Personal Injury and Civil Litigation

Personal Injury - Personal Details Form

If you wish to pursue a claim for compensation for Personal Injury, please complete the details below and then submit the form to us. All information is kept confidential by Swayne Johnson Solicitors and not passed to any third party. All requests are reviewed by our team of Specialist Solicitors and we will respond within 1 working day.
 
Bold text denotes mandatory fields.

Full name:
Address:
Date of Birth:
Contact number:
Email:
Have we acted for you before?

THE ACCIDENT
Date & time of Accident:
Location of Accident:
Type of Accident:
Who was to blame for the accident?:
Their Address:
Briefly explain how the accident happened:

INJURIES
Type of injuries suffered:
Name of GP Surgery or Hospital attended:
Subject:

Select from one of our Personal Injury and Civil Litigation specialists to help you with your legal issue

 

David Scott - Director & Solicitor

Rhys Williams - Director & Solicitor

 

 

 

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Disclaimer: Please note that the information set out on these pages does not constitute professional legal advice. Swayne Johnson Ltd accepts no liability for any loss howsoever arising as a consequence of reliance on the information herein. We strongly recommend that you contact one of our specialist lawyers for advice on your particular circumstances.


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