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Claim Request Form
To help us give you the correct and most suitable advice please fill in the form below giving all relevant details.
Click on Submit when ready to send.
Please describe the circumstances leading to your claim and the injuries suffered as a result:
Gothic House Claims Unit - St. James Street - Accrington - BB5 1NT Telephone. 01254 872111 - Fax. 01254 770535 Email. info@accident-compensation.co.uk
