Contact

           7 Ferens Park
                Durham
                DH1 1NU

           0191 374 1402

           0191 374 1402

Online Assessment Form

If you have sustained injuries as a result of someone else's fault and want to know if you can claim compensation, please complete the accident details in the following form.

You will receive an immediate reply advising as to the likely success of a claim.

Completion of this form is done so without obligation.

Your Name
Address
Telephone
Date of Birth
Your Email Address
Date of Accident
Location - Max 50 words
Full Description - Max 150 words
Injuries - Max 50 words
Losses Incurred - Max 50 words