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

Title (Required)

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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

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

Yes

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

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

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