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SAMS ON THE WEB

Contact SAMS on the web with your accident details .

To get in touch with SAMS on the web simply fill in the form below and click on the Submit button at the foot of the page. You can call us on 0114 270 1701 or fax us on 0114 270 1901. If you have any photographs of the accident they must be submitted on a separate email to enquiries@samsontheweb.com - please remember to quote your name & accident details.

Please note, mandatory fields are indicated with a *

Name*:

 

 

Email*:

 

 

Contact Numbers:

   

Evening

 

Daytime

 

Mobile

 

Home address:

 

 

House number/name*

 

Street*

 

Town/City*

 

County

 

Postcode*

 

 

Type of accident *:

 

 

Work

 

Vehicle (driver)

 

Vehicle (passenger)

 

Trip or slip

 

 

Please enter the description of your accident to a maximum of 500 characters (including spaces)*

 

How did you hear about SAMSONTHEWEB?

 

Please tick this box to confirm that you wish SAMS on the web to contact you regarding your accident

 

You can also wrtite to us at:

Sheffield Accident Management Services

61A Blagden Street

SHEFFIELD

South Yorkshire

United Kingdom

S2 5QS

 

 

 
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