choosing and using an employment expert in civil litigation

ENQUIRY FORM


Title
First name
Surname
Firm/organisation
Your reference
Email
Address Line 1
Address Line 2
City/Town
County
Postcode
Telephone

CLAIMANT DETAILS

Claimant	Male Female
Occupation prior to accident
Date of accident
Type of injury
Geographical location

Present occupational situation	Working full-time

	Working part-time

	Sheltered employment

	Unemployed

YOUR POSITION

Are you acting for	Claimant Defendant

Is the claimant legally aided?	Yes No

Will the employment expert be appointed on a joint basis?	Yes No

If yes, please supply details of other firm and reference


Do you require:	An employment report

	A vocational rehabilitation report

Westerfield Business Centre • Westerfield • Ipswich • Suffolk • IP6 9AB

Tel 01473 288 018 Fax 01473 288 863 Email info@employmentexperts.co.uk

CLAIMANT DETAILS