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Accident Management
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The information you supply will only be used in relation to this enquiry.
Your Details
      
       
Full name*
    
       
Email address
    
       
Your postal address
    
       
Tel Number*
    
       
Incident date
   
       
Location
    
       
Make and model of your car
   
       
Your insurance cover
    
       
The name of your insurance provider
    
       
You insurance providers address
    
       
Your policy number
    
       
Briefly describe the accident and who you consider to be to blame
    
       
Where is your vehicle now?
    
       
The other party in the accident
      
       
Their name
    
       
Their address
    
       
Their cars make and model
    
       
Their insurance cover
    
       
The name of their insurance provider
    
       
Their insurance providers address
    
       
Their policy number
    
       
Your Injuries
      
       
Were you injured in your accident?
    
       
If yes, did you receive medical attention?
    
       
Briefly describe your injuries
    
   


 
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Had an accident?
Claims Countrywide provides a non fault accident management service to anyone involved in an accident. We help you with the recovery and repair of your vehicle. We also offer like for like car hire and have a large fleet of prestige cars available.
Claims Countrywide Limited 2006 - Site designed for IE6 generation browsers and upward only - Legal/Complaints Notice - Privacy Policy. Claims Countrywide Limited was registered in England and Wales with Company number 4051386. Claims Countrywide is regulated by the Ministry of Justice in respect of regulated claims management activities. Registration is recorded on the website http://www.claimsregulation.gov.uk /Claims Countrywide is not regulated by the Law Society