Make A Claim Make a claim for a motorcycle accident or injury by filling in your details below. * Your name * Your telephone number * Your email * Type of accident Please select ------Road accidentWork accidentAccident in publicMedical accidentSlip or tripOther * Preferred call back day Please select ------MondayTuesdayWednesdayThursdayFridaySaturdaySunday * Preferred call back time Please select ------8:008:309:009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:30 * Description of accident The information you enter on this form will only be used for the purpose of dealing with your enquiry, and we will not share it with any other organisation. For more information, please see our Privacy Policy. I am happy for Motorcycle Injury Lawyers to contact me
