Submit Case Details Your Name (required) Second Name (required) Date of Birth (required) (dd/mm/yyyy) Your Email (required) Mobile Phone (required) Home Phone House Name/No (required) Street (required) Town (required) County (required) Postcode (required) Please select the area of law most relevant to your case Area of law: Clinical NegligenceFatal injuryPersonal InjuryOther Description (required) Please describe what happened clearly in date order of events. If you are calling on behalf of someone else then please give their name, date of birth and your relationship to them. (required) Have you contacted our firm previously about this matter? If so, please give details. (required) Have you contacted any other firm of solicitors about this matter? If so, please give brief details. (required) Have you ever been made bankrupt? If so, please give basic details. How did you find out about Fairweathers? Which individual, hospital or other organisation do you think was negligent/to blame for what happened and why. How are you now in terms of any medical condition or how the events have and continue to affect you? Do you have any documentation relevant to your case? - please do not attempt to send this to us but just list for us what you have. How would you like us to address you?