Make an enquiry with Leigh Day

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

Full Name (Required)*

Email address (Required)*

Contact Telephone number (Required)*

Address (Required)*

Post Code (Required)*

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

Is the person making the claim: (Required)*

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

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

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

If yes, please provide the name of the solicitors firm

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

Where did you first hear about Leigh Day? (Required)*