Industrial Disease Questionnaire

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Name

Tel

Where is/was your place of work where you were exposed to the source of the injury?

What is/was your job role?

Were your provided with any personal protective equipment in your role?

What symptoms do you suffer from? (eg. Struggling to hear, ringing in the ears, hand pain, pins and needles, shortness of breath, discoloured fingers etc)

Roughly when did the main symptoms of your illness start?

Did you speak to your GP (or other medical professional) about the symptoms of your illness?

If you have spoken to your GP (or other medical professional), when approximately did you first do this?

Is there anything else you think we should know so that we can assess your case? If necessary you can upload any additional information below, for example a GP record or occupational health report

Why should I choose Oakwood Solicitors Ltd?

Oakwood Solicitors Ltd agrees to work on your industrial disease claim on a ‘no-win, no-fee’ basis. If your claim is unsuccessful, you will not be expected to pay us a penny. If you are successful in your claim, we take a percentage of the compensation meaning that the only time we will receive money is if we have brought your claim to a fruitful conclusion.

You will have a dedicated advisor who will see your claim through from start to finish, assisting you in the event of any queries or issues you may have. If it is preferable to you, we are able to assign a female advisor to carry out your claim.

Your case handler will also continue to provide regular updates until the conclusion of your claim, ensuring the process is as stress-free and effortless as possible.

WHAT TO DO NEXT

Get in touch today for a no-obligation consultation. Choose one of the methods on the right-hand side of this page, or call us on 0113 200 9720 to find out how we can help you.