Benzene AML Leukemia

Find Benzene Lawyers
If you or a loved one has been injured by exposure to Benzene, developed AML Leukemia, or died as a result of Benzene Toxicity use please contact us below for a free assessment of your legal rights.

In most cases there will be two issues, one involving workers' compensation which may cover medical bills and disability payments for people injured by Benzene, and their may also be claims against the makers of the Benzene-containing products and solvents. Contact us today for a free evaluation of your potential legal claims.

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If you need immediate attention, please call 1-800-942-2056

Title:

First Name:

  M. I.

 

 Last Name:

 Address:

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 Phone Number (eve):

Email Address 

 If this inquiry is not for yourself, please tell us the name of the person?:

 Title:

 

First Name:

   MI

 

Last Name:

What is the Injured's relationship to you?:

Injured's Date of Birth? (Please use format: mm/dd/19yy)

 Have you or they been exposed to Benzene?:

Where were you exposed?

Date(s) of Exposure?

Do you or they have Leukemia?:

 

If yes, what type of Leukemia?

If you have had another type of cancer or disease, please specify

 Date of Diagnosis?

If injured is no longer living, what was the date of death? 

What date was the connection between your illness and Benzene exposure made?
 

 

What professions/industries have you worked in that may have exposed you to Benzene?
 

 

Please briefly describe your legal concern
 
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