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PUBLIC PLACE ACCIDENT ENQUIRY

If you have been injured in an accident in a shop, business, public place or other premises 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 accident happened, how it occurred, who was responsible for the premises if known, and what injury 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 birth of the injured person
Day
Month
Year
What type of accident was it?
Slip, Trip or fall
Defective or unsafe premises
Falling or moving object
Other
Was the accident reported to anyone at the premises?
Yes
No
Not sure
Is another solicitor or claims company currently acting for you in relation to this accident?
Yes
No
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