Future Economic Loss and Damages Survey Privileged Attorney Client Communication

Adult Family Member

Background

You must answer all questions to the best of your ability. If a question does not apply to you, then please insert “NA” in the response section.

33% of survey complete.

Question Title

* 1. Your Name

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* 2. Veteran's Name

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* 3. What is your street address?

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* 4. The Court Requires That All Persons Named in the Complaint Provide Proof of U.S. Citizenship, Please Provide a Copy of Your and All Minor Children Named in the Complaint's Birth Certificate or Passport.

If you are unsure as to which of your minor children are named in the Complaint, then please contact Lynette Tepe at lynettet@ChampionsForTheInjured.com, call (480) 582-1509, or text to 844-528-1445.

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Future Economic Loss and Damages Survey Privileged Attorney Client CommunicationAdult Family Member

Background

Question Title

* 1. Your Name

Question Title

* 2. Veteran's Name

Question Title

* 3. What is your street address?

Question Title

* 4. The Court Requires That All Persons Named in the Complaint Provide Proof of U.S. Citizenship, Please Provide a Copy of Your and All Minor Children Named in the Complaint's Birth Certificate or Passport.

Future Economic Loss and Damages Survey Privileged Attorney Client Communication

Adult Family Member