Contingency: RAF - Pre-Consult Evaluation
Thank you for your interest in MG Law RAF services.
The information you complete, will help MG Law determine whether further consultation is warranted to evaluate your Road Accident Fund (RAF) matter.


ELIGIBILITY:

Before proceeding, please note that ALL the following conditions MUST apply to the accident. If one or more conditions do not apply to your incident, please DO NOT continue with the form.

1. Besides yourself, a minimum of one more party must be involved in the accident (3rd party)
2. Damages or losses suffered
3. Caused by or arising from driving
4. Negligence or wrongful act
5. Motor vehicle must be involved
6. Within the borders of the Republic of South Africa
7. You have or will incur: medical expenses and/or earnings losses and/or loss of support and/or funeral expenses
8. Only very serious accidents will pay for general damages (suffering, pain, etc.), not listed in point 7 above
9. Your total claim (damages/expenses incurred) in respect of points 7 and 8, is a minimum of R100 000.


DISCLAIMER:

1. THIS FORM DOES NOT CONSTITUTE AN ACCEPTANCE OF YOU AS A CLIENT. MGL IS NOT OBLIGATED TO ACCEPT YOU AS A CLIENT. IF REJECTED, IT DOES NOT IN ANY WAY MEAN THAT YOU DO NOT HAVE A CASE.
2. IT IS NOT MANDATORY THAT YOU COMPLETE THIS PROCESS. ONLY FILL THIS FORM IF YOU WOULD LIKE MG LAW TO ASSESS YOUR MATTER. DO NOT SUBMIT ANY PRIVATE INFORMATION SUCH AS PASSWORDS, PINS, ETC.
3. MG LAW IN NO WAY GUARANTEES THAT IT WILL REPRESENT YOU IN THIS MATTER, WHETHER ON CONTINGENCY (NO WIN NO PAY BASIS) OR ANY OTHER BASIS.
4. THE INFORMATION YOU PROVIDE US WILL BE USED TO ASSESS YOUR CASE. IT WILL BE KEPT IN STRICT CONFIDENCE AND WILL ONLY BE SHARED WITH INTERNAL STAFF AND IF APPLICABLE, INDIVIDUALS OUTSIDE OF MG LAW WHICH ARE REQUIRED TO ASSES AND/OR PROCESS THIS MATTER.
5. YOU AUTHORISE MG LAW AND ITS STAFF TO OBTAIN RECORDS AND OTHER DOCUMENTATION IF NECESSARY.
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