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Traffic accidents ( 1,000 - 10,000) Date of accident / / Claimant s full name Defendant s full name Claimant s representative Defendant s representative Contact details Contact details Company name Company name Contact name Contact name Telephone number Telephone number E-mail address E-mail address Reference number Reference number Claimant final offer Fixed costs Stage 1 fixed costs paid Judge s award Stage 2 fixed costs paid 4 Defendant final offer.

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