Free case evaluation

The Metzger Law Group supports the Leukemia & Lymphoma Society and the International Myeloma Foundation

If you would like us to evaluate your case, please complete the following short questionnaire and send it to us. Please be sure to complete all the fields, as we need all of the information requested to be able to properly evaluate your case.

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Email Address:

Day Time Phone Number:

Evening Phone Number:

Disease / Injury:

Date of Diagnosis

Age:

Description of exposure of chemical and or conditions:

States/Locations where exposures occurred:

Employer when exposed:

How did you hear about us?

Comments / Additional Information:

I agree to be contacted for a free case evaluation.

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