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Please select the closest accident circumstances. *

Hit in the rear
Hit from a side road
Hit by a vehicle changing lanes
Hit by an oncoming vehicle
Hit whilst stationary or parked
Hit at a roundabout
Hit by a vehicle overtaking your bicycle
Hit by a pulling out vehicle
Hit by a reversing vehicle
Hit by a party opening door
Other

Accident Description

Accident Date *

Accident Location *

Street, Town, City

Third Party Details

Registration Number

Driver's Name

Contact Number

Did you take any pictures of the accident? *

Yes
No

Your Personal Details

Name *

First

Last

Contact Number *

Email Address *

Checkboxes *

By submitting this form, you agree that we can contact you in relation to your claim, and you agree to our privacy policy.

If you have accident pictures, videos, dashcam or CCTV footage, you may email them to claims@cycleaccidentclaims.co.uk

Registration Details

Easy Claim Limited
Registered in England and Wales
Company Number: 07007869

Easy Claim Limited is authorised
and regulated by The Financial
Conduct Authority (FRN 829765)

Registered Office Address

Easy Claim Limited
Mirror Works 12 Marshgate Lane London, E15 2NH

Phone & Email

Telephone: 0333 600 9250
Email: info@easyclaim.net

Cycle Accident Claims is a trading style of Easy Claim Limited, which is authorised and regulated by the Financial Conduct Authority. We may receive payments for our professional services from our panel solicitor firms and other service providers. These costs are not passed on to the customer. Typically, customers pay up to 25% of personal injury compensation on a successful claim. Termination fees may apply if you terminate the agreement other than during the cancellation period. You do not have to use a claim company for your claim. It is possible for customers to present the claim themselves for free, either against the person or to the relevant statutory ombudsman or compensation scheme. Copyright 2024 © Easy Claim Limited. All rights reserved

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0333 600 9250