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muhammad
2024-04-01T18:06:26+00:00
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Select a Lawsuit
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DUI
Personal Injury
Bankruptcy
Divorce
Criminal Defence
Social Security & Disability
Tax Law
Railroad Cancer
Risperdal
IVC Filter
Xarelto
Talcum Powder
TVM
Camp Lejeune
Hair Relaxer
Roundup
Do you already have an attorney?
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How will you finance your legal representation?
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Court Year
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Court Date
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Briefly Describe Your Case
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Do you already have an attorney?
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Yes
No
What was the cause of your injury?
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Auto Accident
Work Injury
Slip & Fall
Product Liability
Medical Malpractice
Mass Transit Accident
Wrongful Death
Defective Drug
Birth Defect
Motorcycle Accident
Truck Accident
Other
Other explanation
Injury Year
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2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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Injury Month
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Injury Date
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What type of injury was sustained (if multiple, pick the main one)?
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Broken Bones
Stitches
Surgery
Birth Injury
Burns
Brain Damage
Sexual Abuse
Hearing Loss
Vision Loss
Paralysis
Other
Did you receive treatment within 14 days of the accident?
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Yes
No
Were you at fault for sustaining this injury?
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Yes
No
Briefly Describe Your Case
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Do you already have an attorney?
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Yes
No
How will you finance the legal representation?
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Borrowing
Personal savings
Family support
Current income
Will discuss payment options with my attorney
Cannot afford legal fees
Monthly Income
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Monthly Expenses
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Total Debt
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Briefly Describe Your Case
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Do you already have an attorney?
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Yes
No
How will you finance the legal representation?
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Borrowing
Personal savings
Family support
Current income
Will discuss payment options with my attorney
Cannot afford legal fees
Marital status
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Unmarried, Living Together
Unmarried, Do Not Live Together
Married, Living Together
Separated
Divorced
Other
Monthly Income
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Spouse's monthly income
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Briefly Describe Your Case
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Do you already have an attorney?
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Yes
No
When was the alleged crime committed?
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< 1 month
1-3 months
4-6 months
7-12 months
More than 12 months
Have charges already been pressed?
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Yes
No
How will you finance the legal representation?
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Borrowing
Personal savings
Family support
Current income
Will discuss payment options with my attorney
Cannot afford legal fees
Briefly Describe Your Case
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Do you already have an attorney?
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Yes
No
Have you already applied for social security / disability?
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Yes
No
Are you unable to work?
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Yes
No
Your Age?
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Birth Year
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1925
1926
1927
1928
1929
1930
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1932
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2001
2002
2003
2004
2005
2006
Birth Month
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Birth Date
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Do you receive social security benefits?
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Yes
No
Briefly Describe Your Case
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Do you already have an attorney?
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Yes
No
Birth Year
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2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
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1962
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1953
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1951
1950
1949
1948
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1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
Birth Month
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Birth Date
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1
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28
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30
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Type of taxes owed?
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Federal Taxes
State Taxes
Both Federal and State Taxes
Total amount of taxes owed?
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Less than $10,000
$10,000 => $20,000
$20,000 => $30,000
$30,000 => $40,000
$40,000 => $50,000
$50,000 => $60,000
$60,000 => $70,000
$70,000 => $80,000
$80,000 => $90,000
$90,000 => $100,000
More than $100,000
Were you or a loved one diagnosed with any of the following Cancers after working on a Railroad for at least five years?
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Bladder Cancer
Colon Cancer
Esophageal Cancer
Hodgkin's Lymphoma
Kidney Cancer
Lung Cancer
Mesothelioma
Multiple Myeloma
Non-Hodgkin's Lymphoma
Laryngeal Cancer
Rectal Cancer
Stomach Cancer
Throat Cancer
Leukemia
Other Cancer
When were you or a loved one diagnosed with Cancer?
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Do you already have an attorney?
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Yes
No
Have you experienced any of the following symptoms after using Risperdal?
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Diagnosed Gynecomastia
Diagnosed Galactorrhea
Breast Growth
Swollen Nipples
How old is the injured male that suffered these side effects?
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What year did you or a loved one start taking Risperdal?
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YYYY slash MM slash DD
Which one of the following medications did the injured male take?
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Risperdal Brand Name (Oral)
Risperidone (Oral)
Risperdal/Consta (Injectable)
Paliperidone (Injectable)
Generic Risperdal (Produced by Patriot)
Not Sure (Please explain in comments)
Do you already have an attorney?
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Yes
No
Briefly Describe Your Case
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Have you experienced any complications related to your IVC filter?
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Device Became Non-Removable
Device Tilted
Filter Fracture
Device Migration
Filter Perforation
Device Embolization (Detached Components)
Filter Punctured Blood Vessels or Organs
Death
Other (Please explain in comments)
Do you know which one of the following IVC Filter Brands caused you or a loved one injuries?
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Bard
Cook
Greenfield (Boston Scientific)
Johnson & Johnson (Cordis OptEase)
Don't know
Other
Was the IVC Filter implanted after January 2003?
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Yes
No
Have you consulted with an Attorney on this case?
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Yes
No
Briefly Describe Your Case
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Have you experienced any complications related to your IVC filter?
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Internal Bleeding (Intestinal, Gastrointestinal, Kidney, Other Internal)
Rectal Bleeding (Due to Internal Bleeding)
Hemorrhagic Stroke (Also called a Bleeding Stroke)
Death due to Internal Bleeding or a Stroke
Ischemic Stroke
Deep Vein Thrombosis (Blood Clot in the Leg)
Pulmonary Embolism (Blood Clot in the Lungs)
Blood Clots in other areas
Heart Attack
Did your side effect require you to be in the hospital for 24 hours or longer?
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Yes
No
Did any of those side effects due to Xarelto occur after January 2012?
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Yes
No
At the hospital, were you or a loved one directed to stop taking Xarelto by the Physician?
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Yes
No
Have you consulted with an Attorney on this case?
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Yes
No
Have you been diagnosed with Ovarian Cancer after using Talcum Powder?
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Yes
No
Did you or a loved one use Talcum Powder for 4 or more years?
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Yes
No
Are you or a loved one over the Age of 65?
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Yes
No
Did the loved one pass away from Ovarian Cancer within the last 3 years?
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Yes
No
Are you or a loved one BRCA Negative (Breast Cancer Susceptibility Gene)?
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Yes
No
Have you consulted with an Attorney on this case?
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Yes
No
Did you have a Bladder Sling or Transvaginal Mesh Surgery?
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Yes
No
Was this original Bladder Sling or Transvaginal Mesh Surgery performed in 2005 or after?
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Yes
No
What was the reason for your Bladder Sling or Transvaginal Mesh Surgery?
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Stress Urinary Incontinence (SUI)
Pelvic Organ Prolapse (POP)
Other (Please explain in comments)
Was the original surgery done Vaginally?
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Yes
No
Was there a Revision (replaced or removed) Surgery?
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Yes
No
Was the Revision Surgery performed in 2005 or later?
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Yes
No
Was the Revision Surgery performed Vaginally?
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Yes
No
Was the Revision Surgery performed while you were under Anesthesia?
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Yes
No
Have you consulted an Attorney in regards to this?
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Yes
No
Briefly Describe Your Case
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Have you consulted an Attorney in regards to this?
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Yes
No
Have you or a loved one experienced any of the following injuries or illnesses as a result of exposure to Camp Lejeune water contamination?
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(ALS) Amyotrophic Lateral Sclerosis (ALS)
Aplastic anemia
Birth defects (non-cardiac)
Bladder cancer
Brain cancer
Breast cancer
Cardiac birth defects
Central Nervous System cancer (CNS)
Cervical cancer
Colorectal cancer
Esophageal cancer
Female infertility (while exposed to CL water)
Fetal death (loss > 20 weeks)
Hepatic steatosis (fatty liver disease)
Hodgkin's lymphoma
Kidney cancer
Kidney disease
Leukemia
Liver cancer
Lung cancer
MDS (Myelodysplastic syndromes)
Miscarriage (loss < 20 weeks while exposed to CL water)
Multiple myeloma
Neural tube defects
No injury
Non-Hodgkin's lymphoma
Other cancer
Other injury
Pancreatic cancer
Parkinson's disease
Prostate cancer
Rectal cancer
Renal toxicity
Scleroderma
Soft tissue sarcoma
Thyroid cancer
Camp lejeune years, One of the following:
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1953-1987
After 1987
Before 1953
Never lived or worked at Camp Lejeune
Was at Camp Lejeune but for less than 30 days
Briefly Describe Your Case
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Type of relationship, One of the following:
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Child of military contractor
Child of military service member
Civilian employee
Military contractor
Military service member
Other military contractor relationship
Other military service member relationship
Spouse of military contractor
Spouse of military service member
Have you consulted an Attorney in regards to this?
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Yes
No
Year of diagnosis, One of the following:
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2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Before 2012
Not diagnosed with any injury
Have you consulted an straightener use in regards to this?
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Yes
No
Have you experienced any of the following injuries or conditions after using Hair Relaxer?
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Breast cancer
Endometrial cancer
Fibroids
Hair loss (without cancer)
Infertility
None of these
Other cancer
Other injury
Ovarian cancer
Uterine cancer
Have you been diagnosed with any of the following types of cancer after using Roundup?
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Anaplastic Large T/Null-Cell Lymphoma (T/N-ALCL)
B-Cell Lymphoma
Burkitt Lymphoma (B-BL)
Chronic Lymphocytic Leukemia (CLL)
Diffuse Large B-Cell Lymphoma (B-DLCL)
Follicular Lymphoma (B-FL)
Hairy Cell Leukemia (HCL)
Mantle Cell Lymphoma (MCL)
Mycosis Fungoides (T-MF)
No Cancer
Non-Hodgkin's Lymphoma (NHL)
Other Cancer
Other Non-Hodgkin's Lymphoma (NHL) Subtype
Plasmacytoma (B-PC)
Primary Central Nervous System (CNS) Lymphoma
Sezary Syndrome (T-SS)
Small Lymphocytic Lymphoma (B-SLL)
T-Cell Lymphoma
Type of exposure type, One of the following:
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Not exposed
Yes, directly exposed
Yes, indirectly exposed
Number of exposure year, One of the following:
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1 year
2 or more years
Less than 1 year
Not exposed
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