Accident compensation advice & personal injury claim Enquiry

WorkCover / work, road accident, motor vehicle, public liability, negligence, criminal compensation & other injuries
Svensk - Swedish

To be translated to Swedish.

This Svensk language translation is for personal injury and accident enquiries that occurred in Queensland Australia. Injuries and / or death resulted in pain and suffering, affected your employment, caused financial distress and serious injury.

Time Limits can effect your rights to making a claim. Please complete the following questionnaire. If you can write English please do so.

First Name *

Last Name *

Street

Suburb

Area / Town / City

Post code / Zip

Country *

Phone (including area code)*

Fax

E-mail Address

How do you prefer we contact you *
phone or e-mail)

Accident Information

Time and date of accident *

Precise place of accident *

(eg. number, street, area/town/city and Country)

Type of accident *

(work, auto/road, product, public place etc.)

Summary of accident *

(How it happened, and injuries sustained etc.)

Other comments

Please note:
By submitting this form it must be considered we are not retained or liable. We are not retained until we have an agreement in place.

We will respond by your preferred method of contact as specified above. This will only occur following a thorough investigation of this matter.

Until we have responded and entered into a Solicitor / Client agreement, it must be considered we are not retained.