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Make a Claim
If you would like to make a claim, please complete the following form and we will contact you
First name
*
Surname
*
Preferred contact number
*
Alternative contact number
Best time to call
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Email address
*
Date of accident (please enter or select a date)
March 2008
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Tell us briefly what happened (no more than 50 words)
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Briefly describe your injury (no more than 50 words)
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Data Protection Act 1998
Personal information which we collect from you will be processed in accordance with the Data Protection Act 1998. We will keep your personal information confidential except to the extent that it is necessary to disclose it by law or to comply with a regulatory or legal process, or where we need to disclose the information to provide a product or service that you have requested. Under the Act you have the right to receive details of the personal data we maintain on you.
Ethical marketing
If you have registered your details with us, we will respect this by not sending you any marketing material through mail, telephone, fax or email.
Company Address
Unit B4
Garth Industrial Estate
Taffs Well
Cardiff
CF157YF
02920814444
cparry@vehicleassist.net
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