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Medical and Legal Management

Road Accident – Do I have a claim?

Phone

First Name *

Last Name *

Mobile Number *

Email Address *

Date of Accident *

yyyy-mm-dd

Place of Accident *

Claim Details *

Are you claiming for injuries suffered by an individual?

Claiming for damages a person has suffered as a result of the death or injury to another?

You were a *

Passenger

Driver

Pedestrian

Have your injuries resulted in a permanent or long term physical or mental impairment *

Yes

What is your preferred method of contact *

Landline

Cellphone

Preferred Language *

Landline

Cellphone

Terms & Conditions *

I accept the Terms & conditions

Terms & Conditions: Submitting this will generate an online information sheet. It does not establish an attorney and client relationship nor does it mean you have instructed us to proceed with a claim on your behalf.

Comments

ABOUT US

Our primary focus is to provide an access to all road accident victims and enable them to have best representative attorney when submitting claims.

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CONTACT DETAILS

Tel. 010 023 4042
WhatsApp. 065 920 6084
info@kutlwanoassociate.com

Head Office
52 Quatar Crescent, Cosmo City, Roodepoort, 2188

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About us
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Do I have a claim?
Home
About us
Services
- Road Accident Victim
- Instructing Clients
Medico-Experts
Contact us