LAWSUITS NEWS & LEGAL INFORMATION

Environmental Protection Agency (clean-up workers)

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Defendant:
(who caused the harm?)

*Describe your complaint:
(briefly describe the damages you have suffered)

Did you help clean up at Ground Zero?

Yes No

How many days did you help:

Have you been diagnosed with lung related ailments?

Yes No

If so, what are they:

Are filing on behalf of a loved one?

Yes No

Has a loved one died after working to clean up Ground Zero?

Yes No

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*Last name:

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*Phone number(s):

*Zip/Postal Code:

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