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0800 916 9040 		Mirror Legal Services
 
Start Your Claim  
If you or a member of your family has had an accident within the last 3 years, you may be due personal injury compensation. To find out if you are entitled to personal injury compensation simply complete the claim form below and click submit to send it to us or phone us on 0800 916 9040

Please Note: This service is only available to residents of United Kingdom. All fields marked * must be completed.

Title Home Telephone*
Forename*     Work Telephone  
Surname*     Mobile Telephone  
Address     Email Address  
      Date of Birth  
Town     Year of Accident/Injury*  
Postcode     Accident Type*  
County     Method Of Contact*  
Country     Call Me Back Between*  
        Call Me Back On*  
             
           
 
Claims Direct is a trading name of Russell Jones & Walker Solicitors
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