MKB Law Claims Enquiry Form
Thank you for your enquiry. When you submit, this form will be sent to our Claims team to review and someone will be in contact with you soon. Please note that all information is strictly confidential.
1. Name *
2. Contact Number *
3. Email Address *
4. Date of incident or accident? *
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DD
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5. Please provide a description of events *
6. What damages or injuries were sustained? *
7. Who was the incident or accident reported to and what was the outcome, if applicable? *
8. What action do you wish to take now? *
9. Please advise how you heard about MKB Law? *
Important Information
It is important that you talk to a solicitor as soon as you believe you may be entitled to claim as there are very strict time limits involved. It is imperative you fill this form in urgently and submit to us. Please note that provision of this form does not constitute an instruction of our Firm, it is simply the provision of information supporting an enquiry. Upon receipt of this form we shall respond to your enquiry as soon as possible to advise you if we can assist you. In the absence of a consultation and formal instruction on our terms and conditions we shall not be taking any steps to protect limitation or provide you with advice. Your personal data will be treated with confidence and you may request that we remove your data from our database at any time. Please note: The Law Society of Northern Ireland does not permit us to act on your behalf on a “no-win no-fee” basis.
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