Home About Us Our Services Testimonials FAQ Contact Us Legal Links News Items               Our Services Personal Injury Accidents in Public Places Accidents at Work Road Traffic Accidents Online Claim Form The Injuries Board Explained The Injuries Board Estimator Medical Negligence Employment Law Family Law Wills & Probate Property & Conveyancing European Arrest Warrants Criminal Law Debt Collection Commercial Law Polski Prawnik                      Online personal injury compensation claim form        BehanBarry Solicitors are personal injury solicitors and are here to assist you with your personal injury compensation claim. Please fill in the form below and press "SEND" - this will start the process of allowing us to help you process a claim for compensation.        ( * required information )        * Name * Address * Email * Date of Birth        Accident Details: please give full details of your injuries Did you attend a hospital or doctor? If yes, give details:        Location of Accident Date of Accident        Were there any witnesses? If yes, please give names and addresses.        Details of any previous accidents or claims:        Have you already incurred any expenses or suffered any other losses arising directly from this accident? YES NO If yes, please indicate by giving an estimated amount: (€)        Name, contact name and address of Third party        Third party telephone number:        Third party insurance details:                               contact us Behan Barry Solicitors, Claregate Street, Kildare, Co. Kildare, Republic of Ireland Tel. + 353 (0)45 533761     |     Fax. + 353 (0)45 533763     |     Email:  info@behanbarry.ie powered by go2web