AFFF Interview Aditional Questions
AFFF Form
1. Date of Interview:
2. Please enter ALL states/locations where you were exposed to AFFF:
Add Location
3. How did you make the connection between your AFFF exposure and your injuries?
4. When did you make this connection (enter the date or year):
5. Did a doctor or medical professional ever tell you your injuries were caused by your exposure to AFFF?
Please select
Yes
No
6. If yes, when were you told?
7. When did you first hear about the AFFF lawsuits?
8. How did you first hear about them?
9. Comments:
10. Enter the name of the person completing these questions:
Submit
