Asbestos Exposure Questionnaire | Mesothelioma Legal Help

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Please note that your First AND/OR Last Name, Email AND/OR Phone and a description of your legal issue are required.

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Please enter your First name or Last name.(Required)

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Please enter home phone number.(Required)

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Zip Code*

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Please enter date of birth.(Required)

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Please enter name of spouse.(Required)

Please enter Employer #1(Required)

Please enter Union Local #1(Required)

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Please enter Location of Jobsite #1(Required)

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Please enter Date(Required)

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Asbestos Exposure: Please check the box next to any industries you worked in where you were exposed to asbestos.(Required)

Asbestos Mining

Aerospace Aviation

Asbestos Abatement

Automobile/Mechanical Friction

Chemical

Construction Trades

Iron/Steel

Longshore

Maritime

Asbestos Prod. Manuf.

Military

Non-asbestos Products Manuf.

Petrochemical

Insulation

Railroad

Shipyard-construction Repair

Textile

Tire/Rubber

Utilities

Building Occupant/Bystander First year you were exposed to asbestos:

Please enter first year you were exposed to asbestos(Required)

Please enter last year you were exposed to asbestos(Required)

Asbestos Exposure: Please check the box next to any occupation performed where you were exposed to asbestos products.(Required)

Boilermaker/Boilermaker Helper

Brickmason/Brick Layer

Carpenter/Joiner

Inspector

Insulator

Laborer

Lagger

Millwright

Pipe Coverer/Pipefitter/Pipe Insulator

Plasterer

Plumber

Refractory Insulator

Rip Out

Sandblaster

Steamfitter

Tile Worker

Welder

Other

Please enter value for Other, if checked.(Required)

Have you been diagnosed with any of the following cancers?(Required)

Lung Cancer

Colon Cancer

Esophageal Cancer

Laryngeal Cancer

Pharyngeal Cancer

Stomach Cancer

Please enter Date of Diagnosis(Required)

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How Can We Help You?

Please provide a brief describe of your legal Issue. *(Required)

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Disclaimer: The use of the internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

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Practice Areas

Asbestos & Mesothelioma
Dangerous Drugs & Products
Discrimination
- 52 black franchisees sue Mcdonald’s
Insulin Litigation
Personal Injuries & Accidents
Water Contamination Claims
- Camp Lejeune Water Contamination
- East Palestine Train Derailment
Wills & Probate

Testimonials

My father passed away in 2001 from mesothelioma and my mother hired Kelley Ferraro. They were dedicated and relentless in the pursuit of the companies that contributed to my father's untimely death. They have continued all efforts even unto this day to bring justice to our family even as these…

- Phyllis H.

They keep me posted with every aspect of my case. They are up front with costs and settlements if any.

- Mary G.

Kind and responsive to our inquiries....also nice Cleveland based artwork throughout the 13th floor. The handled our case quickly and effectively...highly recommended!!!

- Daniel C.

Awesome team of lawyers and litigation specialists. Very articulate and hard working when it comes to getting clients the justice they deserve. 10/10 recommend.

- Max G.

Kelley & Ferraro LLP takes pride in representing its clients. No matter the complexity, each client is treated with compassion and they do their very best to represent them.