Clifford James Consultants

Tel: - 0844 88 050 88
Fax: - 0844 26 403 78
E-mail: - consultants@clifford-james.com

Make a Claim with Clifford James Consultants

If you own a vehicle that has been involved in an accident and then subsequently repaired you may be able to qualify to make a claim for the loss in value of your vehicle now.

Please fill in and submit the following form and we will contact you by telephone, post or email as soon as possible.


Forename:
Surname:
Street Address:
Town/City:
County:
Post Code:
Home Telephone:
Work Telephone:
Mobile Telephone:
Email Address:
Date of Birth:
Date of Accident:
Preferred Contact Method:
Preferred Contact Time:

Vehicle Make:
Vehicle Model:
Vehicle Registration Number
Was your Vehicle Repaired?
Are you the Owner?
Was the Accident your Fault?
Did you obtain the details of the driver who hit you?

VAT Registration Number: 893 2539 89

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