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Tobacco
Contact Form for Lung Cancer
Victims in San Francisco, the Los Angeles
Area and Oregon |
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Please
use this form to contact an attorney at Lieff Cabraser regarding our investigation
of smoking-induced lung cancer cases in the San Francisco Bay Area,
Los Angeles County and Oregon and in which the lung
cancer was diagnosed in 2001 or later. Lieff Cabraser
agrees to protect your name and all confidential information
you submit against disclosure, publication or unauthorized
use to the full extent under the law. We will respond
to your inquiry as promptly as possible. |
| Please
note that Lieff Cabraser is not investigating
individual smoker lawsuits from outside these
areas. We cannot refer smokers with cancer or other
diseases living outside these areas to other attorneys. |
| If
you or a family member have a smoking related disease,
live outside the San Francisco Bay Area, Los Angeles
County or Oregon and wish for consult with an attorney
concerning the merits of your claim, we suggest you
contact your local or state bar (lawyer) association
for information on how to retain an attorney, or search
further on the Internet for personal injury/tobacco
attorneys in your area. |
| As
described in our firm
profile, Lieff Cabraser represents persons in group
and class actions in a wide range of cases and individuals
in cases involving substantial personal or economic
injuries. Completion of this form does not contractually
obligate our firm to represent you. We can only serve
as your attorney if both you and our firm agree, in
writing, that we will serve as your counsel. Please
read our disclaimer. |
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| First
name* |
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| Last
name* |
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| Company |
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| Address |
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| City |
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| State |
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| Zip
Code |
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| Country |
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| Telephone
- day |
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| Telephone
- eve. |
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| (Please
enter telephone number(s) in numerical format) |
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| E-Mail
address* |
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| When
were you born? |
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| When
did you start smoking? |
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| What
cigarette brands did you first regularly smoke (please
identify the time period)? |
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| What
cigarette brands, if any, did you subsequently regularly
smoke (please identify the time periods)? |
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| Did
you ever switch to a low-tar cigarette? |
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| If
yes, when and what brand(s)? |
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| Do
you still smoke? |
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| If
yes, what brand? |
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| If
no, |
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| (a)
when did you quit? |
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| (b)
did you ever quit smoking for an extended period prior
to permanently quitting? Please identify the time periods. |
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| Have
you been diagnosed with lung cancer? |
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| If
yes, when was the diagnosis made? |
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| Have
you been diagnosed with any smoking-related disease
other than lung cancer? |
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| Please
provide any additional comments you wish to offer: |
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| (*
indicates required field) |
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| Privacy Statement: |
| Lieff
Cabraser maintains the privacy of your message. We do not in any
manner sell your personal information or e-mail address. If you consent
to our use of your e-mail address, we will use it only to send
a free Consumer Law Newsletter which is transmitted four times a year.
The newsletter contains information on consumer safety issues, updates
on cases of widespread public interest and notices of class action settlements
and monies available to class members. To read our privacy policy in
full, click
here. |
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sign me up for the Lieff Cabraser E-mail Consumer Law
Newsletter
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LIEFF CABRASER HEIMANN & BERNSTEIN, LLP |
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| Notice: Lieff
Cabraser attorneys provide legal advice and practice law for clients in
federal district courts throughout the United States and in state courts
where we are licensed to practice. In states in which our lawyers are not
licensed to practice, we have affiliations with local attorneys who serve
as co-counsel with our firm. Please read our disclaimer. |
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Copyright © 2008 Lieff Cabraser Heimann & Bernstein,
LLP |
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