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52 Quatar Crescent, Cosmo City, Roodepoort, 2188
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010 023 4042
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Do I have a claim?
We touch a file | WE CHANGE A LIFE | We are kutlwano and Associate
We touch a file | WE CHANGE A LIFE | We are kutlwano and Associate
Bookings | Do I have a claim?
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
No
What is your preferred method of contact
*
Landline
Cellphone
Email
Preferred Language
*
Landline
Cellphone
Email
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
Do I have a claim?
Home
About us
Services
Road Accident Victim
Instructing Clients
Medico-Experts
Medico-Experts Durban
Medico-Experts Gauteng
Medico-Experts Mpumalanga
Medico-Experts Port Elizabeth
Medico-Experts Limpopo
Contact us
52 Quatar Crescent, Cosmo City, Roodepoort, 2188
Email
Monday - Friday
010 023 4042
WhatsApp