you have registered your details with the Mailing, Telephone, Fax or Email Preference Services we will respect this by not sending you any material through that particular channel.

If we change this Privacy Policy we will publish the amended version on our web site. If you would like to receive a copy of it through the post or if you have any comments or questions, please write to us or send an email to info@injury-claims-solutions.co.uk.

Note: This Policy only applies to the information that we hold about private individuals, not about companies and other organisations.


For a clearer view of the Data Protection Notice - Click Here

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