If you’ve been injured during military service — in training, deployment, or routine duties — you may be entitled to compensation. Hollins Wood Solicitors specialise in helping serving personnel and veterans secure fair redress for injuries including hearing loss, PTSD, and accidents at work. No win, no fee.

Contact information

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First name *

Middle name

Last name *

Date of birth

Emails

Email Address *

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Upon submission, a copy of this form will be sent to the primary email.

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Addresses

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City

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Phone numbers

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Service Details

I am currently serving

Veteran

Reservist

Branch of Service

The Army

Address

The Royal Navy

Address

The Royal Air Force

Address

The Royal Marines

Address

Other

Service Number

Dates of Service

Base or Unit at Time of the Incident

Type of Injury

Hearing Loss/Noise-Induced Hearing Loss

PTSD / Psychological Injury

Non Freezing Cold Injury

Physical injury (fracture, burn etc)

Other (please specify)

Date of Injury or Onset of Symptons

Where did the injury occur? (e.g. training ground, base, overseas deployment, vehicle, etc)

Brief Description of the Incident / How the Injury happened?

Was the Incident Reported at the Time?

Yes

If Yes, Who Was It Reported To? include (Rank/Position/Unit)

Did You Receive Medical Treatment?

Yes - Military medical centre

Yes - Civilian Hospital/GP

Do You Still Have Ongoing Symptoms or Treatment?

Yes

If yes, please provide details

Are you currently employed?

Yes

current employer

Has the Injury Affected Your Ability to Work or Serve?

Yes

Please provide details

Please Describe How the Injury Has Affected Your Daily Life or Career

Do you have any of the following?

Medical records or diagnosis letterwitness statementsincident reports/ MOD Form 510Photographs or other evidence

Have you made a previous claim for this injury

Yes

please provide details

Declaration - I confirm that the information provided is accurate to the best of my knowledge and consent to Hollins Wood Solicitors contacting me regarding my potential claim.

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I agree to the use of my personal data in accordance with the firm’s Privacy Policy

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