Our sectors

To:
postbox@leighday.co.uk
We treat all personal data in accordance with our privacy policy.
Show Site Navigation

Transport Discrimination Enquiry Form

All fields marked with a*are required for the form to be submitted

If you find any aspect of this form inaccessible please feel free to email your details to transportclaims@leighday.co.uk or call us on 01613933530. Please note that in order to progress your enquiry we will need you to send us all the information asked for in the form.


Find your address by entering your post code in the below field.
If you can not find your address please enter your address in the Address fields provided.
This field is restricted to 500 characters
Please note we are only able to deal with incidents that occurred within the last six months.
Please choose yes or no
This field is restricted to 500 characters
Please choose England or Wales
Please choose yes or no
This field is restricted to 300 characters
Please choose yes or no
This field is restricted to 300 characters
Please choose yes or no
Please choose yes or no
Please choose from the list

Declaration


By submitting this form I agree and understand that if the Equality and Human Rights Commission cannot provide funding, my application cannot proceed.

I have provided information I believe to be true. By submitting this form I agree that whether the Equality and Human Rights Commission will provide me with assistance is entirely at their discretion. I understand that if assistance is offered, the type of assistance offered will be at the discretion of the Equality and Human Rights Commission and may be limited to defined aspects of the case. I understand that if the Equality and Human Rights Commission offers assistance, it will be subject to the acceptance of the Equality and Human Rights Commission’s terms and conditions.

 

Share this page: Print this page