Claim Online

For a free assessment of your accident or injury claim, please complete this short assessment form. Once you have submitted the form a member of the Marrons team will contact you by your preferred method within 24 hours.

* denotes compulsory field

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What type of accident/injury claim do you wish to make? *

Who do you believe was to blame for the accident/injury (please state why you believe they are to blame) *

What are your main injuries?

When were you injured?

If you are suffering from an industrial disease caused by exposure to harmful conditions/substances in the course of your employment more than 3 years ago, please let us know when this occurred.

If you are making the claim on behalf of someone else please state whom they are e.g. a child, a spouse etc.

If you have been off work due to your injury, please state the length of time absent

Where do you live in the UK?

What is your full name? *

Would you like us to contact you by Telephone or e-mail?

Telephone

Please enter your telephone number and/or e-mail address where we can contact you (please state your preferred time of day for telephone contact) *

Where did you hear about Marrons Solicitors?

Thank you for completing the assessment form, please click the submit button to send us your form. A member of the Marrons team will contact you within 24 hours to discuss your claim further.

Polish Language

Polish Language