TOBACCO CLAIM
If you or someone you know suffered from a smoking related health problem that was diagnosed between 1990 and 1996, you may be entitled to recover damages from the tobacco companies. The Florida Supreme Court has limited the time available for claims to be filed so call or complete the questionnaire below for a free case evaluation.

Personal Information
Title:
First Name:
Middle Initial:
Last Name:
Marital Status:

Address:
Suite / Apt. / Unit #:
City:
County:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Your Employer:
Employer Address:
Employer City:
Employer State:
Employer Zip:

Contact Preferences
  Best time and method to contact you:

Case Details
Victim's Relationship
to You:
Victim's Date of Birth:
Year Victim Began Smoking:
Year Victim Stopped Smoking:
Brand(s) of
Cigarettes Smoked:
  Describe Smoking-Related Disease or Illness:
Date of Diagnosis:
Date of Death
(if applicable):
  Other Information:

 


AUTOMOBILE
ACCIDENTS

—

PREMISES
LIABILITY

—

WRONGFUL
DEATH

—

TOBACCO
CLAIMS


The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Before you decide, ask us to send you free written information about our qualifications and experience. This web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship.


HOME • ABOUT US • PRACTICE AREAS • ATTORNEYS & STAFF • CONTACT US

Website Design by Arnold Creative Services