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CRIMINAL INJURIES COMPENSATION ENQUIRY

If you have been physically or psychologically injured as a result of a crime of violence and would like us to consider whether we can assist, please complete the form below with some basic information about what happened.

Please tell us when and where the incident happened, whether it was reported to the police, and briefly describe the injuries you suffered.

Completing this form does not mean that Rahim Ahmed Solicitors has accepted instructions to act for you. We will review the information provided and contact you to confirm whether we are able to assist.

Who are you making this enquiry for?
Myself
A child
Another person
Date of incident
Day
Month
Year
Date of birth of the injured person
Day
Month
Year
Was the incident reported to the police?
Yes
No
Not sure
Have you already made an application to the Criminal Injuries Compensation Authority (CICA) concerning this incident?
Yes
No
Not sure
Is another solicitor or claims company currently acting for you in relation to this matter?
Yes
No
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