Accident Claims UK Limited

Making a Claim

Making a claim couldn’t be easier. You can call us on 0800 092 0330 or 020 8896 1723. Or simply complete the form below to get the ball rolling.

1. Enter your personal details

Your Name*
Home Number
Mobile Number*
Work Number
*(Please fill in only the numbers you are happy for us to call you on)
E-mail*

2. Details about your accident

Accident date*

	January 2011
S	M	T	W	T	F	S

						1
2	3	4	5	6	7	8
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30	31

Accident type

Accident description*

Call me back

Name*

Phone*

Accident Type

Call me back at

Replacement vehicle?

All types of vehicles available

Regulated by the Ministry of Justice in respect of regulated claims management activities. Its regulation is recorded on the website www.claimsregulation.gov.uk. CRM 1610.

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