Camp Lejeune Toxic Water Claims

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Firefighting Foam Injury Claims

Firefighting foam (AFFF) has been found to cause Cancer & Disease

On how many occasions were you directly exposed to firefighting *

1-9 exposures

10 or more exposures

Never exposed

For how long did you work with AFFF *

1 or more years

Less than a year

Are you or a loved one dealing with *

In what occupation were you directly exposed to firefighting foam (AFFF)? *

Have you hired and signed with an attorney for this claim? *

No

Yes I have signed

First Name *

Last Name *

Phone Number *

Email *

Zip Code *

State *

Brief comments (Optional)

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