Baxter Mimnagh - Quick Claim Assessment

1

When did the accident happen?* This field is required.

Date

3

Have you previously instructed a solicitor?* This field is required.

YESNO

4

Where did the incident occur?

Ireland

N. Ireland

England / Scotland / Wales

Other

5

Please tell us about the accident* This field is required.Describe the circumstances around the incident

6

Please describe your ongoing symptoms* This field is required.Tell us about how the accident has negatively impacted your day-to-day life

7

What's your name?* This field is required.

8

What's the best email to reach you on?* This field is required.

9

What's the best number to reach you on?* This field is required.One of our solicitors will call you back to discuss your claim and settlement options