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0116 442 2075
Please use the form below to give details of your car accident.  Remember, passengers can also claim compensation for injuries, such as whiplash, as a result of a car accident. 
 
Please let us know how the accident happened - whether it was a rear end shunt, collision at a road junction, whether you were knocked off your bicycle or motorcycle by another car or lorry. 
 
If you were a pedestrian hit by a car or vehicle, please let us know if you were on the pavement or crossing the road.
 
The fields marked * are required, however, the more you can tell us about your road traffic accident the more advice we can give you.

Personal Details

From time to time Lawson-West may wish to contact you with special offers or other information that may be of interest to you. Please indicate whether or not you are happy to receive such communication from Lawson-West.
Yes
No

Accident Details

(1) Driver
(2) Passenger
(3) Cyclist
(4) Pedestrian
(1) Was your vehicle hit from behind?
(2) Did a vehicle turn right in front of you?
(3) Did another vehicle pull out from a side road?
(4) Did you collide with the vehicle in front of you?
(5) Did you turn right in front of someone?
(6) Did you pull out from a side road?
(1) Were you on a designated crossing?
(2) Were you running across the road?
(3) Were you on the pavement?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
(1) Within 24 hours
(2) Within 1 week
(3) Longer than 1 week
(4) Not at all

Please ensure that you have completed all the required fields (marked with *) and then click submit to send the form.