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Home
Select a Lawsuit
3M Ear Plug
CPAP Machine
Camp Lejeune Mass Tort
Clergy Abuse
ERC – Employee Retention Credit
Elmiron
FireFoam AFFF
FIREFIGHTING FOAM
Hair Straightener
Hernia Mesh
Motor Vehicle Accident
NEC Baby Formula
Paraquat
Personal Injury
RoundUp
Sexual Abuse
Talcum Powder
Tylenol Autism Lead
Tylenol Autism Mass Tort
Zantac
About Us
Contact
Blog
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Complete The Form Below
Select Case Type
- Select Case Type -
3M Ear Plug
CPAP Machine
Camp Lejeune Mass Tort
Clergy Abuse
ERC - Employee Retention Credit
Elmiron
FireFoam AFFF
Firefighting Foam
Hair Straightener
Hernia Mesh
Motor Vehicle Accident
NEC Baby Formula
Paraquat
Personal Injury
RoundUp
Sexual Abuse
Talcum Powder
Tylenol Autism Lead
Tylenol Autism Mass Torrt
Zantac
First Name
Last Name
Email
Phone
Zip Code
City
Do you currently have a lawyer for this claim?
- Select an option -
Yes
No
I am not sure.
Please describe what happened
What year did the abuse begin?
Which state did the abuse occur in?
Have you or a loved one experienced health issues related to a CPAP machine?
- Select an option -
Yes
No
I am not sure.
Did the use of a CPAP machine lead to complications or injuries?
- Select an option -
Yes
No
I am not sure.
Did you or a loved one Serve, Live or Work at Marine Corps Base Camp Lejeune between Aug. 1953 and Dec. 1987? *
- Select an option -
Yes
No
I am not sure.
Have you or a loved one been diagnosed with: *
- Select an option -
Other
Non-health issues
Acute Myeloid Leukemia
Attention problems
Bladder cancer
Breast cancer
Cardiac birth defects
Central Nervous System Cancer (CNS)
Cervical Cancer
Concentration problems
Esophageal cancer
Female infertility
Hepatic steatosis
Kidney cancer
Kidney disease
Kidney Failure (must be on dialysis or have a kidney transplant)
Leukemia
Liver cancer
Lung cancer
MDS (Myelodysplastic syndromes)
Memory problems
Miscarriages
Motor function problems (hand tremors, postural sway)
Multiple myeloma
Neurobehavioral effects
Non-Hodgkin's lymphoma Parkinson's disease
Ovarian Cancer
Prostate Cancer
Reaction time (delayed)
Rectal Cancer
Renal failure (must be on dialysis or have a kidney transplant)
Renal toxicity
Scleroderma
Still Birth
Did your business face challenges due to the COVID-19 pandemic?
- Select an option -
Yes
No
I am not sure.
Did you take advantage of the Employee Retention Credit (ERC)?
- Select an option -
Yes
No
I am not sure.
Do you currently have professional guidance for ERC-related matters?
- Select an option -
Yes
No
I am not sure.
Were you a firefighter or U.S. Military Servicemember exposed to firefighting foam (AFFF)?
- Select an option -
Yes
No
I am not sure.
Have you or a loved one developed any of the following conditions after being exposed to Firefighting Foam (AFFF)?
- Select an option -
Bladder Cancer
Breast Cancer
Colorectal Cancer
Endometrial Cancer
Infertility
Kidney Cancer
Kidney Damage
Leukemia
Liver Cancer
Lymphoma
Non-Hodgkin's Lymphoma
Ovarian Cancer
Pancreatic Cancer
Prostate Cancer
Skin Cancer
Testicular Cancer
Thyroid Disease
Ulcerative Colitis
Other Cancer
None of the Above
Were you or a loved one Injured in an Accident that wasn’t your fault?
- Select an option -
Yes
No
I am not sure.
What caused your injury?
- Select an option -
Car Accident
Motorcycle Accident
Bus Accident
Truck Accident
Medical Malpractice
Work Related Injuries
Slip and Fall
Product liability/defect
Did the injury require hospitalization, medical treatment, surgery or cause you to miss work?
- Select an option -
Yes
No
I am not sure.
Date of Injury:
Did your baby experience health issues after consuming NEC baby formula?
- Select an option -
Yes
No
I am not sure.
Do you currently have legal representation for your NEC baby formula case?
- Select an option -
Yes
No
I am not sure.
Have you or a loved one experienced a personal injury?
- Select an option -
Yes
No
I am not sure.
Was the injury caused by someone else's negligence?
- Select an option -
Yes
No
I am not sure.
Do you currently have legal representation for your personal injury case?
- Select an option -
Yes
No
I am not sure.
Have you or a loved one been a victim of sexual abuse?
- Select an option -
Yes
No
I am not sure.
Are you seeking legal action against the perpetrator?
- Select an option -
Yes
No
I am not sure.
Do you currently have legal representation for your sexual abuse case?
- Select an option -
Yes
No
I am not sure.
Was your child over 5.5 pounds at birth?
- Select an option -
Yes
No
I am not sure.
Did the child's mother have diabetes during pregnancy?
- Select an option -
Yes
No
I am not sure.
Did the child's mother smoke or use any form of illicit drugs during the pregnancy?
- Select an option -
Yes
No
I am not sure.
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