Ask a question

Please complete this form to contact Leigh Day & Co with your query

Title (Required)

First Name (Required)

Surname (Required)

E-mail address (Required)

Contact Telephone number (Required)

Mobile Phone Number (optional)

Address (Required)

Post Code (Required)

1- Are you making the enquiry on behalf of: (Required)

Youself
Family/Relative
Friend

2 - Is the person making the claim: (Required)

An Adult
A Child

3 - In which year did the injury or incident occur? (YYYY) (Required)

4 - Does the person making the claim have any dependants, i.e. children? (Required)

Yes
No

5 - Do you have a solicitor currently representing your case? (Required)

Yes
No

If yes, please provide the name of the solicitors firm:

6 - Please outline the main points of your case: (Required)

Please fill in code in the box below

Press send once you have completed the form