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Mesothelioma Risk Found Among Asbestos Brake and Clutch Manufacturer Workers - Asbestos.com

Asbestos is known to cause a variety of conditions and diseases, including asbestosis, lung cancer and malignant mesothelioma. The study reports that approximately 2,000 tons of chrysotile asbestos (the most common form of asbestos) is used annually to manufacture friction materials ...
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PERSONAL INFORMATION
First Name: *
Last Name: *
E-mail Address: *
Home Phone: -- ext.
Address:
City:
State: *
Zip Code:

CASE INFORMATION
Have you been diagnosed with Mesothelioma?: Yes No
Date of Diagnosis:
Do you have a relative Diagnosed with Mesothelioma?: Yes No
Do you have a Pathology Report?: Yes No
Marital Status:
Number of Children:
Are you working with an Attorney?: Yes No
In which US state or states were you exposed?:
Case Description:
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