Quick Claim

As specialists solicitors in making CICA claims one of our legal experts will be able to guide you through the process.

All fields marked with * are mandatory

cica_claim_form

First name*
Last name*
Email address*
Telephone number*
Select the day you would like to be contacted*
Please select the time of day you would like to be contacted*
*You will be contacted by our team, as close to the day and time you have selected as is possible
Date of incident if known
DD slash MM slash YYYY
Please provide a brief description of your injuries
How did you hear about us?*
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- I consent to using my personal data in order to process this enquiry including its use in marketing communications related to relevant legal updates and services, detailed in our privacy policy here.
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UTMMedium
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UTMTerm
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UTMCampaign
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GCLID
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GAID
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URL
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UniqueID
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GAClientID
Comments
This field is for validation purposes and should be left unchanged.

The data you submit will only be used by Hudgell Solicitors and only for the purpose of dealing with your enquiry. See full privacy policy.