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All questions must be answered in order to progress your claim.

How did you hear about KG Solicitors Limited

Personal details - Section A

Please select which one applies

Accident details - Section B

Still off work

Did you go to the GP

Did you attend Hospital

Did you stay over night

Any physiotherapy recommended by the doctor

Are you in hire

Do you need a hire vehicle

What were the weather conditions

What were the road conditions

Was the incident reported to the police

If selected yes,

Do you have Legal Expenses Insurance cover already (If Yes please provide a copy.)

Do you authorise us to contact other organisation to obtain further information if necessary?

Please note all questions above must be answered before we can submit a claim for personal injury.