Center: Legal Aid
If you would like more information about Mesothelioma, legal
help or the availability of treatment options fill out the information
below for a no-cost assessment of your rights to a legal compensation
The information you submit will be kept private and confidential
and used for the sole purpose of evaluating your claims for compensation
or eligibility for money to pay for treatment.
All submissions are completely confidential
Items marked with a * are required. Thank you.
*Phone Number (day):
What is the Injured's
relationship to you?:
Injured's Date of
(ie . mm/dd/19yy)
Have you or they
been diagnosed with mesothelioma?: